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The prospective of laparoscopic pancreaticoduodenectomy for cancer management.

Abstract Laparoscopic pancreaticoduodenectomy (LPD) is an extremely challenging surgery. First described in 1994, LPD has been gaining a favorable position in the majority of pancreatic surgery. Now, LPD is worldwide accepted. A literature search was conducted in PubMed, and only papers written in English containing more than 26 publications of LPD were selected. Papers in distal and robotic pancreatic procedure were not included in the review of a total of 222 LPD publications. The total number of patients analyzed was 1,082 from 25 articles and the largest series. Six of these studies came from the United States, 1 from France, 5 from South Korea, and 1 from India, 2 from Japan, 5 from China, 1 from Italy, 1 Germany, 2 from UK. The overall pancreatic fistula rate was 20.5%. The overall conversion rate was 10.4%. LPD seems to be a valid alternative to the standard open approach with similar technical and oncological results. LPD is a safe procedure, providing many of the advantages typically associated with laparoscopic procedures. We expect this operation to continue to gain in popularity as well as be offered in increasingly more complex cases. In future studies, it will be beneficial to look further at the oncologic outcome data of LPD including survival.
PMID
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Authors

Mayor MeshTerms
Keywords

Laparoscopic pancreaticoduodenectomy (LPD)

Whipple procedure

pancreatic cancer

review

Journal Title chinese clinical oncology
Publication Year Start




PMID- 28285538
OWN - NLM
STAT- MEDLINE
DA  - 20170313
DCOM- 20170315
LR  - 20170315
IS  - 2304-3873 (Electronic)
IS  - 2304-3865 (Linking)
VI  - 6
IP  - 1
DP  - 2017 Feb
TI  - The prospective of laparoscopic pancreaticoduodenectomy for cancer management.
PG  - 8
LID - 10.21037/cco.2017.01.03 [doi]
AB  - Laparoscopic pancreaticoduodenectomy (LPD) is an extremely challenging surgery.
      First described in 1994, LPD has been gaining a favorable position in the
      majority of pancreatic surgery. Now, LPD is worldwide accepted. A literature
      search was conducted in PubMed, and only papers written in English containing
      more than 26 publications of LPD were selected. Papers in distal and robotic
      pancreatic procedure were not included in the review of a total of 222 LPD
      publications. The total number of patients analyzed was 1,082 from 25 articles
      and the largest series. Six of these studies came from the United States, 1 from 
      France, 5 from South Korea, and 1 from India, 2 from Japan, 5 from China, 1 from 
      Italy, 1 Germany, 2 from UK. The overall pancreatic fistula rate was 20.5%. The
      overall conversion rate was 10.4%. LPD seems to be a valid alternative to the
      standard open approach with similar technical and oncological results. LPD is a
      safe procedure, providing many of the advantages typically associated with
      laparoscopic procedures. We expect this operation to continue to gain in
      popularity as well as be offered in increasingly more complex cases. In future
      studies, it will be beneficial to look further at the oncologic outcome data of
      LPD including survival.
FAU - Maher, Hendi
AU  - Maher H
AD  - Department of Gastrointestinal and Pancreas, Zhejiang Provincial People's
      Hospital, Hangzhou 310014, China; Zhejiang University School of Medicine,
      Hangzhou 310058, China.
FAU - Jin, Weiwei
AU  - Jin W
AD  - Department of Gastrointestinal and Pancreas, Zhejiang Provincial People's
      Hospital, Hangzhou 310014, China; Zhejiang University School of Medicine,
      Hangzhou 310058, China.
FAU - Mou, Yiping
AU  - Mou Y
AD  - Department of Gastrointestinal and Pancreas, Zhejiang Provincial People's
      Hospital, Hangzhou 310014, China; Zhejiang University School of Medicine,
      Hangzhou 310058, China; Key Laboratory of Gastroenterology of Zhejiang Province, 
      Hangzhou 310014, China.
FAU - Davies, Henry
AU  - Davies H
AD  - Zhejiang University School of Medicine, Hangzhou 310058, China.
      yipingmou@126.com.
LA  - eng
PT  - Journal Article
PT  - Review
PL  - China
TA  - Chin Clin Oncol
JT  - Chinese clinical oncology
JID - 101608375
SB  - IM
MH  - Humans
MH  - Laparoscopy/adverse effects/*methods
MH  - Pancreatic Fistula/etiology
MH  - Pancreatic Neoplasms/*surgery
MH  - Pancreaticoduodenectomy/adverse effects/*methods
OTO - NOTNLM
OT  - *Laparoscopic pancreaticoduodenectomy (LPD)
OT  - *Whipple procedure
OT  - *pancreatic cancer
OT  - *review
EDAT- 2017/03/14 06:00
MHDA- 2017/03/16 06:00
CRDT- 2017/03/14 06:00
PHST- 2016/12/25 [received]
PHST- 2017/01/06 [accepted]
AID - 10.21037/cco.2017.01.03 [doi]
PST - ppublish
SO  - Chin Clin Oncol. 2017 Feb;6(1):8. doi: 10.21037/cco.2017.01.03.

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