Laparoscopic pancreatoduodenectomy: How far have we come and where are we headed?

ABSTRACT: Minimally invasive pancreatoduodenectomy is currently a feasible option in selected patients at high volume centers with available expertise. Although the procedure has been described two decades ago, laparoscopic surgeons have been reluctant to perform it since it is technically demanding. Currently there is no standardized training process for minimally invasive pancreatoduodenectomy and this is required to ensure the safety of the procedure. Even the open pancreatoduodenectomy can be a challenging procedure where the outcome depends much upon the patient volume and surgeon's experience. In the minimally invasive setting, all the current evidence comes from retrospective data with inherent selection bias. Although the proposed benefits have been reported in many series, a randomized tria

SUBMITTER: Shrikhande SV 

PROVIDER: S-EPMC4550838 | biostudies-literature | 2015 Aug

REPOSITORIES: biostudies-literature