Robot-assisted spleen preserving pancreatic surgery in MEN1 patients
| Autor: | Bert A. Bonsing, Els J. M. Nieveen van Dijkum, Inne H.M. Borel Rinkes, Ahmet Ayav, Geert Kazemier, Bas Groot Koerkamp, Gerlof D. Valk, Laurent Brunaud, Sjoerd Nell, Ruben H J de Kleine, Menno R. Vriens, I. Quintus Molenaar, Jeroen Hagendoorn |
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| Rok vydání: | 2016 |
| Předmět: |
Laparoscopic surgery
medicine.medical_specialty business.industry medicine.medical_treatment General surgery General Medicine Perioperative 030230 surgery Neuroendocrine tumors medicine.disease Pancreaticoduodenectomy Primary tumor Surgery 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Oncology 030220 oncology & carcinogenesis Cohort medicine Pancreas Multiple endocrine neoplasia business |
| Zdroj: | Journal of Surgical Oncology. 114:456-461 |
| ISSN: | 0022-4790 |
| Popis: | Background: Multiple Endocrine Neoplasia type 1 (MEN1) patients often undergo multiple pancreatic operations at a young age. Objective: To describe robot-assisted and laparoscopic spleen-preserving pancreatic surgery in MEN1 patients, and to compare both techniques. Methods: Robot-assisted pancreatectomies of the DutchMEN1 study group and the Universite de Lorraine, Nancy, France were compared to a historical cohort of laparoscopic treated MEN1 patients. Perioperative outcomes were compared. Results: A total of 21 MEN1 patients underwent minimally invasive pancreatic surgery for pancreatic neuroendocrine tumors, seven patients were subjected to robot-assisted surgery, and 14 patients underwent laparoscopic surgery. Demographics and clinical characteristics did not differ between the cohorts and no significant differences in operative outcomes were found. A high number of ISGPS grade B/C pancreatic fistulas were observed in both cohorts (38%), and no conversions were seen in the robot-assisted cohort (respectively 0% vs. 43%, P = 0.06). In one laparoscopic and one robot-assisted case the primary tumor was not resected. Conclusions: Minimally invasive spleen-preserving surgery in MEN1 patients is safe and feasible. Patients who underwent robot-assisted surgery did not require conversion to open surgery. |
| Databáze: | OpenAIRE |
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