Robotic surgery of the pancreas
Identifieur interne : 003411 ( Ncbi/Merge ); précédent : 003410; suivant : 003412Robotic surgery of the pancreas
Auteurs : Daniel Joyce ; Gareth Morris-Stiff ; Gavin A. Falk ; Kevin El-Hayek ; Sricharan Chalikonda ; R Matthew WalshSource :
- World Journal of Gastroenterology : WJG [ 1007-9327 ] ; 2014.
Abstract
Pancreatic surgery is one of the most challenging and complex fields in general surgery. While minimally invasive surgery has become the standard of care for many intra-abdominal pathologies the overwhelming majority of pancreatic surgery is performed in an open fashion. This is attributed to the retroperitoneal location of the pancreas, its intimate relationship to major vasculature and the complexity of reconstruction in the case of pancreatoduodenectomy. Herein, we describe the application of robotic technology to minimally invasive pancreatic surgery. The unique capabilities of the robotic platform have made the minimally invasive approach feasible and safe with equivalent if not better outcomes (
Url:
DOI: 10.3748/wjg.v20.i40.14726
PubMed: 25356035
PubMed Central: 4209538
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PMC:4209538Le document en format XML
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<author><name sortKey="Joyce, Daniel" sort="Joyce, Daniel" uniqKey="Joyce D" first="Daniel" last="Joyce">Daniel Joyce</name>
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<author><name sortKey="Morris Stiff, Gareth" sort="Morris Stiff, Gareth" uniqKey="Morris Stiff G" first="Gareth" last="Morris-Stiff">Gareth Morris-Stiff</name>
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<author><name sortKey="Falk, Gavin A" sort="Falk, Gavin A" uniqKey="Falk G" first="Gavin A" last="Falk">Gavin A. Falk</name>
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<author><name sortKey="El Hayek, Kevin" sort="El Hayek, Kevin" uniqKey="El Hayek K" first="Kevin" last="El-Hayek">Kevin El-Hayek</name>
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<author><name sortKey="Chalikonda, Sricharan" sort="Chalikonda, Sricharan" uniqKey="Chalikonda S" first="Sricharan" last="Chalikonda">Sricharan Chalikonda</name>
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<author><name sortKey="Walsh, R Matthew" sort="Walsh, R Matthew" uniqKey="Walsh R" first="R Matthew" last="Walsh">R Matthew Walsh</name>
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<series><title level="j">World Journal of Gastroenterology : WJG</title>
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<front><div type="abstract" xml:lang="en"><p>Pancreatic surgery is one of the most challenging and complex fields in general surgery. While minimally invasive surgery has become the standard of care for many intra-abdominal pathologies the overwhelming majority of pancreatic surgery is performed in an open fashion. This is attributed to the retroperitoneal location of the pancreas, its intimate relationship to major vasculature and the complexity of reconstruction in the case of pancreatoduodenectomy. Herein, we describe the application of robotic technology to minimally invasive pancreatic surgery. The unique capabilities of the robotic platform have made the minimally invasive approach feasible and safe with equivalent if not better outcomes (<italic>e.g</italic>
., decreased length of stay, less surgical site infections) to conventional open surgery. However, it is unclear whether the robotic approach is truly superior to traditional laparoscopy; this is a key point given the substantial costs associated with procuring and maintaining robotic capabilities.</p>
</div>
</front>
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<pmc article-type="review-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">World J Gastroenterol</journal-id>
<journal-id journal-id-type="iso-abbrev">World J. Gastroenterol</journal-id>
<journal-id journal-id-type="publisher-id">WJG</journal-id>
<journal-title-group><journal-title>World Journal of Gastroenterology : WJG</journal-title>
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<issn pub-type="ppub">1007-9327</issn>
<issn pub-type="epub">2219-2840</issn>
<publisher><publisher-name>Baishideng Publishing Group Inc</publisher-name>
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<article-meta><article-id pub-id-type="pmid">25356035</article-id>
<article-id pub-id-type="pmc">4209538</article-id>
<article-id pub-id-type="other">jWJG.v20.i40.pg14726</article-id>
<article-id pub-id-type="doi">10.3748/wjg.v20.i40.14726</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Topic Highlight</subject>
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<title-group><article-title>Robotic surgery of the pancreas</article-title>
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<contrib-group><contrib contrib-type="author"><name><surname>Joyce</surname>
<given-names>Daniel</given-names>
</name>
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<contrib contrib-type="author"><name><surname>Morris-Stiff</surname>
<given-names>Gareth</given-names>
</name>
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<contrib contrib-type="author"><name><surname>Falk</surname>
<given-names>Gavin A</given-names>
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<contrib contrib-type="author"><name><surname>El-Hayek</surname>
<given-names>Kevin</given-names>
</name>
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<contrib contrib-type="author"><name><surname>Chalikonda</surname>
<given-names>Sricharan</given-names>
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<contrib contrib-type="author"><name><surname>Walsh</surname>
<given-names>R Matthew</given-names>
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<aff>Daniel Joyce, Gareth Morris-Stiff, Gavin A Falk, Kevin El-Hayek, Sricharan Chalikonda, R Matthew Walsh, Department of General Surgery, Digestive Disease Institute, Cleveland Clinic, Cleveland, OH 44195, United States</aff>
</contrib-group>
<author-notes><fn><p>Author contributions: Joyce D and Morris-Stiff G contributed to the study idea, study design, literature search and preparation of the manuscript; Falk GA, El-Hayek K, Chalikonda S and Walsh RM contributed to the study design and revision of the manuscript.</p>
<p>Correspondence to: Daniel Joyce, Resident Physician, Department of General Surgery, Digestive Disease Institute, Cleveland Clinic, Cleveland, OH 44195, United States. <email>joyced4@ccf.org</email>
</p>
<p>Telephone: +1-216-4457576 Fax: +1-216-4457653</p>
</fn>
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<pub-date pub-type="ppub"><day>28</day>
<month>10</month>
<year>2014</year>
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<month>10</month>
<year>2014</year>
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<volume>20</volume>
<issue>40</issue>
<fpage>14726</fpage>
<lpage>14732</lpage>
<history><date date-type="received"><day>8</day>
<month>2</month>
<year>2014</year>
</date>
<date date-type="rev-recd"><day>11</day>
<month>4</month>
<year>2014</year>
</date>
<date date-type="accepted"><day>14</day>
<month>6</month>
<year>2014</year>
</date>
</history>
<permissions><copyright-statement>©2014 Baishideng Publishing Group Inc. All rights reserved.</copyright-statement>
<copyright-year>2014</copyright-year>
</permissions>
<abstract><p>Pancreatic surgery is one of the most challenging and complex fields in general surgery. While minimally invasive surgery has become the standard of care for many intra-abdominal pathologies the overwhelming majority of pancreatic surgery is performed in an open fashion. This is attributed to the retroperitoneal location of the pancreas, its intimate relationship to major vasculature and the complexity of reconstruction in the case of pancreatoduodenectomy. Herein, we describe the application of robotic technology to minimally invasive pancreatic surgery. The unique capabilities of the robotic platform have made the minimally invasive approach feasible and safe with equivalent if not better outcomes (<italic>e.g</italic>
., decreased length of stay, less surgical site infections) to conventional open surgery. However, it is unclear whether the robotic approach is truly superior to traditional laparoscopy; this is a key point given the substantial costs associated with procuring and maintaining robotic capabilities.</p>
</abstract>
<kwd-group><kwd>Robotic surgery</kwd>
<kwd>Pancreatoduodenectomy</kwd>
<kwd>Pancreatectomy</kwd>
<kwd>Minimally invasive surgery</kwd>
<kwd>Pancreatic cancer</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
<affiliations><list></list>
<tree><noCountry><name sortKey="Chalikonda, Sricharan" sort="Chalikonda, Sricharan" uniqKey="Chalikonda S" first="Sricharan" last="Chalikonda">Sricharan Chalikonda</name>
<name sortKey="El Hayek, Kevin" sort="El Hayek, Kevin" uniqKey="El Hayek K" first="Kevin" last="El-Hayek">Kevin El-Hayek</name>
<name sortKey="Falk, Gavin A" sort="Falk, Gavin A" uniqKey="Falk G" first="Gavin A" last="Falk">Gavin A. Falk</name>
<name sortKey="Joyce, Daniel" sort="Joyce, Daniel" uniqKey="Joyce D" first="Daniel" last="Joyce">Daniel Joyce</name>
<name sortKey="Morris Stiff, Gareth" sort="Morris Stiff, Gareth" uniqKey="Morris Stiff G" first="Gareth" last="Morris-Stiff">Gareth Morris-Stiff</name>
<name sortKey="Walsh, R Matthew" sort="Walsh, R Matthew" uniqKey="Walsh R" first="R Matthew" last="Walsh">R Matthew Walsh</name>
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