Abstract
Minimally invasive surgery (MIS) has become a standard approach to surgical disease of the abdomen. However, minimally invasive pancreatic surgery (MIPS) has been more difficult to establish, given the characteristic complexities of pancreatic operations. There are furthermore ongoing questions regarding the best clinical scenarios in which to use minimally invasive approaches. The history is complex and the field continues to evolve. This review follows the historical path of MIPS in pancreatic surgery and furthermore examines current points of controversy.
Methods: A review of the literature was undertaken to identify landmark papers along the development of MIPS as well as historical reviews.
Key Content and Findings: This review examines the history of MIS and MIPS, with an emphasis on the role that laparoscopy and robotic surgery have played in the ability to perform pancreatic surgery through an MIS approach. An examination of the state-of-the-art is included, reviewing past successes and ongoing challenges.
Conclusions: MIPS has seen significant improvements since its inception, and there are signs that progress will continue well into the future. Areas of controversy persist, but the field has continued to push the boundaries of what is feasible and beneficial to patients undergoing pancreatic resections.
Publication Date
6-30-2024
Content Type
Article
Publisher's Site:
Citation
Asbun, D., Lluis, N., Jimenez, R. E., & Asbun, H. J. (2024). A narrative review of minimally invasive pancreatic surgery: from pipedreams to pancreatoduodenectomies. Digestive Medicine Research, 7. https://dmr.amegroups.org/article/view/9393
Comments
This open access article is distributed under the Creative Commons Attribution 4.0 International (CC BY 4.0) license. © 2024