Open, laparoscopic and robot-assisted surgery for periampullary cancer (outcomes, advantages, drawbacks)
I. E. Khatkov,
V. V. Tsvirkun,
R. E. Izrailov,
M. V. Mikhnevich,
O. S. Vasnev,
M. G. Efanov,
P. S. Tyutyunnik,
M. E. Baychorov,
A. V. Andrianov,
N. I. Elizarova,
I. V. Kazakov,
A. N. Vankovich https://doi.org/10.16931/1995-5464.2019354-64
Abstract
Objective. To assess the role of minimally invasive surgery for periampullary cancer.
Material and methods. A systematic literature review of original articles devoted to comparison of open, laparoscopic and robot-assisted pancreatoduodenectomy was performed. Also, our own experience of minimally invasive pancreatoduodenectomy is shown.
Results. Articles included in the analysis showed comparable results of minimally invasive and open pancreatoduodenectomy regarding morbidity, mortality and oncological outcomes. Laparoscopic and robot-assisted pancreatoduodenectomy are associated with significantly less intraoperative blood loss and length of postoperative hospital-stay. However, these procedures require more time.
Conclusion. Minimally invasive surgery does not worsen perioperative outcomes and may be considered as an alternative to open procedures in selective patients. Minimally invasive techniques should be implemented in highvolume pancreatic centers only with specialists experienced in minimally invasive surgery.
About the Authors
I. E. Khatkov
Loginov Moscow Clinical Scientific Center;
Evdokimov Moscow State University of Medicine and Dentistry
Russian Federation
Russian Federation
Igor E. Khatkov – Doct. of Sci. (Med.), Professor, Corresponding-member of the Russian Academy of Sciences, Head
Chief of the Department of Faculty-Based Surgery №2
V. V. Tsvirkun
Loginov Moscow Clinical Scientific Center
Viktor V. Tsvirkun – Doct. of Sci. (Med.), Professor, Chief Research Fellow
Viktor V. Tsvirkun – Doct. of Sci. (Med.), Professor, Chief Research Fellow
R. E. Izrailov
Loginov Moscow Clinical Scientific Center;
Evdokimov Moscow State University of Medicine and Dentistry
Roman E. Izrailov – Doct. of Sci. (Med.), Professor, Head of the Department of Innovative Surgery
Professor of the Department of Faculty-Based Surgery №2
M. V. Mikhnevich
Loginov Moscow Clinical Scientific Center;
Evdokimov Moscow State University of Medicine and Dentistry
Mikhail V. Mikhnevich – Oncologist of the Department of High-tech Surgery
Senior Laboratory Assistant of the Department of Faculty-Based Surgery №2
kv. 9, 38, Metallurgov str., Moscow, 111399. Phone: +7-909-644-40-33.
O. S. Vasnev
Loginov Moscow Clinical Scientific Center
Oleg S. Vasnev – Doct. of Sci. (Med.), Head of the Department of High-tech Surgery and Surgical Endoscopy
Oleg S. Vasnev – Doct. of Sci. (Med.), Head of the Department of High-tech Surgery and Surgical Endoscopy
M. G. Efanov
Loginov Moscow Clinical Scientific Center
Mikhail G. Efanov – Doct. of Sci. (Med.), Head of the Department of Hepatopancreatobiliary Surgery
Mikhail G. Efanov – Doct. of Sci. (Med.), Head of the Department of Hepatopancreatobiliary Surgery
P. S. Tyutyunnik
Loginov Moscow Clinical Scientific Center;
Evdokimov Moscow State University of Medicine and Dentistry
Pavel S. Tyutyunnik – Research Fellow of the Department of Innovative Surgery
Assistant of the Department of Faculty-Based Surgery №2
M. E. Baychorov
Loginov Moscow Clinical Scientific Center
Magomet E. Baychorov – Oncologist of the Department of High-tech Surgery and Surgical Endoscopy
Magomet E. Baychorov – Oncologist of the Department of High-tech Surgery and Surgical Endoscopy
A. V. Andrianov
Loginov Moscow Clinical Scientific Center;
Evdokimov Moscow State University of Medicine and Dentistry
Alexey V. Andrianov – Research Fellow of the Department of Innovative Surgery
Senior Laboratory Assistant of the Department of Faculty-Based Surgery №2
N. I. Elizarova
Loginov Moscow Clinical Scientific Center
Natal'ya I. Elizarova – Surgeon of the Department of Hepatopancreatobiliary Surgery
Natal'ya I. Elizarova – Surgeon of the Department of Hepatopancreatobiliary Surgery
I. V. Kazakov
Loginov Moscow Clinical Scientific Center;
Evdokimov Moscow State University of Medicine and Dentistry
Ivan V. Kazakov – Cand. of Sci. (Med.), Oncologist, Senior Research Fellow of the Department of Hepatopancreatobiliary Surgery
Assistant of the Department of Faculty-Based Surgery №2
A. N. Vankovich
Loginov Moscow Clinical Scientific Center
Andrey N. Vankovich – Cand. of Sci. (Med.), Surgeon, Research Fellow of the Department of Hepatopancreatobiliary Surgery
Andrey N. Vankovich – Cand. of Sci. (Med.), Surgeon, Research Fellow of the Department of Hepatopancreatobiliary Surgery
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Review
For citations:
Khatkov I.E., Tsvirkun V.V., Izrailov R.E., Mikhnevich M.V., Vasnev O.S., Efanov M.G., Tyutyunnik P.S., Baychorov M.E., Andrianov A.V., Elizarova N.I., Kazakov I.V., Vankovich A.N. Open, laparoscopic and robot-assisted surgery for periampullary cancer (outcomes, advantages, drawbacks). Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2019;24(3):54-64. (In Russ.) https://doi.org/10.16931/1995-5464.2019354-64
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