Application and prospect of laparoscopic pancreaticoduodenectomy_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

GONG Chenggong ,  HUANG Mingwen

Department of Hepatobiliary Surgery, The Second Affiliated Hospital of Nanchang University, Nanchang 330006, P. R. China;

Corresponding author：

HUANG Mingwen, Email: jxnchmw@126.com

Keywords：

pancreaticoduodenectomy; laparoscope; tumor; prognosis

DOI：

10.7507/1007-9424.202005053

Video：

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Objective To summarize the application status and prospect of laparoscopic pancreaticoduodenectomy (LPD).Method The relevant literatures about studies of LPD at home and abroad were reviewed.Results LPD was a difficult operation, mainly suitable for pancreatic head and periampullary benign and malignant tumors. With the development of laparoscopic techniques in recent years, LPD combined the superior mesenteric vein and portal vein resection and reconstruction, or combined multi-visceral resection was feasible, but the survival benefit of LPD with arterial resection and reconstruction and extended lymph node dissection remained to be discussed. At present, there was no clear requirement on the way to reconstruct the pancreatic fluid outflow tract, but the pancreaticojejunostomy for digestive tract reconstruction was chose by the most surgeons. The most studies had confirmed that LPD was minimally invasive and had a short-term prognosis that was not inferior to that of open pancreaticoduodenectomy. However, the results of large sample analysis about long-term survival rate and oncology results were lacking, so it was difficult to judge the advantages and disadvantages of long-term prognosis of the two methods.Conclusions LPD is a safe, feasible, reasonable, and effective surgical method. With improvement of laparoscopic technology, LPD is expected to become a standard operation method for treatment of pancreatic head cancer and periampullary carcinoma, and oncology benefits of LPD will be further confirmed in future by large-sample clinical randomized control trials and studies of long-term prognosis follow-up.

Citation： GONG Chenggong, HUANG Mingwen. Application and prospect of laparoscopic pancreaticoduodenectomy. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2021, 28(3): 397-403. doi: 10.7507/1007-9424.202005053 Copy

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1. Zhang H, Lan X, Peng B, et al. Is total laparoscopic pancreaticoduodenectomy superior to open procedure? A meta-analysis. World J Gastroenterol, 2019, 25(37): 5711-5731.
2. Kamarajah SK, Bundred JR, Marc OS, et al. A systematic review and network meta-analysis of different surgical approaches for pancreaticoduodenectomy. HPB (Oxford), 2020, 22(3): 329-339.
3. Torphy RJ, Friedman C, Halpern A, et al. Comparing short-term and oncologic outcomes of minimally invasive versus open pancreaticoduodenectomy across low and high volume centers. Ann Surg, 2019, 270(6): 1147-1155.
4. Tran TB, Dua MM, Worhunsky DJ, et al. The first decade of laparoscopic pancreaticoduodenectomy in the United States: costs and outcomes using the nationwide inpatient sample. Surg Endosc, 2016, 30(5): 1778-1783.
5. Sharpe SM, Talamonti MS, Wang CE, et al. Early national experience with laparoscopic pancreaticoduodenectomy for ductal adenocarcinoma: a comparison of laparoscopic pancreaticoduodenectomy and open pancreaticoduodenectomy from the National Cancer Data Base. J Am Coll Surg, 2015, 221(1): 175-184.
6. Gagner M, Pomp A. Laparoscopic pylorus-preserving pancreatoduodenectomy. Surg Endosc, 1994, 8(5): 408-410.
7. Boggi U, Amorese G, Vistoli F, et al. Laparoscopic pancreaticoduodenectomy: a systematic literature review. Surg Endosc, 2015, 29(1): 9-23.
8. Zhang H, Wu X, Zhu F, et al. Systematic review and meta-analysis of minimally invasive versus open approach for pancreaticoduodenectomy. Surg Endosc, 2016, 30(12): 5173-5184.
9. Correa-Gallego C, Dinkelspiel HE, Sulimanoff I, et al. Minimally-invasive vs open pancreaticoduodenectomy: systematic review and meta-analysis. J Am Coll Surg, 2014, 218(1): 129-139.
10. 中华医学会外科学分会胰腺外科学组, 中国医疗保健国际交流促进会胰腺病分会胰腺微创治疗学组, 中国研究型医院学会胰腺疾病专业委员会胰腺微创学组, 等. 腹腔镜胰十二指肠切除手术专家共识(附: 手术流程与主要步骤). 中华外科杂志, 2017, 55(5): 335-339.
11. Navarro JG, Kang CM. Pitfalls for laparoscopic pancreaticoduodenectomy: Need for a stepwise approach. Ann Gastroenterol Surg, 2019, 3(3): 254-268.
12. Chen K, Liu X-L, Pan Y, et al. Expanding laparoscopic pancreaticoduodenectomy to pancreatic-head and periampullary malignancy: major findings based on systematic review and meta-analysis. BMC Gastroenterol, 2018, 18(1): 102.
13. Gumbs AA, Rodriguez Rivera AM, Milone L, et al. Laparoscopic pancreatoduodenectomy: a review of 285 published cases. Ann Surg Oncol, 2011, 18(5): 1335-1341.
14. Siech M, Strauss P, Huschitt S, et al. The indications for laparoscopic pancreatectomy. Dtsch Arztebl Int, 2017, 114(15): 263-268.
15. 陈志诚, 刘军. 腹腔镜胰十二指肠切除术的应用现状及展望. 临床肝胆病杂志, 2018, 34(9): 2027-2032.
16. Lee CS, Kim EY, You YK, et al. Perioperative outcomes of laparoscopic pancreaticoduodenectomy for benign and borderline malignant periampullary disease compared to open pancreaticoduodenectomy. Langenbecks Arch Surg, 2018, 403(5): 591-597.
17. Park H, Kang I, Kang CM. Laparoscopic pancreaticoduodenectomy with segmental resection of superior mesenteric vein-splenic vein-portal vein confluence in pancreatic head cancer: can it be a standard procedure? Ann Hepatobiliary Pancreat Surg, 2018, 22(4): 419-424.
18. Tempero MA, Malafa MP, Al-Hawary M, et al. Pancreatic adenocarcinoma, version 2.2017, NCCN clinical practice guidelines in oncology. J Natl Compr Canc Netw, 2017, 15(8): 1028-1061.
19. Awad ZT. Totally laparoscopic pancreaticoduodenectomy for pancreatic head cancer with involvement of the superior mesenteric vein-portal vein confluence. Ann Surg Oncol, 2014, 21(11): 3439.
20. 程发辉, 吴浩然, 蒋波, 等. 腹腔镜与开腹胰十二指肠切除治疗十二指肠乳头腺癌疗效比较. 中国普通外科杂志, 2019, 28(9): 1068-1074.
21. Croome KP, Farnell MB, Que FG, et al. Pancreaticoduodenectomy with major vascular resection: a comparison of laparoscopic versus open approaches. J Gastrointest Surg, 2015, 19(1): 189-194.
22. 王小明. 浅谈腹腔镜胰十二指肠切除术的安全性和适应症的选择. 肝胆外科杂志, 2018, 26(1): 7-8.
23. 陈元朝, 苗韶华, 赵蔚, 等. 腹腔镜手术中不同体重指数患者气道压力和肺部感染的比较. 临床麻醉学杂志, 2015, (12): 1202-1204.
24. 秦仁义. 全腹腔镜胰十二指肠切除术路径选择和技术流程优化之我见. 中华外科杂志, 2017, 55(5): 343-345.
25. Wang M, Zhu F, Qin R, et al. Which is the best surgical approach for the pancreatic cancer? A classification of pancreatic cancer to guide operative decisions is needed. Ann Surg, 2017, 265(6): E81-E82.
26. 林荣贵, 黄鹤光, 陈燕昌, 等. 腹腔镜胰十二指肠切除术胰腺颈部离断的方法选择. 中华外科杂志, 2017, 55(9): 667-670.
27. Ome Y, Hashida K, Yokota M, et al. Laparoscopic radical antegrade modular pancreatosplenectomy for left-sided pancreatic cancer using the ligament of Treitz approach. Surg Endosc, 2017, 31(11): 4836-4837.
28. 高文涛, 奚春华, 涂敏, 等. 腹腔镜下Treitz韧带途径钩突优先、动脉优先入路胰十二指肠切除术的临床应用. 中华外科杂志, 2017, 55(5): 359-363.
29. 林荣贵, 黄鹤光, 陈燕昌, 等. 腹腔镜胰十二指肠切除术行前入路静脉优先联合右后入路动脉优先切除钩突35例分析. 中国实用外科杂志, 2018, 38(5): 560-563.
30. 金钢, 郑楷炼. 胰十二指肠切除术手术入路探讨与评价. 中国实用外科杂志, 2016, 36(8): 829-834.
31. Morales E, Zimmitti G, Codignola C, et al. Follow “the superior mesenteric artery”: laparoscopic approach for total mesopancreas excision during pancreaticoduodenectomy. Surg Endosc, 2019, 33(12): 4186-4191.
32. 黄鹤光, 林荣贵. 腹腔镜前入路静脉优先与右后入路动脉优先联合切除钩突的优势. 中华普外科手术学杂志(电子版), 2018, 12(4): 279-282.
33. 徐华祥, 刘亮, 虞先濬. 胰头癌根治术手术范围: 标准还是扩大切除. 中国实用外科杂志, 2018, 38(7): 826-827.
34. Yang C, Wu HS, Chen XL, et al. Pylorus-preserving versus pylorus-resecting pancreaticoduodenectomy for periampullary and pancreatic carcinoma: a meta-analysis. PLoS One, 2014, 9(3): e90316.
35. Hartwig W, Hackert T, Hinz U, et al. Multivisceral resection for pancreatic malignancies: risk-analysis and long-term outcome. Ann Surg, 2009, 250(1): 81-87.
36. Takahashi H, Akita H, Tomokuni A, et al. Preoperative gemcitabine-based chemoradiation therapy for borderline resectable pancreatic cancer: impact of venous and arterial involvement status on surgical outcome and pattern of recurrence. Ann Surg, 2016, 264(6): 1091-1097.
37. Mollberg N, Rahbari NN, Koch M, et al. Arterial resection during pancreatectomy for pancreatic cancer: a systematic review and meta-analysis. Ann Surg, 2011, 254(6): 882-893.
38. Jang JY, Kang MJ, Heo JS, et al. A prospective randomized controlled study comparing outcomes of standard resection and extended resection, including dissection of the nerve plexus and various lymph nodes, in patients with pancreatic head cancer. Ann Surg, 2014, 259(4): 656-664.
39. Nimura Y, Nagino M, Takao S, et al. Standard versus extended lymphadenectomy in radical pancreatoduodenectomy for ductal adenocarcinoma of the head of the pancreas: long-term results of a Japanese multicenter randomized controlled trial. J Hepatobiliary Pancreat Sci, 2012, 19(3): 230-241.
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