Hsieh CL, Tsai TS, Peng CM, Cheng TC, Liu YJ. Spleen-preserving distal pancreatectomy from multi-port to reduced-port surgery approach. World J Gastrointest Surg 2023; 15(7): 1501-1511 [PMID: 37555124 DOI: 10.4240/wjgs.v15.i7.1501]
Corresponding Author of This Article
Yi-Jui Liu, PhD, Professor, Department of Automatic Control Engineering, Feng Chia University, No. 100 Wenhwa Road, Seatwen, Taichung 407, Taiwan. erliu@fcu.edu.tw
Research Domain of This Article
Surgery
Article-Type of This Article
Systematic Reviews
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Surg. Jul 27, 2023; 15(7): 1501-1511 Published online Jul 27, 2023. doi: 10.4240/wjgs.v15.i7.1501
Spleen-preserving distal pancreatectomy from multi-port to reduced-port surgery approach
Ching-Lung Hsieh, Tung-Sheng Tsai, Cheng-Ming Peng, Teng-Chieh Cheng, Yi-Jui Liu
Ching-Lung Hsieh, Department of Computer Science and Information Engineering, Feng Chia University, Taichung 40724, Taiwan
Ching-Lung Hsieh, Cheng-Ming Peng, Department of Surgery, Chung Shan Medical University Hospital, Taichung 40201, Taiwan
Tung-Sheng Tsai, PhD Program of Electrical and Communications Engineering, Feng Chia University, Taichung 40724, Taiwan
Cheng-Ming Peng, School of Medicine, Chung Shan Medical University, Taichung 40201, Taiwan
Teng-Chieh Cheng, Da Vinci Minimally Invasive Surgery Center, Chung Shan Medical University Hospital, Taichung 40201, Taiwan
Yi-Jui Liu, Department of Automatic Control Engineering, Feng Chia University, Taichung 407, Taiwan
Author contributions: Hsieh CL, Peng CM, and Liu YJ designed the research study; Tsai TS and Cheng TC performed the research; Hsieh CL and Liu YJ analyzed the data and wrote the manuscript; all authors have read and approved the final manuscript.
Supported byChung Shan Medical University, No. 15I42440; Feng Chia University/Chung Shan Medical University, No. FCU/CSMU104-001; and Taiwan National Science and Technology Council, No. 111-2314-B-035-001-MY3 and No. 110-2221-E-035-016.
Conflict-of-interest statement: The authors have no conflicts of interest to declare.
PRISMA 2009 Checklist statement: The authors have read the PRISMA 2009 Checklist, and the manuscript was prepared and revised according to the PRISMA 2009 Checklist.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yi-Jui Liu, PhD, Professor, Department of Automatic Control Engineering, Feng Chia University, No. 100 Wenhwa Road, Seatwen, Taichung 407, Taiwan. erliu@fcu.edu.tw
Received: February 4, 2023 Peer-review started: February 4, 2023 First decision: March 14, 2023 Revised: March 28, 2023 Accepted: May 6, 2023 Article in press: May 6, 2023 Published online: July 27, 2023
ARTICLE HIGHLIGHTS
Research background
The application of minimally invasive approaches to distal pancreatic surgery has progressively increased over the last two decades.
Research motivation
Many studies have compared laparoscopic distal pancreatectomy (LDP) and robotic distal pancreatectomy (RDP), all of these studies only focused on multi-port LDP and multi-port RDP. However, there have been no comprehensive reviews of the value of reduced-port LDP and reduced-port RDP.
Research objectives
The purpose of this review study was to evaluate the safety and clinical outcomes of minimally invasive reduced-port LDP and RDP compared to multi-port LDP and RDP.
Research methods
We searched for original manuscripts on minimally invasive reduced-port LDP and RDP, published from 2013 to 2022, in the PubMed database.
Research results
10 eligible papers including 337 patients, including 166 patients receiving multi-port LDP, 126 reduced-port LDP, and 45 reduced-port RDP, were considered appropriate for inclusion.
Research conclusions
Reduced-port RDP is a safe and effective procedure and appears to offer some advantages over multi-port LDP and reduced-port LDP, but has a lower spleen preservation rate.
Research perspectives
The insufficient learning curve may explain the lower spleen preservation rate of reduced-port RDP. Further studies are needed to evaluate the value and efficacy of reduced-port RDP for spleen-preserving distal pancreatectomy.
