Systematic Reviews
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
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 by Chung 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
Processing time: 167 Days and 6.5 Hours
Core Tip

Core Tip: In contrast to recent review articles, this mini-review article is the first report to summarize all of the available evidence on spleen-preserving surgery with reduced-port robotic distal pancreatectomy (RDP) and laparoscopic distal pancreatectomy (LDP). Previous review articles only compared multi-port LDP with multi-port RDP. Our results show that conventional multi-port LDP has a shorter operating time than reduced-port LDP and reduced-port RDP. However, the reduced-port techniques result in less intraoperative blood loss; reduced-port RDP has the lowest blood loss. Moreover, reduced-port RDP leads to a lower postoperative pancreatic fistula rate and shorter hospital stay and follow-up duration, but a lower spleen preservation rate.