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Minimally invasive vs open pancreatectomy for nonfunctioning pancreatic neuroendocrine tumors

Authors
 Juwan Kim  ;  Ho Kyoung Hwang  ;  Woo Jung Lee  ;  Chang Moo Kang 
Citation
 WORLD JOURNAL OF GASTROINTESTINAL ONCOLOGY, Vol.12(10) : 1133-1145, 2020-10 
Journal Title
 WORLD JOURNAL OF GASTROINTESTINAL ONCOLOGY 
Issue Date
2020-10
Keywords
Laparoscopic distal pancreatectomy ; Laparoscopic pancreaticoduodenectomy ; Minimally invasive surgery ; Nonfunctioning-pancreas neuroendocrine tumor ; Oncologic outcome ; Pancreatic neuroendocrine tumor
Abstract
Background: The mainstay of treating nonfunctioning-pancreatic neuroendocrine tumors(NF-PNETs) is surgical resection. However, minimally invasive approaches to pancreatic resection for treating NF-PNETs are not widely accepted, and the long-term oncological outcomes of such approaches remain unknown. Aim: To determine the short- and long-term outcomes of minimally invasive pancreatic resection conducted in patients with NF-PNETs. Methods: Prospective databases from Severance Hospital were searched for 110 patients who underwent curative resection for NF-PNETs between January 2003 and August 2018. Results: The proportion of minimally invasive surgery (MIS) procedures performed for NF-PNET increased to more than 75% after 2013. There was no significant difference in post-operative complications (P = 0.654), including pancreatic fistula (P = 0.890) and delayed gastric emptying (P = 0.652), between MIS and open approaches. No statistically significant difference was found in disease-free survival between the open approach group and the MIS group (median follow-up period, 28.1 mo; P = 0.428). In addition, the surgical approach (MIS vs open) was not found to be an independent prognostic factor in treating NF-PNET patients [Exp(β) = 1.062; P = 0.929]. Conclusion: Regardless of the type of surgery, a minimally invasive approach can be safe and feasible for select NF-PNET patients.
Files in This Item:
T202004477.pdf Download
DOI
10.4251/wjgo.v12.i10.1133
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Chang Moo(강창무) ORCID logo https://orcid.org/0000-0002-5382-4658
Lee, Woo Jung(이우정) ORCID logo https://orcid.org/0000-0001-9273-261X
Hwang, Ho Kyoung(황호경) ORCID logo https://orcid.org/0000-0003-4064-7776
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/180242
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