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Surgical approaches for minimally invasive distal pancreatectomy: A systematic review

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dc.contributor.author강창무-
dc.date.accessioned2022-05-09T17:00:29Z-
dc.date.available2022-05-09T17:00:29Z-
dc.date.issued2022-01-
dc.identifier.issn1868-6974-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/188326-
dc.description.abstractBackground: Minimally invasive distal pancreatectomy (MIDP) was initially performed for benign tumors, but recently its indications have steadily broadened to encompass other conditions including pancreatic malignancies. Thorough anatomical knowledge is mandatory for precise surgery in the era of minimally invasive surgery. However, expert consensus regarding anatomical landmarks to facilitate the safe performance of MIDP is still lacking. Methods: A systematic literature search was performed using keywords to identify articles regarding the vascular anatomy and surgical approaches/techniques for MIDP. Results: All of the systematic reviews revealed that MIDP was not associated with an increase in postoperative complications. Moreover, most showed that MIDP resulted in less blood loss than open surgery. Regarding surgical approaches for MIDP, a standardized stepwise procedure improved surgical outcomes, including blood loss, operative time, and major complications. There are two approaches to the splenic vessels, superior and inferior; however, no study has ever directly compared them with respect to clinical outcomes. The morphology of the splenic artery affects the difficulty of approaching the artery's root. To select an appropriate dissecting layer when performing posterior resection, thorough knowledge of the anatomy of the fascia, left renal vein/artery, and left adrenal gland is needed. Conclusions: In MIDP, a standardized approach and precise knowledge of anatomy facilitates safe surgery and has the advantage of a shorter learning curve. Anatomical features and landmarks are particularly important in cases of radical MIDP and splenic vessel preserving MIDP.-
dc.description.statementOfResponsibilityrestriction-
dc.languageEnglish-
dc.publisherWiley Japan-
dc.relation.isPartOfJOURNAL OF HEPATO-BILIARY-PANCREATIC SCIENCES-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.subject.MESHHumans-
dc.subject.MESHLaparoscopy*-
dc.subject.MESHMinimally Invasive Surgical Procedures-
dc.subject.MESHPancreatectomy-
dc.subject.MESHPancreatic Neoplasms* / surgery-
dc.subject.MESHTreatment Outcome-
dc.titleSurgical approaches for minimally invasive distal pancreatectomy: A systematic review-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Surgery (외과학교실)-
dc.contributor.googleauthorDaisuke Ban-
dc.contributor.googleauthorGiovanni Maria Garbarino-
dc.contributor.googleauthorYoshiya Ishikawa-
dc.contributor.googleauthorGoro Honda-
dc.contributor.googleauthorJin-Young Jang-
dc.contributor.googleauthorChang Moo Kang-
dc.contributor.googleauthorAya Maekawa-
dc.contributor.googleauthorYoshiki Murase-
dc.contributor.googleauthorYuichi Nagakawa-
dc.contributor.googleauthorHitoe Nishino-
dc.contributor.googleauthorTakao Ohtsuka-
dc.contributor.googleauthorAnusak Yiengpruksawan-
dc.contributor.googleauthorItaru Endo-
dc.contributor.googleauthorAkihiko Tsuchida-
dc.contributor.googleauthorMasafumi Nakamura-
dc.identifier.doi10.1002/jhbp.902-
dc.contributor.localIdA00088-
dc.relation.journalcodeJ01440-
dc.identifier.eissn1868-6982-
dc.identifier.pmid33527758-
dc.identifier.urlhttps://onlinelibrary.wiley.com/doi/10.1002/jhbp.902-
dc.subject.keywordlaparoscopic distal pancreatectomy-
dc.subject.keywordminimally invasive pancreatectomy-
dc.subject.keywordspleen-preserving-
dc.subject.keywordsurgical approach-
dc.subject.keywordvascular anatomy-
dc.contributor.alternativeNameKang, Chang Moo-
dc.contributor.affiliatedAuthor강창무-
dc.citation.volume29-
dc.citation.number1-
dc.citation.startPage151-
dc.citation.endPage160-
dc.identifier.bibliographicCitationJOURNAL OF HEPATO-BILIARY-PANCREATIC SCIENCES, Vol.29(1) : 151-160, 2022-01-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers

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