Spleen-preserving distal pancreatectomy from multi-port to reducedport surgery approach

作     者：Ching-Lung Hsieh Tung-Sheng Tsai Cheng-Ming Peng Teng-Chieh Cheng Yi-Jui Liu 

作者机构：Department of Computer Science and Information EngineeringFeng Chia UniversityTaichung 40724TaiwanChina Department of SurgeryChung Shan Medical University HospitalTaichung 40201TaiwanChina PhD Program of Electrical and Communications EngineeringFeng Chia UniversityTaichung 40724Taiwan School of MedicineChung Shan Medical UniversityTaichung 40201Taiwan Da Vinci Minimally Invasive Surgery CenterChung Shan Medical University HospitalTaichung 40201Taiwan Department of Automatic Control EngineeringFeng Chia UniversityTaichung 407Taiwan 

出 版 物：《World Journal of Gastrointestinal Surgery》 (世界胃肠外科杂志（英文版）（电子版）)

年 卷 期：2023年第15卷第7期

页      面：1501-1511页

核心收录：

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

基　　金：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 

主　　题：Minimally invasive surgery Robotic distal pancreatectomy Laparoscopic distal pancreatectomy Spleen preservation Reduced-port Multi-port 

摘      要：BACKGROUND Minimally invasive pancreatic surgery via the multi-port approach has become a primary surgical method for distal pancreatectomy(DP)due to its advantages of lower wound pain and superior cosmetic *** studies have applied reduced-port techniques for DP in an attempt to enhance cosmetic outcomes due to the minimally invasive *** recent review studies have compared multi-port laparoscopic DP(LDP)and multi-port robotic DP(RDP);most of these studies concluded multi-port RDP is more beneficial than multi-port LDP for spleen ***,there have been no comprehensive reviews of the value of reduced-port LDP and reduced-port *** To search for and review the studies on spleen preservation and the clinical outcomes of minimally invasive DP that compared reduced-port DP surgery with multi-port DP *** The PubMed medical database was searched for articles published between 2013 and *** search terms were implemented using the following Boolean search algorithm:(“distal pancreatectomyOR“left pancreatectomyOR“peripheral pancreatic resection)AND(“reduced-portOR“single-siteOR“single-portOR“dual-incisionOR“single-incision)AND(“spleen-preservingOR“spleen preservationOR“splenic preservation).A literature review was conducted to identify studies that compared the perioperative outcomes of reduced-port LDP and reduced-port *** Fifteen articles published in the period from 2013 to 2022 were retrieved using three groups of search *** studies were added after manually searching the related ***,10 papers were selected after removing case reports(n=3),non-English language papers(n=1),technique papers(n=1),reviews(n=1),and animal studies(n=1).The common items were defined as items reported in more than five papers,and data on these common items were extracted from all *** ten studies included a total of 337 patients(females/males:231/106)who underwent *** total,166 patients(females/male