Minimally invasive vs open pancreatectomy for nonfunctioning pancreatic neuroendocrine tumors

作     者：Juwan Kim Ho Kyoung Hwang Woo Jung Lee Chang Moo Kang 

作者机构：Department of SurgeryYonsei University College of MedicineSeoul 03722South Korea 

出 版 物：《World Journal of Gastrointestinal Oncology》 (世界胃肠肿瘤学杂志（英文版）（电子版）)

年 卷 期：2020年第12卷第10期

页      面：1133-1145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] 

主　　题：Nonfunctioning-pancreas neuroendocrine tumor Pancreatic neuroendocrine tumor Minimally invasive surgery Oncologic outcome Laparoscopic pancreaticoduodenectomy Laparoscopic distal pancreatectomy 

摘      要：BACKGROUND The mainstay of treating nonfunctioning-pancreatic neuroendocrine tumors(NFPNETs)is surgical ***,minimally invasive approaches to pancreatic resection for treating NF-PNETs are not widely accepted,and the longterm oncological outcomes of such approaches remain *** To determine the short-and long-term outcomes of minimally invasive pancreatic resection conducted in patients with *** Prospective databases from Severance Hospital were searched for 110 patients who underwent curative resection for NF-PNETs between January 2003 and August *** The proportion of minimally invasive surgery(MIS)procedures performed for NF-PNET increased to more than 75%after *** 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 *** 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.