Vollmer Charles M, Asbun Horacio J, Barkun Jeffrey, Besselink Marc G, Boggi Ugo, Conlon Kevin C P, Han Ho-Seong, Hansen Paul D, Kendrick Michael L, Montagnini Andre L, Palanivelu C, Røsok Bård I, Shrikhande Shailesh V, Wakabayashi Go, Zeh Herbert J, Kooby David A
The University of Pennsylvania, Philadelphia, PA, USA.
Mayo Clinic Florida, Jacksonville, FL, USA.
HPB (Oxford). 2017 Mar;19(3):171-177. doi: 10.1016/j.hpb.2017.01.015. Epub 2017 Feb 8.
The application of minimally-invasive techniques to major pancreatic resection (MIPR) has occurred steadily, but slowly, over the last two decades. Questions linger regarding its safety, efficacy, and broad applicability. On April 20th, 2016, the first International State-of-the-Art Conference on Minimally Invasive Pancreatic Resection convened in Sao Paulo, Brazil in conjunction with the International Hepato-Pancreato-Biliary Association's (IHPBA) 10th World Congress. This report describes the genesis, preparation, execution and output from this seminal event. Major themes explored include: (i) scrutiny of best-level evidence outcomes of both MIPR Distal Pancreatectomy (DP) and pancreatoduodenectomy (PD), (ii) Cost/Value/Quality of Life assessment of MIPR, (iii) topics in training, education and credentialing, and (iv) development of best approaches to analyze results of MIPR - including clinical trial design and registry development. Results of a worldwide survey of over 400 surgeons on the practice of MIPR were presented. The proceedings of this event serve as a platform for understanding the role of MIPR in pancreatic resection. Data and concepts presented at this meeting form the basis for further study, application and dissemination of MIPR.
在过去二十年中，微创技术在胰腺大部切除术（MIPR）中的应用一直在稳步但缓慢地发展。关于其安全性、有效性和广泛适用性的问题仍然存在。2016年4月20日，首届国际微创胰腺切除术先进技术会议在巴西圣保罗与国际肝胆胰协会（IHPBA）第十届世界大会联合召开。本报告介绍了这一开创性活动的起源、筹备、执行情况和成果。探讨的主要主题包括：（i）对MIPR远端胰腺切除术（DP）和胰十二指肠切除术（PD）的最佳证据水平结果进行审查，（ii）MIPR的成本/价值/生活质量评估，（iii）培训、教育和资质认证方面的主题，以及（iv）分析MIPR结果的最佳方法的开发——包括临床试验设计和登记处的建立。会上展示了一项针对400多名外科医生的全球MIPR实践调查结果。本次活动的会议记录为理解MIPR在胰腺切除术中的作用提供了一个平台。本次会议上展示的数据和概念构成了进一步研究、应用和传播MIPR的基础。
