Beyond Laparoscopy for Pancreatic Surgery in the Caribbean: A Report on Robot Assisted Radical Antegrade Modular Pancreatico-Splenectomy (RAMPS)
Main Article Content
Abstract
In the Anglophone Caribbean, laparoscopic surgery for pancreatic malignancies has been reported at low volumes and there has been no report of radical antegrade modular pancreatico-splenectomy (RAMPS), which is increasingly replacing conventional distal pancreatectomy. Performing RAMPS with laparoscopic instruments is technically difficult, but it is feasible. We report our experience performing minimally invasive RAMPS using the FreeHand® robotic camera holder (Freehand 2010 Ltd., Guildford, Surrey, UK) in Trinidad & Tobago.
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How to Cite
CAWICH, Shamir O.
Beyond Laparoscopy for Pancreatic Surgery in the Caribbean: A Report on Robot Assisted Radical Antegrade Modular Pancreatico-Splenectomy (RAMPS).
Medical Research Archives, [S.l.], v. 11, n. 7.1, july 2023.
ISSN 2375-1924.
Available at: <https://esmed.org/MRA/mra/article/view/4094>. Date accessed: 15 may 2024.
doi: https://doi.org/10.18103/mra.v11i7.1.4094.
Section
Case Reports
The Medical Research Archives grants authors the right to publish and reproduce the unrevised contribution in whole or in part at any time and in any form for any scholarly non-commercial purpose with the condition that all publications of the contribution include a full citation to the journal as published by the Medical Research Archives.
References
1. Fabre JM, Houry S, Manderscheid JC, Baumel H. Surgery for left-sided pancreatic cancer. Br J Surg. 1996;83(8):1065-70.
2. Cao F, Li J, Li A, Li F. Radical antegrade modular pancreatosplenectomy versus standard procedure in the treatment of left-sided pancreatic cancer: A systemic review and meta-analysis. BMC Surg. 2017;17:67.
3. Cawich SO, Kluger MD, Francis W, Deshpande RR, Mohammed F, Bonadie KO, Thomas DA, Pearce NW, Schrope BA. Review of minimally invasive pancreas surgery and opinion on its incorporation into low volume and resource poor centres. World J Gastrointest Surg. 2021;13(10):1122-1135.
4. Venkat R, Edil BH, Schulick RD, Lidor AO, Makary MA, Wolfgang CL. Laparoscopic distal pancreatectomy is associated with significantly less overall morbidity compared to the open technique: a systematic review and meta-analysis. Ann Surg. 2012;255:1048-1059.
5. Nakamura M, Nakashima H. Laparoscopic distal pancreatectomy and pancreatoduodenectomy: is it worthwhile? J Hepatobiliary Pancreat Sci. 2013;20:421-428.
6. Riviere D, Gurusamy KS, Kooby DA, Vollmer CM, Besselink MG, Davidson BR, van Laarhoven CJ. Laparoscopic versus open distal pancreatectomy for pancreatic cancer. Cochrane Database Syst Rev. 2016;4:CD011391.
7. de Rooij T, van Hilst J, van Santvoort H, Boerma D, van den Boezem P, Daams F, van Dam R, Dejong C, van Duyn E, Dijkgraaf M, van Eijck C, Festen S, Gerhards M, Groot Koerkamp B, de Hingh I, Kazemier G, Klaase J, de Kleine R, van Laarhoven C, Luyer M, Patijn G, Steenvoorde P, Suker M, Abu Hilal M, Busch O, Besselink M; Dutch Pancreatic Cancer Group. Minimally Invasive Versus Open Distal Pancreatectomy (LEOPARD): A Multicenter Patient-blinded Randomized Controlled Trial. Ann Surg. 2019;269:2-9.
8. Royall NA, Walsh RM. Robotic distal pancreatectomy and splenectomy: rationale and technical considerations. J Vis Surg. 2017;135(3):1-6.
9. Chen S, Zhan Q, Chen JZ, et al. Robotic approach improves spleen-preserving rate and shortens postoperative hospital stay of laparoscopic distal pancreatectomy: a matched cohort study. Surg Endosc. 2015;29:3507-18.
10. Eckhardt S, Schicker C, Maurer E, et al. Robotic-Assisted Approach Improves Vessel Preservation in Spleen-Preserving Distal Pancreatectomy. Dig Surg. 2016;33:406-13.
11. Magge D, Gooding W, Choudry H, et al. Comparative effectiveness of minimally invasive and open distal pancreatectomy for ductal adenocarcinoma. JAMA Surg. 2013;148:525-31.
12. Cawich SO, Senasi R, Arulampalam T, Haq A, Naraynsingh V. Robotic Assisted Minimally Invasive Surgery: Initial Report from the Caribbean. Cureus. 2021;13(10):e18379.
13. Reddy SK, Tyler DS, Pappas TN, Clary BM. Extended resection for pancreatic adenocarcinoma. Oncologist. 2007;12(6):654–663.
14. van Gulik TM, Nakao A, Obertop H. Extended resection for pancreatic adenocarcinoma. HPB (Oxford). 2002;4(3):101–103.
15. Dalton RR, Sarr MG, van Heerden JA, Colby TV. Carcinoma of the body and tail of the pancreas: is curative resection justified? Surgery. 1992;111(5):489–494.
16. Shah J, Vyas A, Vyas D. The History of Robotics in Surgical Specialties. Am J Robot Surg. 2014;1:12-20.
17. Melvin WS, Needleman BJ, Krause KR, Ellison EC. Robotic resection of pancreatic neuroendocrine tumor. J Laparoendosc Adv Surg Tech. 2003;13:33-36.
18. Giulianotti PC, Coratti A, Angelini M, Sbrana F, Cecconi S, Balestracci T, Caravaglios G. Robotics in general surgery: personal experience in a large community hospital. Arch Surg. 2003;138(7):777-84.
19. Gavriilidis P, Lim C, Menahem B, Lahat E, Salloum C, Azoulay D. Robotic versus laparoscopic distal pancreatectomy - The first meta-analysis. HPB (Oxford). 2016;18:567-74.
20. Huang B, Feng L, Zhao J. Systematic review and meta-analysis of robotic versus laparoscopic distal pancreatectomy for benign and malignant pancreatic lesions. Surg Endosc. 2016;30:4078-4085.
21. Guerrini GP, Lauretta A, Belluco C, Olivieri M, Forlin M, Basso S, Breda B, Bertola G, Di Benedetto F. Robotic versus laparoscopic distal pancreatectomy: an up-to-date meta-analysis. BMC Surg. 2017;17:105.
22. Gavriilidis P, Roberts KJ, Sutcliffe RP. Comparison of robotic vs laparoscopic vs open distal pancreatectomy. A systematic review and network meta-analysis. HPB (Oxford). 2019;21:1268-76.
23. Hu YH, Qin YF, Yu DD, Li X, Zhao YM, Kong DJ, Jin W, Wang H. Meta-analysis of short-term outcomes comparing robot-assisted and laparoscopic distal pancreatectomy. J Comp Eff Res. 2020;9:201-218.
24. Zhou J, Lv Z, Zou H, Xiong L, Liu Z, Chen W, Wen Y. Up-to-date comparison of robotic-assisted versus open distal pancreatectomy: A PRISMA-compliant meta-analysis. Medicine (Baltimore). 2020;99:e20435.
25. Strasberg SM, Drebin JA, Linehan D. Radical antegrade modular pancreatosplenectomy. Surgery. 2003;133(5):521–527.
26. Fujita T, Nakagohri T, Gotohda N, Takahashi S, Konishi M, Kojima M, Kinoshita T. Evaluation of the prognostic factors and significance of lymph node status in invasive ductal carcinoma of the body or tail of the pancreas. Pancreas. 2010;39(1):e48–e54.
27. Shimada K, Sakamoto Y, Sano T, Kosuge T. Prognostic factors after distal pancreatectomy with extended lymphadenectomy for invasive pancreatic adenocarcinoma of the body and tail. Surgery. 2006;139(3):288–295.
28. Murakawa M, Aoyama T, Asari M, Katayama Y, Yamaoku K, Kanazawa A, Higuchi A, Shiozawa M, Kobayashi S, Ueno M, et al. The short- and long-term outcomes of radical antegrade modular pancreatosplenectomy for adenocarcinoma of the body and tail of the pancreas. BMC Surg. 2015;15:120.
29. Abe T, Ohuchida K, Miyasaka Y, Ohtsuka T, Oda Y, Nakamura M. Comparison of surgical outcomes between radical Antegrade modular Pancreatosplenectomy (RAMPS) and standard retrograde Pancreatosplenectomy (SPRS) for left-sided pancreatic cancer. World J Surg. 2016;40(9):2267–2275.
30. Park HJ, You DD, Choi DW, Heo JS, Choi SH. Role of radical antegrade modular pancreatosplenectomy for adenocarcinoma of the body and tail of the pancreas. World J Surg. 2014;38(1):186–193.
31. Trottman P, Swett K, Shen P, Sirintrapun J. Comparison of standard distal pancreatectomy and splenectomy with radical antegrade modular pancreatosplenectomy. Am Surg. 2014;80(3):295–300.
32. Latorre M, Ziparo V, Nigri G, Balducci G, Cavallini M, Ramacciato G. Standard retrograde pancreatosplenectomy versus radical antegrade modular pancreatosplenectomy for body and tail pancreatic adenocarcinoma. Am Surg. 2013;79(11):1154–1158.
33. Xu D, Jiang KR, Lu ZP, Guo F, Chen JM, Wei JS, Yin J, Zhang K, Wu PF, Cai BB, Lv N, Miao Y. Clinical effect of radical antegrade modular pancreatosplenectomy for carcinoma of pancreatic body and tail. Zhong Hua Xiao Hua Wai Ke Za Zhi. 2016;15(6):567–573.
34. Kim EY, You YK, Kim DG, Hong TH. Initial experience with radical antegrade modular pancreatosplenectomy in a single institution. Ann Surg Treat Res. 2016;91(1):29–36.
35. Watanabe J, Rifu K, Sasanuma H, Kotani K, Sata N. The efficacy of radical antegrade modular pancreatosplenectomy: A systematic review and meta‐analysis. J Hepatobiliary Pancreat Sci. 2022;29(11):1156-1165.
36. Lee SH, Kang CM, Hwang HK, et al. Minimally invasive RAMPS in well-selected left-sided pancreatic cancer within Yonsei criteria: long-term (>median 3 years) oncologic outcomes. Surg Endosc. 2014;28:2848-55.
37. Cawich SO, Pooran S, Amow B, Ali E, Mohammed F, Mencia M, Ramsewak S, Hariharan S, Naraynsingh V. Impact of a Medical University on Laparoscopic Surgery in a Service-Oriented Public Hospital in the Caribbean. J Risk Manag Healthcare Policy. 2016:9:1-8.
38. Parker M, Ramdass MJ, Cawich SO, FaSiOen P, Rosin D. A Historical Perspective on the Introduction of Laparoscopic Basic Training in the Caribbean and Factors that Contribute to Sustainability of Such Training. International J Surg. 2019;72:6-12.
39. Cuschieri A, Jakimowicz JJ, van Spreeuwel J. Laparoscopic distal 70% pancreatectomy and splenectomy for chronic pancreatitis. Ann Surg, 1996;223:280-5.
40. Ballantyne GH, Moll F. The da Vinci telerobotic surgical system: the virtual operative field and telepresence surgery. Surg Clin North Am.83(6):1293-1304.
41. Melvin WS. Robots in surgery: advanced gastrointestinal applications and credentialing. J Gastrointest Surg. 2003;7:481-3.
2. Cao F, Li J, Li A, Li F. Radical antegrade modular pancreatosplenectomy versus standard procedure in the treatment of left-sided pancreatic cancer: A systemic review and meta-analysis. BMC Surg. 2017;17:67.
3. Cawich SO, Kluger MD, Francis W, Deshpande RR, Mohammed F, Bonadie KO, Thomas DA, Pearce NW, Schrope BA. Review of minimally invasive pancreas surgery and opinion on its incorporation into low volume and resource poor centres. World J Gastrointest Surg. 2021;13(10):1122-1135.
4. Venkat R, Edil BH, Schulick RD, Lidor AO, Makary MA, Wolfgang CL. Laparoscopic distal pancreatectomy is associated with significantly less overall morbidity compared to the open technique: a systematic review and meta-analysis. Ann Surg. 2012;255:1048-1059.
5. Nakamura M, Nakashima H. Laparoscopic distal pancreatectomy and pancreatoduodenectomy: is it worthwhile? J Hepatobiliary Pancreat Sci. 2013;20:421-428.
6. Riviere D, Gurusamy KS, Kooby DA, Vollmer CM, Besselink MG, Davidson BR, van Laarhoven CJ. Laparoscopic versus open distal pancreatectomy for pancreatic cancer. Cochrane Database Syst Rev. 2016;4:CD011391.
7. de Rooij T, van Hilst J, van Santvoort H, Boerma D, van den Boezem P, Daams F, van Dam R, Dejong C, van Duyn E, Dijkgraaf M, van Eijck C, Festen S, Gerhards M, Groot Koerkamp B, de Hingh I, Kazemier G, Klaase J, de Kleine R, van Laarhoven C, Luyer M, Patijn G, Steenvoorde P, Suker M, Abu Hilal M, Busch O, Besselink M; Dutch Pancreatic Cancer Group. Minimally Invasive Versus Open Distal Pancreatectomy (LEOPARD): A Multicenter Patient-blinded Randomized Controlled Trial. Ann Surg. 2019;269:2-9.
8. Royall NA, Walsh RM. Robotic distal pancreatectomy and splenectomy: rationale and technical considerations. J Vis Surg. 2017;135(3):1-6.
9. Chen S, Zhan Q, Chen JZ, et al. Robotic approach improves spleen-preserving rate and shortens postoperative hospital stay of laparoscopic distal pancreatectomy: a matched cohort study. Surg Endosc. 2015;29:3507-18.
10. Eckhardt S, Schicker C, Maurer E, et al. Robotic-Assisted Approach Improves Vessel Preservation in Spleen-Preserving Distal Pancreatectomy. Dig Surg. 2016;33:406-13.
11. Magge D, Gooding W, Choudry H, et al. Comparative effectiveness of minimally invasive and open distal pancreatectomy for ductal adenocarcinoma. JAMA Surg. 2013;148:525-31.
12. Cawich SO, Senasi R, Arulampalam T, Haq A, Naraynsingh V. Robotic Assisted Minimally Invasive Surgery: Initial Report from the Caribbean. Cureus. 2021;13(10):e18379.
13. Reddy SK, Tyler DS, Pappas TN, Clary BM. Extended resection for pancreatic adenocarcinoma. Oncologist. 2007;12(6):654–663.
14. van Gulik TM, Nakao A, Obertop H. Extended resection for pancreatic adenocarcinoma. HPB (Oxford). 2002;4(3):101–103.
15. Dalton RR, Sarr MG, van Heerden JA, Colby TV. Carcinoma of the body and tail of the pancreas: is curative resection justified? Surgery. 1992;111(5):489–494.
16. Shah J, Vyas A, Vyas D. The History of Robotics in Surgical Specialties. Am J Robot Surg. 2014;1:12-20.
17. Melvin WS, Needleman BJ, Krause KR, Ellison EC. Robotic resection of pancreatic neuroendocrine tumor. J Laparoendosc Adv Surg Tech. 2003;13:33-36.
18. Giulianotti PC, Coratti A, Angelini M, Sbrana F, Cecconi S, Balestracci T, Caravaglios G. Robotics in general surgery: personal experience in a large community hospital. Arch Surg. 2003;138(7):777-84.
19. Gavriilidis P, Lim C, Menahem B, Lahat E, Salloum C, Azoulay D. Robotic versus laparoscopic distal pancreatectomy - The first meta-analysis. HPB (Oxford). 2016;18:567-74.
20. Huang B, Feng L, Zhao J. Systematic review and meta-analysis of robotic versus laparoscopic distal pancreatectomy for benign and malignant pancreatic lesions. Surg Endosc. 2016;30:4078-4085.
21. Guerrini GP, Lauretta A, Belluco C, Olivieri M, Forlin M, Basso S, Breda B, Bertola G, Di Benedetto F. Robotic versus laparoscopic distal pancreatectomy: an up-to-date meta-analysis. BMC Surg. 2017;17:105.
22. Gavriilidis P, Roberts KJ, Sutcliffe RP. Comparison of robotic vs laparoscopic vs open distal pancreatectomy. A systematic review and network meta-analysis. HPB (Oxford). 2019;21:1268-76.
23. Hu YH, Qin YF, Yu DD, Li X, Zhao YM, Kong DJ, Jin W, Wang H. Meta-analysis of short-term outcomes comparing robot-assisted and laparoscopic distal pancreatectomy. J Comp Eff Res. 2020;9:201-218.
24. Zhou J, Lv Z, Zou H, Xiong L, Liu Z, Chen W, Wen Y. Up-to-date comparison of robotic-assisted versus open distal pancreatectomy: A PRISMA-compliant meta-analysis. Medicine (Baltimore). 2020;99:e20435.
25. Strasberg SM, Drebin JA, Linehan D. Radical antegrade modular pancreatosplenectomy. Surgery. 2003;133(5):521–527.
26. Fujita T, Nakagohri T, Gotohda N, Takahashi S, Konishi M, Kojima M, Kinoshita T. Evaluation of the prognostic factors and significance of lymph node status in invasive ductal carcinoma of the body or tail of the pancreas. Pancreas. 2010;39(1):e48–e54.
27. Shimada K, Sakamoto Y, Sano T, Kosuge T. Prognostic factors after distal pancreatectomy with extended lymphadenectomy for invasive pancreatic adenocarcinoma of the body and tail. Surgery. 2006;139(3):288–295.
28. Murakawa M, Aoyama T, Asari M, Katayama Y, Yamaoku K, Kanazawa A, Higuchi A, Shiozawa M, Kobayashi S, Ueno M, et al. The short- and long-term outcomes of radical antegrade modular pancreatosplenectomy for adenocarcinoma of the body and tail of the pancreas. BMC Surg. 2015;15:120.
29. Abe T, Ohuchida K, Miyasaka Y, Ohtsuka T, Oda Y, Nakamura M. Comparison of surgical outcomes between radical Antegrade modular Pancreatosplenectomy (RAMPS) and standard retrograde Pancreatosplenectomy (SPRS) for left-sided pancreatic cancer. World J Surg. 2016;40(9):2267–2275.
30. Park HJ, You DD, Choi DW, Heo JS, Choi SH. Role of radical antegrade modular pancreatosplenectomy for adenocarcinoma of the body and tail of the pancreas. World J Surg. 2014;38(1):186–193.
31. Trottman P, Swett K, Shen P, Sirintrapun J. Comparison of standard distal pancreatectomy and splenectomy with radical antegrade modular pancreatosplenectomy. Am Surg. 2014;80(3):295–300.
32. Latorre M, Ziparo V, Nigri G, Balducci G, Cavallini M, Ramacciato G. Standard retrograde pancreatosplenectomy versus radical antegrade modular pancreatosplenectomy for body and tail pancreatic adenocarcinoma. Am Surg. 2013;79(11):1154–1158.
33. Xu D, Jiang KR, Lu ZP, Guo F, Chen JM, Wei JS, Yin J, Zhang K, Wu PF, Cai BB, Lv N, Miao Y. Clinical effect of radical antegrade modular pancreatosplenectomy for carcinoma of pancreatic body and tail. Zhong Hua Xiao Hua Wai Ke Za Zhi. 2016;15(6):567–573.
34. Kim EY, You YK, Kim DG, Hong TH. Initial experience with radical antegrade modular pancreatosplenectomy in a single institution. Ann Surg Treat Res. 2016;91(1):29–36.
35. Watanabe J, Rifu K, Sasanuma H, Kotani K, Sata N. The efficacy of radical antegrade modular pancreatosplenectomy: A systematic review and meta‐analysis. J Hepatobiliary Pancreat Sci. 2022;29(11):1156-1165.
36. Lee SH, Kang CM, Hwang HK, et al. Minimally invasive RAMPS in well-selected left-sided pancreatic cancer within Yonsei criteria: long-term (>median 3 years) oncologic outcomes. Surg Endosc. 2014;28:2848-55.
37. Cawich SO, Pooran S, Amow B, Ali E, Mohammed F, Mencia M, Ramsewak S, Hariharan S, Naraynsingh V. Impact of a Medical University on Laparoscopic Surgery in a Service-Oriented Public Hospital in the Caribbean. J Risk Manag Healthcare Policy. 2016:9:1-8.
38. Parker M, Ramdass MJ, Cawich SO, FaSiOen P, Rosin D. A Historical Perspective on the Introduction of Laparoscopic Basic Training in the Caribbean and Factors that Contribute to Sustainability of Such Training. International J Surg. 2019;72:6-12.
39. Cuschieri A, Jakimowicz JJ, van Spreeuwel J. Laparoscopic distal 70% pancreatectomy and splenectomy for chronic pancreatitis. Ann Surg, 1996;223:280-5.
40. Ballantyne GH, Moll F. The da Vinci telerobotic surgical system: the virtual operative field and telepresence surgery. Surg Clin North Am.83(6):1293-1304.
41. Melvin WS. Robots in surgery: advanced gastrointestinal applications and credentialing. J Gastrointest Surg. 2003;7:481-3.