Minimally invasive surgery in pancreatic surgery: a review of its clinical benefits

Authors

DOI:

https://doi.org/10.63688/9cdy5k91

Keywords:

Minimally invasive surgery, pancreatic surgery, robotic surgery

Abstract

Introduction: Minimally invasive surgery (MIS) has radically transformed the therapeutic approach to both benign and malignant pancreatic pathologies. The progressive implementation of laparoscopic and robot-assisted techniques aims to minimize surgical trauma, optimize anatomical precision, and offer substantial perioperative benefits compared to the conventional open approach.

Objective: Synthesize current scientific evidence regarding the clinical benefits, perioperative outcomes, and effectiveness of minimally invasive surgery in pancreatic resection.

Methods: A comprehensive narrative literature review of publications in specialized scientific databases was conducted. Twelve relevant articles evaluating the clinical outcomes and safety of laparoscopic and robotic modalities versus open surgery, as well as comparisons between different minimally invasive approaches, were selected.

Results: MIS demonstrated a significant reduction in intraoperative blood loss and length of hospital stay, with findings being most consistent in distal pancreatectomy. The robotic approach showed operative advantages in terms of lower conversion rates, reduced transfusion needs, and improved postoperative recovery in complex procedures. However, metrics regarding mortality, overall complications, and oncological surgical margins showed variability across the analyzed series.

Conclusions: MIS constitutes an effective, feasible, and safe alternative in contemporary pancreatic surgery, providing relevant perioperative benefits. Nevertheless, randomized clinical trials and comparative studies of higher methodological rigor are required to consolidate its indication in highly complex procedures.

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References

Al Matairi, A., Hammadeh, B. M., Abuhashem, O., Zaied, M. A., Naser, M., Badr, A., & Ezzeldin, M. (2026). Optimizing surgical strategy for pancreatoduodenectomy: A network meta-analysis and trial sequential analysis. Journal of Robotic Surgery, 20(1), 264. https://doi.org/10.1007/s11701-026-03187-x

Guamancela Auquilla, C. G., Sánchez Figueroa, T. W., & González Torres, I. K. (2026). Avances en cirugía mínimamente invasiva para el manejo de patologías abdominales: Revisión bibliográfica. RECIAMUC, 10(3), 176–196. https://doi.org/10.26820/reciamuc/10.(3).agos.2026.176-196

Hajibandeh, S., Hajibandeh, S., Mowbray, N. G., Mortimer, M., Shingler, G., Kambal, A., & Al-Sarireh, B. (2024). Minimally invasive versus open central pancreatectomy: A systematic review and meta-analysis. Annals of Hepatobiliary Pancreatic Surgery, 28(4), 412–422. https://doi.org/10.14701/ahbps.24-093

Huang, H., Zheng, Y., Tao, R., Zhang, C., Yu, Z., Gao, Z., Jin, L., Liu, J., Shi, Y., & Zhang, J. (2026). Robotic versus laparoscopic spleen-preserving distal pancreatectomy: A propensity score-matched study of the “splenic artery and vein plane first” strategy. Journal of Robotic Surgery, 20(1), 414. https://doi.org/10.1007/s11701-026-03380-y

Jiang, Q., Mou, Y., Jin, W., & Lu, C. (2026). Robotic vs. laparoscopic distal pancreatectomy: A leap towards superior outcomes? BMC Surgery, 26(1), 216. https://doi.org/10.1186/s12893-026-03581-0

Jumbo Chamba, P. A., Obando González, M. K., Guevara Paspuel, R. L., Sisa Gallegos, L. C., & Saravino Cabascango, J. A. (2024). Cirugía mínimamente invasiva y su aplicación en las diferentes ramas quirúrgicas. Un artículo de revisión. Polo del Conocimiento, 9(11), 1047–1060. https://doi.org/10.23857/pc.v9i11.8356

Kohan, G., Di Menno Stavron, J., Fratantoni, M. E., Vanzini, H. D., Rubio, S., Peña, J., Lendoire, J., & Imventarza, O. (2026). Laparoscopic cephalic pancreaticoduodenectomy with laparoscopic vascular resection. Revista Argentina de Cirugía, 116(2), 106–114. https://doi.org/10.25132/raac.v116.n2.1773

Kossenas, K., Karountzos, N., Damaskos, C., & Garmpis, N. (2026). Robotic pancreaticoduodenectomy with venous resection and reconstruction: A systematic review of perioperative, vascular, oncological and survival outcomes. Journal of Robotic Surgery, 20(1), 692. https://doi.org/10.1007/s11701-026-03663-4

Leanza, S., & Coco, D. (2025). Robotic distal pancreatectomy for pancreatic ductal adenocarcinoma: A systematic review and meta-analysis of outcomes in Western vs. Eastern centers. Journal of Robotic Surgery, 20(1), 15. https://doi.org/10.1007/s11701-025-02846-9

Pfister, M., Probst, P., Müller, P. C., Antony, P., Klotz, R., Kalkum, E., Merz, D., Renzulli, P., Hauswirth, F., & Müller, M. K. (2023). Minimally invasive versus open pancreatic surgery: Meta-analysis of randomized clinical trials. BJS Open, 7(2), zrad007. https://doi.org/10.1093/bjsopen/zrad007

Pereira, F. J. G., & Barreras, G. J. E. (2022). Cirugía mínimamente invasiva del páncreas. Revista Cubana de Cirugía, 61(1), 1–19. https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=113904

Ramos, J. V. de O., Fernandes, J. V. A., Ferreira, C. H. de O., Henrique, G. de L. D., Souza, R. L. de, Formiga, Y. G. de A., & Beltrão, F. E. de L. (2025). Minimally invasive versus open distal pancreatectomy for pancreatic tumors: An updated meta-analysis and meta-regression. Pancreatology, 25(4), 569–579. https://doi.org/10.1016/j.pan.2025.05.004

Sabah, T., Ray, S., Patel, H., Baliga, P., Mah, H. K.-H., Parekh, R., Sivashankari, T., Agnihotri, A., Ismail, A. H., & Salman, A. (2026). Robot-assisted versus laparoscopic distal pancreatectomy: An updated systematic review and meta-analysis including patient subgroups and meta-regression analyses. Journal of Robotic Surgery, 20(1), 502. https://doi.org/10.1007/s11701-026-03464-9

Tang, G., Chen, F., Chen, R., Zhou, R., & Zhang, J. (2024). Robotic versus laparoscopic pancreaticoduodenectomy for pancreatic and periampullary tumors: A meta-analysis. Frontiers in Oncology, 14, 1486504. https://doi.org/10.3389/fonc.2024.1486504

Wang, M.-L., Shyr, B.-S., Chen, S.-C., Wang, S.-E., Shyr, Y.-M., & Shyr, B.-U. (2024). Comparison of robotic and open central pancreatectomy. International Journal of Medical Robotics and Computer Assisted Surgery, 20, e2562. https://doi.org/10.1002/rcs.2562

Published

2026-09-02

How to Cite

García Intriago, K. J., Morán Higuera, D. S., Salas Martínez, M. G., Vega Romero, A. P., & Rey Vivanco, R. M. (2026). Minimally invasive surgery in pancreatic surgery: a review of its clinical benefits. Sage Sphere International Journal Esfera Sabia Revista Internacional, 3(1), 1-16. https://doi.org/10.63688/9cdy5k91