Use and outcome of minimally invasive pancreatic surgery in the European E-MIPS registry

Nicky van der Heijde; Frederique L Vissers; Alberto Manzoni; Giuseppe Zimmitti; Joaquim Balsells; Frederik Berrevoet; Bergthor Bjornsson; Peter van den Boezem; Ugo Boggi; Svein O Bratlie; Fernando Burdio; Andrea Coratti; Mathieu D'Hondt; Carlos D Del Pozo; Safi Dokmak; Regis Fara; Mehmet F Can; Sebastiaan Festen; Antonello Forgione; Claus Fristrup; Sebastien Gaujoux; Bas Groot Koerkamp; Thilo Hackert; Igor E Khatkov; Tobias Keck; Hanna Seppänen; Daan Lips; Misha Luyer; Gabriella Pittau; Manuel Maglione; I Quintus Molenaar; Patrick Pessaux; Geert Roeyen; Olivier Saint-Marc; Santiago S Cabus; Hjalmar van Santvoort; George van der Schelling; Mario Serradilla-Martin; Francois-Regis Souche; Miguel Á Suarez Muñoz; Marco V Marino; Marc G Besselink; Mohammed Abu Hilal

doi:10.1016/j.hpb.2022.07.015

Use and outcome of minimally invasive pancreatic surgery in the European E-MIPS registry

Nicky van der Heijde
, Frederique L Vissers
, Alberto Manzoni
, Giuseppe Zimmitti
, Joaquim Balsells
, Frederik Berrevoet
, Bergthor Bjornsson
, Peter van den Boezem
, Ugo Boggi
, Svein O Bratlie
, Fernando Burdio
, Andrea Coratti
, Mathieu D'Hondt
, Carlos D Del Pozo
, Safi Dokmak
, Regis Fara
, Mehmet F Can
, Sebastiaan Festen
, Antonello Forgione
, Claus Fristrup

Sebastien Gaujoux, Bas Groot Koerkamp, Thilo Hackert, Igor E Khatkov, Tobias Keck, Hanna Seppänen, Daan Lips, Misha Luyer, Gabriella Pittau, Manuel Maglione, I Quintus Molenaar, Patrick Pessaux, Geert Roeyen, Olivier Saint-Marc, Santiago S Cabus, Hjalmar van Santvoort, George van der Schelling, Mario Serradilla-Martin, Francois-Regis Souche, Miguel Á Suarez Muñoz, Marco V Marino, Marc G Besselink, Mohammed Abu Hilal,

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

BACKGROUND: The European registry for minimally invasive pancreatic surgery (E-MIPS) collects data on laparoscopic and robotic MIPS in low- and high-volume centers across Europe.

METHODS: Analysis of the first year (2019) of the E-MIPS registry, including minimally invasive distal pancreatectomy (MIDP) and minimally invasive pancreatoduodenectomy (MIPD). Primary outcome was 90-day mortality.

RESULTS: Overall, 959 patients from 54 centers in 15 countries were included, 558 patients underwent MIDP and 401 patients MIPD. Median volume of MIDP was 10 (7-20) and 9 (2-20) for MIPD. Median use of MIDP was 56.0% (IQR 39.0-77.3%) and median use of MIPD 27.7% (IQR 9.7-45.3%). MIDP was mostly performed laparoscopic (401/558, 71.9%) and MIPD mostly robotic (234/401, 58.3%). MIPD was performed in 50/54 (89.3%) centers, of which 15/50 (30.0%) performed ≥20 MIPD annually. This was 30/54 (55.6%) centers and 13/30 (43%) centers for MIPD respectively. Conversion rate was 10.9% for MIDP and 8.4% for MIPD. Overall 90 day mortality was 1.1% (n = 6) for MIDP and 3.7% (n = 15) for MIPD.

CONCLUSION: Within the E-MIPS registry, MIDP is performed in about half of all patients, mostly using laparoscopy. MIPD is performed in about a quarter of patients, slightly more often using the robotic approach. A minority of centers met the Miami guideline volume criteria for MIPD.

Original language	English
Pages (from-to)	400-408
Number of pages	9
Journal	International Hepato-Pancreato Biliary Association.
Volume	25
Issue number	4
DOIs	https://doi.org/10.1016/j.hpb.2022.07.015
Publication status	Published - Apr 2023

Keywords

Humans
Laparoscopy/adverse effects
Minimally Invasive Surgical Procedures
Pancreas/surgery
Pancreatectomy/adverse effects
Pancreatic Neoplasms/surgery
Pancreaticoduodenectomy/adverse effects
Postoperative Complications/etiology
Registries
Robotic Surgical Procedures/adverse effects
Treatment Outcome

Access to Document

10.1016/j.hpb.2022.07.015

1-s2.0-S1365182X2201543X-mainFinal published version, 276 KBLicence: Taverne

Cite this

van der Heijde, N., Vissers, F. L., Manzoni, A., Zimmitti, G., Balsells, J., Berrevoet, F., Bjornsson, B., van den Boezem, P., Boggi, U., Bratlie, S. O., Burdio, F., Coratti, A., D'Hondt, M., Del Pozo, C. D., Dokmak, S., Fara, R., Can, M. F., Festen, S., Forgione, A. (2023). Use and outcome of minimally invasive pancreatic surgery in the European E-MIPS registry. International Hepato-Pancreato Biliary Association., 25(4), 400-408. https://doi.org/10.1016/j.hpb.2022.07.015

@article{8e0230693dcd477295f67f083e93dd08,

title = "Use and outcome of minimally invasive pancreatic surgery in the European E-MIPS registry",

abstract = "BACKGROUND: The European registry for minimally invasive pancreatic surgery (E-MIPS) collects data on laparoscopic and robotic MIPS in low- and high-volume centers across Europe.METHODS: Analysis of the first year (2019) of the E-MIPS registry, including minimally invasive distal pancreatectomy (MIDP) and minimally invasive pancreatoduodenectomy (MIPD). Primary outcome was 90-day mortality.RESULTS: Overall, 959 patients from 54 centers in 15 countries were included, 558 patients underwent MIDP and 401 patients MIPD. Median volume of MIDP was 10 (7-20) and 9 (2-20) for MIPD. Median use of MIDP was 56.0\% (IQR 39.0-77.3\%) and median use of MIPD 27.7\% (IQR 9.7-45.3\%). MIDP was mostly performed laparoscopic (401/558, 71.9\%) and MIPD mostly robotic (234/401, 58.3\%). MIPD was performed in 50/54 (89.3\%) centers, of which 15/50 (30.0\%) performed ≥20 MIPD annually. This was 30/54 (55.6\%) centers and 13/30 (43\%) centers for MIPD respectively. Conversion rate was 10.9\% for MIDP and 8.4\% for MIPD. Overall 90 day mortality was 1.1\% (n = 6) for MIDP and 3.7\% (n = 15) for MIPD.CONCLUSION: Within the E-MIPS registry, MIDP is performed in about half of all patients, mostly using laparoscopy. MIPD is performed in about a quarter of patients, slightly more often using the robotic approach. A minority of centers met the Miami guideline volume criteria for MIPD.",

keywords = "Humans, Laparoscopy/adverse effects, Minimally Invasive Surgical Procedures, Pancreas/surgery, Pancreatectomy/adverse effects, Pancreatic Neoplasms/surgery, Pancreaticoduodenectomy/adverse effects, Postoperative Complications/etiology, Registries, Robotic Surgical Procedures/adverse effects, Treatment Outcome",

author = "\{van der Heijde\}, Nicky and Vissers, \{Frederique L\} and Alberto Manzoni and Giuseppe Zimmitti and Joaquim Balsells and Frederik Berrevoet and Bergthor Bjornsson and \{van den Boezem\}, Peter and Ugo Boggi and Bratlie, \{Svein O\} and Fernando Burdio and Andrea Coratti and Mathieu D'Hondt and \{Del Pozo\}, \{Carlos D\} and Safi Dokmak and Regis Fara and Can, \{Mehmet F\} and Sebastiaan Festen and Antonello Forgione and Claus Fristrup and Sebastien Gaujoux and \{Groot Koerkamp\}, Bas and Thilo Hackert and Khatkov, \{Igor E\} and Tobias Keck and Hanna Sepp{\"a}nen and Daan Lips and Misha Luyer and Gabriella Pittau and Manuel Maglione and Molenaar, \{I Quintus\} and Patrick Pessaux and Geert Roeyen and Olivier Saint-Marc and Cabus, \{Santiago S\} and \{van Santvoort\}, Hjalmar and \{van der Schelling\}, George and Mario Serradilla-Martin and Francois-Regis Souche and \{Suarez Mu{\~n}oz\}, \{Miguel {\'A}\} and Marino, \{Marco V\} and Besselink, \{Marc G\} and \{Abu Hilal\}, Mohammed",

note = "Publisher Copyright: {\textcopyright} 2022",

year = "2023",

month = apr,

doi = "10.1016/j.hpb.2022.07.015",

language = "English",

volume = "25",

pages = "400--408",

journal = "International Hepato-Pancreato Biliary Association.",

issn = "1365-182X",

publisher = "Elsevier",

number = "4",

}

van der Heijde, N, Vissers, FL, Manzoni, A, Zimmitti, G, Balsells, J, Berrevoet, F, Bjornsson, B, van den Boezem, P, Boggi, U, Bratlie, SO, Burdio, F, Coratti, A, D'Hondt, M, Del Pozo, CD, Dokmak, S, Fara, R, Can, MF, Festen, S, Forgione, A, Fristrup, C, Gaujoux, S, Groot Koerkamp, B, Hackert, T, Khatkov, IE, Keck, T, Seppänen, H, Lips, D, Luyer, M, Pittau, G, Maglione, M, Molenaar, IQ, Pessaux, P, Roeyen, G, Saint-Marc, O, Cabus, SS, van Santvoort, H, van der Schelling, G, Serradilla-Martin, M, Souche, F-R, Suarez Muñoz, MÁ, Marino, MV, Besselink, MG, Abu Hilal, M 2023, 'Use and outcome of minimally invasive pancreatic surgery in the European E-MIPS registry', International Hepato-Pancreato Biliary Association., vol. 25, no. 4, pp. 400-408. https://doi.org/10.1016/j.hpb.2022.07.015

TY - JOUR

T1 - Use and outcome of minimally invasive pancreatic surgery in the European E-MIPS registry

AU - van der Heijde, Nicky

AU - Vissers, Frederique L

AU - Manzoni, Alberto

AU - Zimmitti, Giuseppe

AU - Balsells, Joaquim

AU - Berrevoet, Frederik

AU - Bjornsson, Bergthor

AU - van den Boezem, Peter

AU - Boggi, Ugo

AU - Bratlie, Svein O

AU - Burdio, Fernando

AU - Coratti, Andrea

AU - D'Hondt, Mathieu

AU - Del Pozo, Carlos D

AU - Dokmak, Safi

AU - Fara, Regis

AU - Can, Mehmet F

AU - Festen, Sebastiaan

AU - Forgione, Antonello

AU - Fristrup, Claus

AU - Gaujoux, Sebastien

AU - Groot Koerkamp, Bas

AU - Hackert, Thilo

AU - Khatkov, Igor E

AU - Keck, Tobias

AU - Seppänen, Hanna

AU - Lips, Daan

AU - Luyer, Misha

AU - Pittau, Gabriella

AU - Maglione, Manuel

AU - Molenaar, I Quintus

AU - Pessaux, Patrick

AU - Roeyen, Geert

AU - Saint-Marc, Olivier

AU - Cabus, Santiago S

AU - van Santvoort, Hjalmar

AU - van der Schelling, George

AU - Serradilla-Martin, Mario

AU - Souche, Francois-Regis

AU - Suarez Muñoz, Miguel Á

AU - Marino, Marco V

AU - Besselink, Marc G

AU - Abu Hilal, Mohammed

PY - 2023/4

Y1 - 2023/4

N2 - BACKGROUND: The European registry for minimally invasive pancreatic surgery (E-MIPS) collects data on laparoscopic and robotic MIPS in low- and high-volume centers across Europe.METHODS: Analysis of the first year (2019) of the E-MIPS registry, including minimally invasive distal pancreatectomy (MIDP) and minimally invasive pancreatoduodenectomy (MIPD). Primary outcome was 90-day mortality.RESULTS: Overall, 959 patients from 54 centers in 15 countries were included, 558 patients underwent MIDP and 401 patients MIPD. Median volume of MIDP was 10 (7-20) and 9 (2-20) for MIPD. Median use of MIDP was 56.0% (IQR 39.0-77.3%) and median use of MIPD 27.7% (IQR 9.7-45.3%). MIDP was mostly performed laparoscopic (401/558, 71.9%) and MIPD mostly robotic (234/401, 58.3%). MIPD was performed in 50/54 (89.3%) centers, of which 15/50 (30.0%) performed ≥20 MIPD annually. This was 30/54 (55.6%) centers and 13/30 (43%) centers for MIPD respectively. Conversion rate was 10.9% for MIDP and 8.4% for MIPD. Overall 90 day mortality was 1.1% (n = 6) for MIDP and 3.7% (n = 15) for MIPD.CONCLUSION: Within the E-MIPS registry, MIDP is performed in about half of all patients, mostly using laparoscopy. MIPD is performed in about a quarter of patients, slightly more often using the robotic approach. A minority of centers met the Miami guideline volume criteria for MIPD.

AB - BACKGROUND: The European registry for minimally invasive pancreatic surgery (E-MIPS) collects data on laparoscopic and robotic MIPS in low- and high-volume centers across Europe.METHODS: Analysis of the first year (2019) of the E-MIPS registry, including minimally invasive distal pancreatectomy (MIDP) and minimally invasive pancreatoduodenectomy (MIPD). Primary outcome was 90-day mortality.RESULTS: Overall, 959 patients from 54 centers in 15 countries were included, 558 patients underwent MIDP and 401 patients MIPD. Median volume of MIDP was 10 (7-20) and 9 (2-20) for MIPD. Median use of MIDP was 56.0% (IQR 39.0-77.3%) and median use of MIPD 27.7% (IQR 9.7-45.3%). MIDP was mostly performed laparoscopic (401/558, 71.9%) and MIPD mostly robotic (234/401, 58.3%). MIPD was performed in 50/54 (89.3%) centers, of which 15/50 (30.0%) performed ≥20 MIPD annually. This was 30/54 (55.6%) centers and 13/30 (43%) centers for MIPD respectively. Conversion rate was 10.9% for MIDP and 8.4% for MIPD. Overall 90 day mortality was 1.1% (n = 6) for MIDP and 3.7% (n = 15) for MIPD.CONCLUSION: Within the E-MIPS registry, MIDP is performed in about half of all patients, mostly using laparoscopy. MIPD is performed in about a quarter of patients, slightly more often using the robotic approach. A minority of centers met the Miami guideline volume criteria for MIPD.

KW - Humans

KW - Laparoscopy/adverse effects

KW - Minimally Invasive Surgical Procedures

KW - Pancreas/surgery

KW - Pancreatectomy/adverse effects

KW - Pancreatic Neoplasms/surgery

KW - Pancreaticoduodenectomy/adverse effects

KW - Postoperative Complications/etiology

KW - Registries

KW - Robotic Surgical Procedures/adverse effects

KW - Treatment Outcome

UR - https://www.scopus.com/pages/publications/85151563636

U2 - 10.1016/j.hpb.2022.07.015

DO - 10.1016/j.hpb.2022.07.015

M3 - Article

C2 - 37028826

SN - 1365-182X

VL - 25

SP - 400

EP - 408

JO - International Hepato-Pancreato Biliary Association.

JF - International Hepato-Pancreato Biliary Association.

IS - 4

ER -

Use and outcome of minimally invasive pancreatic surgery in the European E-MIPS registry

Abstract

Keywords

Access to Document

Other files and links

Fingerprint

Cite this