Note: Page numbers of article titles are in boldface type. A Adenocarcinoma, pancreatic ductal, laparoscopic distal pancreatectomy for, 61 Adrenal cortical carcinoma, laparoscopic adrenalectomy for, 114 118 early use of laparoscopic, 116 open versus laparoscopic, 116 recent use of laparoscopic, 116 118 treatment of nonmetastatic, 115 116 Adrenal malignancies, laparoscopic adrenalectomy for, 111 124 adrenal cortical carcinoma, 114 118 incidental adrenal mass, 112 114 malignant pheochromocytoma, 118 malignant tumors, 114 119 metastasis to adrenal gland, 118 119 Adrenalectomy, laparoscopic, for cancer, 111 124 incidental adrenal mass, 112 114 malignant adrenal gland tumors, 114 119 adrenal cortical carcinoma, 114 118 malignant pheochromocytoma, 114 metastasis to adrenal gland, 118 119 C Cancer, laparoscopic approaches in, 1 151 adrenal, adrenalectomy for, 111 124 colon, colectomy for, 143 151 esophageal, minimally invasive surgery for, 15 25 gastric, gastrectomy for, 39 57 liver, resection of liver for, 75 89 lung, video-assisted thoracoscopic lobectomy, 27 38 pancreatic, distal pancreatectomy for, 59 73 prostate, prostatectomy for, 125 141 renal cell, extirpative laparoscopic and robotic surgery for, 91 109 thyroid, endoscopic and robotic thyroidectomy for, 1 13 Colectomy, robotic-assisted laparoscopic, for colon cancer, 143 151 advantages of robotic surgery, 144 145 current indications, 144 disadvantages of robotic surgery, 145 146 early outcomes for, 146 future directions, 148 149 intracorporeal anastomosis, 148 single-incision surgery, 148 149 oncologic considerations, 146 148 Surg Oncol Clin N Am 22 (2013) 153 159 http://dx.doi.org/10.1016/s1055-3207(12)00103-2 surgonc.theclinics.com 1055-3207/13/$ see front matter ª 2013 Elsevier Inc. All rights reserved.
154 Colon cancer, laparoscopic robotic colectomy for, 143 151 Colorectal metastases, laparoscopic hepatic resection for, 83 84 concerns about, 83 84 data comparing with open resections for, 84 description of large series of, 84 Cystic pancreatic neoplasms, laparoscopic distal pancreatectomy for, 61 E Endoscopic thyroidectomy, for thyroid cancer, 3 5 compared with open, 5 6 compared with robotic, 8 9 Enucleation, pancreatic, in laparoscopic distal pancreatectomy, 65 66 Esophageal cancer, minimally invasive esophagectomy for, 15 25 history of, 16 outcome of, 20 23 rationale for, 16 17 surgical technique, 17 20 abdominal phase, 18 19 delivery of specimen and reconstructive phase, 19 20 thoracic phase, 17 18 Esophagectomy, minimally invasive, for esophageal cancer, 15 25 history of, 16 outcome of, 20 23 rationale for, 16 17 surgical technique, 17 20 abdominal phase, 18 19 delivery of specimen and reconstruction phase, 19 20 thoracic phase, 17 18 G Gastrectomy, laparoscopic, for gastric cancer, 39 57 diagnostic evaluation, 41 42 early, 42 emerging technology, 52 53 epidemiology, 40 41 extent of lymph node dissection, 43 learning curve, 52 locally advanced, 43 operative considerations for formal gastric resection, 43 45 approach, 44 oncologic concerns, 44 45 tumor location, 43 44 operative technique, 46 49 subtotal, 46 48 total, 48 49 outcomes, 49 52 patient position and room setup, 45 46 Gastric cancer, laparoscopic gastrectomy for, 39 57 diagnostic evaluation, 41 42 early, 42
155 emerging technology, 52 53 epidemiology, 40 41 extent of lymph node dissection, 43 learning curve, 52 locally advanced, 43 operative considerations for formal gastric resection, 43 45 approach, 44 oncologic concerns, 44 45 tumor location, 43 44 operative technique, 46 49 subtotal, 46 48 total, 48 49 outcomes, 49 52 patient position and room setup, 45 46 H Hepatectomy. See Hepatic resection. Hepatic resection, laparoscopic, for cancer, 75 89 comparison versus open approach for specific resection types, 80 81 left lateral sectionectomy, 80 right hemihepatectomy, 80 81 direct comparison with open resections, 78 80 most recent series comparing, 81 evolution of, 75 76 for colorectal metastases, 83 84 for hepatocellular carcinoma, 82 83 history of, 75 76 Louisville statement on, 76 77 ongoing clinical trials, 86 placing into perspective, 81 82 response of surgical community, 77 78 techniques for, 84 86 basic principles, 84 85 division of portal pedicles, 85 lessons learned to date, 86 technical challenges in, 85 86 types of surgical approaches, 85 Hepatocellular carcinoma, laparoscopic hepatic resection for, 82 83 compared with open hepatectomy for, 82 83 comparison of 3- and 5-year survivals, 83 concerns about, 82 limitations of studies to date, 83 results of largest series of, 82 K Kidneys. See Renal cell carcinoma. L Laparoscopic approaches, in oncology, 1 151 adrenal masses, adrenalectomy for, 111 124
156 Laparoscopic (continued) colon cancer, colectomy for, 143 151 esophageal cancer, minimally invasive surgery for, 15 25 gastric cancer, gastrectomy for, 39 57 liver cancers, resection of liver for, 75 89 lung cancer, video-assisted thoracoscopic lobectomy, 27 38 pancreatic cancer, distal pancreatectomy for, 59 73 prostate cancer, prostatectomy for, 125 141 renal cell carcinoma, extirpative laparoscopic and robotic surgery for, 91 109 thyroid cancer, endoscopic and robotic thyroidectomy for, 1 13 Liver cancers, laparoscopic hepatic resection for, 75 89 comparison versus open approach for specific resection types, 80 81 left lateral sectionectomy, 80 right hemihepatectomy, 80 81 direct comparison with open resections, 78 80 most recent series comparing, 81 evolution of, 75 76 for colorectal metastases, 83 84 for hepatocellular carcinoma, 82 83 history of, 75 76 Louisville statement on, 76 77 ongoing clinical trials, 86 placing into perspective, 81 82 response of surgical community, 77 78 techniques for, 84 86 basic principles, 84 85 division of portal pedicles, 85 lessons learned to date, 86 technical challenges in, 85 86 types of surgical approaches, 85 Lobectomy, VATS. See Video-assisted thoracoscopic surgery lobectomy. Lung cancer, video-assisted thoracoscopic surgery (VATS) lobectomy for, 27 38 controversies, 33 35 conversion to thoracotomy, 34 immunologic issues, 35 learning curve, 33 34 reimbursement issues, 35 robotic lobectomy, 34 35 current definition of, 29 30 outcomes, 30 33 intraoperative use, 30 long-term, 32 33 pain control and quality of life, 31 32 postoperative, 30 pioneering efforts in, 27 28 technique, 33 widespread adoption of, 28 29 M Metastases, colorectal, laparoscopic hepatic resection for, 83 84 concerns about, 83 84
157 data comparing with open resections for, 84 description of large series of, 84 to the adrenal gland, laparoscopic adrenalectomy for, 118 119 Minimally invasive surgery. See also Laparoscopic approaches. for eosphageal cancer, 15 25 N Nephrectomy, laparoscopic and robotic, for renal cell carcinoma, 91 109 laparoscopic partial, 94 97 complications, 97 functional outcomes, 96 oncologic outcomes, 96 perioperative outcomes, 96 97 technique, 94 95 laparoscopic radical, 92 94 complications, 94 functional outcomes, 94 oncologic outcomes, 93 postoperative outcomes, 94 technique, 92 93 robotic-assisted partial, 97 104 complications, 103 104 functional outcomes, 99 103 oncologic outcomes, 98 99 perioperative outcome, 103 technique, 97 98 Neuroendocrine tumors, pancreatic, laparoscopic distal pancreatectomy for, 61 P Pancreatectomy, laparoscopic distal, for pancreatic cancer, 59 73 diagnosis and staging, 60 discussion, 68 70 pancreatic enucleation (body/tail), 65 postoperative care, 66 68 management of pancreatic stump, 66 68 morbidity and mortality, 66 resections, 61 62 positioning of the patient, operator, and trocars, 61 62 preoperative conditions, 61 robotic, 68 selection criteria, 60 spleen-preserving techniques, 65 tumor biology, 60 61 cystic pancreatic neoplasms, 61 neuroendocrine tumors, 61 pancreatic ductal adenocarcinoma, 61 with en bloc splenectomy, 62 66 conversion to open procedure, 65 lesser sac exposure and splenic flexure mobilization, 62
158 Pancreatectomy (continued ) pancreatic mobilization, 62 pancreatic resection and division of splenic vein and artery, 63 65 specimen removal, drain placement, and closure, 65 Pancreatic cancer, laparoscopic distal pancreatectomy for, 59 73 Partial nephrectomy, laparoscopic, 94 97 robot-assisted, 97 104 Pheochromocytoma, malignant, laparoscopic adrenalectomy for, 114 Prostate cancer, laparoscopic prostatectomy for, 125 141 Prostatectomy, laparoscopic, for prostate cancer, 125 141 cost comparisons, 135 functional outcomes, 133 135 potency, 133 135 urinary continence, 133 history of, 126 indications and contraindications, 126 127 instrumentation and approach, 127 128 oncologic outcomes, 130 133 freedom from biochemical recurrence, 133 positive surgical margin rate, 132 133 perioperative outcomes, 130 hospital stay, 130 intraoperative blood loss, 130 operative time, 130 technique, 128 130 R Radical nephrectomy, laparoscopic, 92 94 Renal cell carcinoma, extirpative laparoscopic and robotic surgery for, 91 109 partial nephrectomy, 94 97 radical nephrectomy, 92 94 robotic-assisted partial nephrectomy, 97 104 Robotic-assisted surgery, distal pancreatectomy, 68 laparoscopic colectomy for colon cancer, 143 151 advantages of robotic surgery, 144 145 current indications, 144 disadvantages of robotic surgery, 145 146 early outcomes for, 146 future directions, 148 149 intracorporeal anastomosis, 148 single-incision surgery, 148 149 oncologic considerations, 146 148 partial nephrectomy in renal cell cancer, 97 104 complications, 103 104 functional outcomes, 99 103 oncologic outcome, 98 99 perioperative outcomes, 103 technique, 97 98 thyroidectomy for thyroid cancer, 6 8 compared with endoscopic, 8 9
159 compared with open, 8 S Spleen-reserving technique, for laparoscopic distal pancreatectomy, 65 Splenectomy, laparoscopic distal pancreatectomy with en bloc, 62 65 T Thyroid cancer, endoscopic and robotic thyroidectomy for, 1 13 endoscopic thyroidectomy, 3 5 compared with open, 5 6 compared with robotic, 8 9 robotic thyroidectomy, 6 8 compared with endoscopic, 8 9 compared with open, 8 Thyroidectomy, for thyroid cancer, 1 13 endoscopic, 3 5 compared with open, 5 6 compared with robotic, 8 9 robotic, 6 8 compared with endoscopic, 8 9 compared with open, 8 V VATS lobectomy. See Video-assisted thoracoscopic surgery lobectomy. Video-assisted thoracoscopic surgery (VATS) lobectomy, for lung cancer, 27 38 controversies, 33 35 conversion to thoracotomy, 34 immunologic issues, 35 learning curve, 33 34 reimbursement issues, 35 robotic lobectomy, 34 35 current definition of, 29 30 outcomes, 30 33 intraoperative use, 30 long-term, 32 33 pain control and quality of life, 31 32 postoperative, 30 pioneering efforts in, 27 28 technique, 33 widespread adoption of, 28 29