Balancing surgical innovation with cost and efficiency

Balancing surgical innovation with cost and efficiency

Can J Surg 2014;57(4)228-29 | PDF

Shiva Jayaraman, MD, MESc

From the University of Toronto, St. Joseph’s Health Centre, Toronto, Ont.

See the related research paper by Wang and colleagues on p. 263.

Summary

The standard approach to neoplasia of the pancreatic head is pancreaticoduodenectomy, otherwise known as the Whipple procedure. Traditionally, this operation is performed through an open laparotomy incision. In high-volume centres, and when performed by appropriately qualified surgeons, the Whipple procedure is safe and effective management for diseases of the pancreatic head. Still, this operation remains one of the most complex abdominal procedures. With the proliferation of minimally invasive surgery, more complex operations are being performed using laparoscopy and other minimal access techniques. A group from McGill University and the Montreal Jewish General Hospital have prospectively evaluated their experience with minimally invasive pancreaticoduodenectomy and have compared this experience to the open approach. This is the first comparative series of its kind from Canada.


Accepted for publication May 20, 2014

Competing interests: None declared.

DOI: 10.1503/cjs.006114

Correspondence to: S. Jayaraman, University of Toronto, St. Joseph’s Health Centre, 30 The Queensway, Suite 240 SSW, Toronto ON M6R 1B5; jayars@stjoe.on.ca