Duodenopancreatectomia cefalopancreatica este o procedura intricata, ce necesita o inalta precizie datorita proximitatii structurilor
vitale, sustinuta prin expertiza. O data cu evolutia chirurgiei si aparitia de instrumente inovatoare, mortalitatea a scazut sub 5%, dar
morbiditatea a ramas la 30%, in special datorita fistulelor de anastomoza si a evenimentelor hemoragice. In acest sens, chirurgia
deschisa confera rezultate mai bune, cu o curba de invatare rezonabila. Cu atat mai mult, cu cat efectuarea de trialuri clinice este
dificila in acest domeniu, atat in chirurgia deschisa, cat si minim invaziva, pentru a obtine evidente valoroase, astfel subiectul ramane
unul de dezbatere.
Whipple procedure is intricate and demands high precision due to the proximity of critical structures, which requires an achieved
expertise. With the innovative instruments and evolution of surgery, the perioperative morbidity still stands at 30% with a mortality
lower than 5%, primary because of anastomotic leaks and haemorrhagic events. Therefore open surgery provides better outcomes
with a decent learning curve. Furthermore, it is challenging to conduct clinical trials in the field of pancreatic surgery both open or
minimally-invasive to obtain high-level evidence, remaining a subject open to debate.
