Full Robotic Distal Pancreatectomy: Safety and Feasibility Analysis of a Multicenter Cohort of 236 Patients

Surgical Innovation
Sergio AlfieriGiuseppe Quero

Abstract

Introduction. Despite the widespread use of the robotic technology, only a few studies with small sample sizes report its application to pancreatic diseases treatment. Our aim is to present the results of a multicenter study on the safety and feasibility of robot-assisted distal pancreatectomy (RDP). Materials and Methods. All RDPs for benign, borderline, and malignant diseases performed in 5 referral centers from 2008 to 2016 were included. Perioperative outcomes were evaluated. Results. Two hundred thirty-six patients were included. Spleen preservation was performed in 114 cases (48.3%). Operative time was 277.8 ± 93.6 minutes. Progressive improvement in operative time was observed over the study period. Conversion rate was 6.3%. Morbidity occurred in 102 cases (43.2%), mainly due to grade A fistulas. Reoperation was required in 10 patients. Postoperatively, 2 patients died of sepsis due to a grade C fistula. Hospital readmission was necessary in 11 cases. A R0 resection was always achieved, with a mean number of 16.2 ± 15 harvested lymph nodes. Conclusion. To our knowledge, this is one of the largest RDP series. Safety and feasibility including the low conversion rate, the high spleen preservation rate, the adequate operativ...Continue Reading

References

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Citations

Aug 12, 2020·The American Surgeon·Alexander S RosemurgySharona Ross
Dec 15, 2020·Journal of Hepato-biliary-pancreatic Sciences·Paolo MagistriFabrizio Di Benedetto
Mar 13, 2021·The British Journal of Surgery·S LofUNKNOWN European Consortium on Minimally Invasive Pancreatic Surgery (E-MIPS)
Mar 15, 2021·Cirugía española·Esteban Cugat AndorràFrancisco Espin Álvarez
Nov 3, 2021·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Jaewoo KwonSong Cheol Kim

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Methods Mentioned

BETA
pancreatectomy
pancreatectomies
dissection
lavage

Software Mentioned

SPSS
Xi

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