Initial Experience With Robotic Pancreatic Surgery: Technical Feasibility and Oncological Implications

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
A CorattiM Annecchiarico

Abstract

Robotic surgery has been introduced in the field of minimally invasive surgery to improve the handling of high-demanding procedures with encouraging results. We aimed to evaluate the clinical safety and the oncological adequacy of robot-assisted pancreatic surgery by analyzing a consecutive series in terms of surgical and oncological outcomes. A total of 53 consecutive cases including 36 pancreatoduodenectomies (PD) and 14 distal pancreatectomies (DP) were evaluated. The overall postoperative morbidity and mortality were 32% and 3.8%, respectively. Radical resection was achieved in 93.7% of PD and 100% of DP, with a mean number of harvested lymph nodes of 29.8 for PD and 20.5 for DP. The 3-year cumulative overall survival was 44.2% and 73.9% for patient with pancreatic ductal adenocarcinoma and nonductal malignancy, respectively. Robotic technology may be useful to reproduce conventional open pancreatic surgery with a minimally invasive approach, overcoming some of the intrinsic limitations of conventional laparoscopy.

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Citations

Sep 2, 2019·Journal of Robotic Surgery·Marco Vito MarinoManuel Gomez Fleitas
Jun 20, 2018·The Indian Journal of Surgery·Marco MarinoAndrzej L Komorowski
Mar 9, 2018·Acta chirurgica Belgica·Marco Vito MarinoAndrzej L Komorowski
Jun 18, 2021·Annals of Surgical Treatment and Research·Sung Eun ParkTae Ho Hong

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Methods Mentioned

BETA
RAPS
biopsy
pancreatectomy
dissection

Software Mentioned

Statistical Package for the Social Sciences , SPSS

Related Concepts

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Ductal carcinoma is a malignant neoplasm involving the ductal systems of any of a number of organs, such as the mammary glands, pancreas, prostate or lacrimal gland. Discover the latest research on ductal carcinoma here.

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