Robot-assisted duodenum-preserving pancreatic head resection with pancreaticogastrostomy for benign or premalignant pancreatic head lesions: a single-centre experience

The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS
Yu JiangBaiyong Shen

Abstract

The purpose of this study was to compare short- and long-term outcomes of modified robot-assisted duodenum-preserving pancreatic head resection (RA-DPPHR) versus robot-assisted pancreaticoduodenectomy (RA-PD). Matched for age, sex, ASA classification, tumour size, history of abdominal surgery and pathological type, 34 patients undergoing RA-DPPHR and 34 patients undergoing RA-PD between January 2010 and December 2016 were retrospectively analyzed. The RA-DPPHR group had shorter surgical time (188.2 vs. 386.3 min, p < 0.001) and less blood loss (168.2 vs. 386.3 ml, p = 0.026) but higher complication rate (47.1% vs. 32.4%, p = 0.105) and pancreatic fistula rate (32.4% vs. 17.6%, p = 0.161). Hospital mortality was 2.9%. Exocrine insufficiency was lower in the RA-DPPHR group (3.0% vs. 24.2%, p = 0.027). Endocrine insufficiency was observed in one RA-DPPHR patient and 5 RA-PD patients (p = 0.197). Modified RA-DPPHR benefits in terms of better conservation of exocrine and endocrine pancreatic functions at the expense of a significant morbidity and non-zero mortality.

References

May 19, 2000·Annals of Surgery·J J HuangJ L Cameron
Jul 9, 2005·Surgery·Claudio BassiUNKNOWN International Study Group on Pancreatic Fistula Definition
Dec 6, 2005·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·Masao TanakaUNKNOWN International Association of Pancreatology
Dec 16, 2006·World Journal of Surgery·John D AllendorfJohn A Chabot
Sep 26, 2007·Annals of Surgery·C Max SchmidtKeith D Lillemoe
Nov 28, 2007·The British Journal of Surgery·M FalconiP Pederzoli
Jan 10, 2008·Diabetes Care·UNKNOWN American Diabetes Association
Feb 27, 2008·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·H G BegerB Poch
Nov 6, 2009·American Journal of Surgery·Roberto SalviaPaolo Pederzoli
Nov 7, 2009·Journal of Hepato-biliary-pancreatic Sciences·Akihiko HoriguchiToshiyuki Yamamoto
Jan 7, 2010·Journal of Korean Medical Science·Seung Eun LeeSun-Whe Kim
Aug 10, 2010·Journal of Hepato-biliary-pancreatic Sciences·Sergio PedrazzoliCosimo Sperti
Nov 19, 2010·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Ulrich Friedrich WellnerTobias Keck
Mar 15, 2012·World Journal of Surgery·Cheng-Hong PengHong-Wei Li
Jul 14, 2012·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Hans G BegerBertram Poch
Dec 12, 2012·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Qian ZhanHong-Wei Li
Mar 21, 2015·Annals of Surgery·Giovanni MarchegianiCarlos Fernández-Del Castillo
Sep 24, 2015·Medical Science Monitor : International Medical Journal of Experimental and Clinical Research·Tian ZhangChenghong Peng
Nov 4, 2015·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Hans G BegerBettina M Rau
Dec 30, 2015·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·Stéphane BourgouinYves-Patrice Le Treut

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