Short-term Outcomes After Robot-Assisted vs Open Pancreaticoduodenectomy After the Learning Curve.

JAMA Surgery
Yusheng ShiBaiyong Shen

Abstract

Robot-assisted pancreaticoduodenectomy (RPD) has been reported to be safe and feasible. As a new technique, RPD has a learning curve similar to that of other types of minimally invasive pancreatic surgery such as laparoscopic pancreaticoduodenectomy. To our knowledge, no reports exist on the outcomes of open pancreaticoduodenectomy (OPD) and RPD after the learning curve. To analyze and evaluate the actual advantages of RPD. Between May 2010 and December 2018, 450 patients underwent RPD in the Shanghai Ruijin Hospital affiliated with Shanghai Jiaotong University in Shanghai, China, a high-volume pancreatic disease center. According to our previous study, an important flexion point in the learning curve is 250 cases. Data on the last 200 RPD cases were collected from January 2017 to December 2018. During that period, 634 patients underwent OPD. These patients were divided into 2 groups, and propensity score matching was used to minimize bias. The demographic data and operative outcomes were collected and analyzed. Analysis began May 2019. Robot-assisted pancreaticoduodenectomy and OPD. The short-term operative outcomes of RPD and OPD. After 1:1 matching, 187 cases of RPD and OPD were recorded. In the RPD group, 78 patients (41.7%...Continue Reading

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Citations

Nov 18, 2020·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·A Floortje van OostenJin He
Nov 12, 2020·Journal of Hepato-biliary-pancreatic Sciences·Xiu-Ping ZhangRong Liu
Apr 30, 2021·The Lancet. Gastroenterology & Hepatology·Min WangUNKNOWN Minimally Invasive Treatment Group in the Pancreatic Disease Branch of China's International Exchange and Promotion Associat
May 21, 2021·Updates in Surgery·Niccolò NapoliUgo Boggi
Aug 7, 2021·Journal of Robotic Surgery·Hussein H KhachfeFaek R Jamali
Sep 4, 2021·Journal of Robotic Surgery·Matthäus FelsensteinThomas Malinka

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