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RESEARCH PRODUCT

Robotic pancreatic surgery: old concerns, new perspectives.

Gaspare GulottaGalyna ShabatOleksii PotapovMarco Vito MarinoAndrzej L. Komorowski

subject

AdultMalemedicine.medical_specialtyRobotic Surgical Proceduremedicine.medical_treatmentRobotic pancreatic surgeryOperative Time030230 surgeryPancreatic surgeryPancreaticoduodenectomy03 medical and health sciences0302 clinical medicinepancreatic fistulaPancreatectomyPostoperative ComplicationsRobotic Surgical ProceduresRetrospective StudieMedicineHumansdistal pancreatectomypostoperative complicationAgedRetrospective Studiesbusiness.industryGeneral surgeryPancreatic DiseasesGeneral MedicineMiddle Agedmedicine.diseasePancreaticoduodenectomySurvival RateTreatment OutcomePancreatic fistula030220 oncology & carcinogenesisSurgeryFemalePancreatic DiseasebusinessDistal pancreatectomyHuman

description

Background: Described for the first time in 2003, the robotic pancreatic surgery shows interesting results. The evaluation of post-operative outcomes is necessary once we describe an innovative surgical approach. Methods: We have performed a retrospective analysis of a prospectively maintained database on robotic pancreatic surgery including malignant and benign indications for surgery. Results: A total of 50 consecutive patients underwent robotic pancreatic surgery (26 pancreatico duodenectomy and 24 distal pancreatectomy) between January 2012 and July 2015 in a single centre. The overall operative time was 425 (390–620) min. In a subgroup of highly selected malignant tumours, we were able to achieve 88% of R0 resection with robotic approach. A number of lymphnodes rose significantly with growing experience (p =.025). The overall major complication rate (15%), as well as pancreatic fistula rate (16%) were acceptable. The two-year overall survival for the whole group was 65%. Conclusion: The robotic pancreatic surgery in a highly selected group of patients seems safe and feasible. The cost-effectiveness and long-term oncologic outcomes need further investigations.

yearjournalcountryeditionlanguage
2018-03-09Acta chirurgica Belgica
10.1080/00015458.2018.1444550https://pubmed.ncbi.nlm.nih.gov/29514548