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Related Experiment Video

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Robot Assisted Distal Pancreatectomy with Celiac Axis Resection DP-CAR for Pancreatic Cancer: Surgical Planning and Technique
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Robotic-Assisted Pancreatic Resections.

Ugo Boggi1, Niccolò Napoli2, Francesca Costa2

  • 1Division of General and Transplant Surgery, University of Pisa, Pisa, Italy. u.boggi@med.unipi.it.

World Journal of Surgery
|May 22, 2016
PubMed
Summary
This summary is machine-generated.

Robotic-assisted pancreatic resections (RAPR) are feasible and safe for selected patients, demonstrating comparable outcomes to open procedures. Further investigation into robotic-assisted pancreaticoduodenectomy for pancreatic cancer is warranted.

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Area of Science:

  • Minimally Invasive Surgery
  • Surgical Oncology
  • Robotic Surgery

Background:

  • Robotic assistance can improve surgical precision, potentially increasing the use of laparoscopy for pancreatic resections.
  • Pancreatic resections are complex procedures with significant morbidity and mortality.

Purpose of the Study:

  • To assess the feasibility and safety of robotic-assisted pancreatic resections (RAPR).
  • To compare robotic-assisted pancreaticoduodenectomy (RAPD) with open pancreaticoduodenectomy (OPD).

Main Methods:

  • Retrospective analysis of prospectively collected data from 200 patients undergoing RAPR between 2008 and 2014.
  • Comparison of RAPD outcomes with a contemporary cohort of OPD procedures.

Main Results:

  • RAPR had a low conversion rate (1.5%) and acceptable 30-day and 90-day mortality rates (0.5% and 1%).
  • RAPD showed longer operative times than OPD but an equivalent safety profile, similar lymph node yield, and margin positivity rates in pancreatic cancer patients.
  • The overall complication rate was 63.0%, with a pancreatic fistula rate of 28.0% and a reoperation rate of 7.0%.

Conclusions:

  • Robotic-assisted pancreatic resections, including RAPD, are safely feasible in carefully selected patients.
  • Outcomes of RAPD for pancreatic cancer are promising, necessitating additional research.