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Robotic versus open total pancreatectomy: a retrospective cohort study
Wei Wang1,2, Qu Liu1, Zhiming Zhao1
1Faculty of Hepatopancreatobiliary Surgery, The First Medical Center of Chinese People's Liberation Army (PLA) General Hospital, 28 Fuxing Road, Beijing, 100853, China.
Langenbeck'S Archives of Surgery
|May 31, 2021
Summary
Robotic total pancreatectomy (RTP) offers advantages over open total pancreatectomy (OTP), including reduced operative time, blood loss, and hospital stay. This minimally invasive approach is safe and feasible for selected patients.
Area of Science:
- Gastroenterology and Hepatology
- Surgical Oncology
- Minimally Invasive Surgery
Background:
- Robotic total pancreatectomy (RTP) is a rarely reported procedure.
- Assessing the comparative benefits of RTP versus open total pancreatectomy (OTP) is crucial for surgical practice.
Purpose of the Study:
- To evaluate the advantages of robotic total pancreatectomy (RTP) compared to open total pancreatectomy (OTP).
Main Methods:
- Retrospective analysis of perioperative outcomes for 14 patients undergoing RTP and 15 patients undergoing OTP.
- Data collected between May 2015 and September 2020.
Main Results:
- RTP significantly reduced operative time (307.2 vs. 382.0 min) and estimated blood loss (EBL) (200 vs. 700 ml) compared to OTP.
- Patients undergoing RTP experienced earlier mobilization, fluid intake, and diet advancement.
- Robotic total pancreatectomy resulted in a shorter postoperative hospital stay (9.0 vs. 12.0 days) without compromising safety outcomes.
Conclusions:
- Robotic total pancreatectomy is a safe and feasible option for selected patients in experienced robotic centers.
- RTP demonstrates clear benefits over OTP, including shorter operative times, reduced blood loss, and faster recovery.
