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Robotic Distal Gastrectomy Reduces Drain Amylase Values in Patients With a Small Pancreas-left Gastric Artery Angle
Ryugo Teranishi1, Tsuyoshi Takahashi1, Yukinori Kurokawa1
1Department of Gastroenterological Surgery, Osaka University Graduate School of Medicine, Suita.
Purpose:
Pancreatic fistula is a severe complication after laparoscopic distal gastrectomy (LDG). We previously evaluated the pancreas-left gastric artery angle (PLA) as a risk indicator for developing a pancreatic fistula after LDG. This study evaluated the incidence of pancreatic fistula with robotic distal gastrectomy (RDG) in comparison to LDG from the view of the PLA.
Materials And Methods:
An association between the PLA and the incidence of pancreatic fistula in 165 patients who underwent either RDG (n=45) or LDG (n=120) was investigated retrospectively.
Results:
RDG patients had significantly lower drain amylase values (postoperative day 2) than LDG patients. As opposed to LDG patients, drain amylase values were similar for patients with small (PLA <62 degrees) and large (PLA ≥62 degrees) PLA in RDG patients.
Conclusion:
Robotic surgery may reduce the risk of postoperative pancreatic fistula in patients with a small PLA.
