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Related Experiment Video

Updated: Jul 8, 2025

Robot Assisted Distal Pancreatectomy with Celiac Axis Resection DP-CAR for Pancreatic Cancer: Surgical Planning and Technique
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ROBOTIC ASSISTED VERSUS LAPAROSCOPIC DISTAL PANCREATECTOMY: A RETROSPECTIVE STUDY.

Ricardo Jureidini1, Guilherme Naccache Namur1, Thiago Costa Ribeiro1

  • 1Universidade de São Paulo, São Paulo State Cancer Institute, Department of Gastroenterology - São Paulo (SP), Brazil.

Arquivos Brasileiros De Cirurgia Digestiva : ABCD = Brazilian Archives of Digestive Surgery
|December 13, 2023
PubMed
Summary
This summary is machine-generated.

Robotic distal pancreatectomy (RDP) shows comparable postoperative morbidity to laparoscopic distal pancreatectomy (LDP). However, RDP incurs slightly higher overall costs, primarily due to increased surgical material expenses.

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Area of Science:

  • Surgical Oncology
  • Minimally Invasive Surgery
  • Gastrointestinal Surgery

Background:

  • Minimally invasive distal pancreatectomy (MIDP) offers benefits like reduced blood loss and faster recovery.
  • The comparative advantages of robotic-assisted distal pancreatectomy (RDP) over laparoscopic distal pancreatectomy (LDP) remain unclear.

Purpose of the Study:

  • To compare RDP and LDP for treating benign, pre-malignant, and borderline malignant pancreatic neoplasms.
  • Evaluate surgical outcomes and costs associated with RDP versus LDP.

Main Methods:

  • Retrospective comparative study of LDP and RDP procedures.
  • Primary outcomes: overall morbidity and total costs.
  • Secondary outcomes: pancreatic fistula rates, infectious complications, readmissions, operative time, and length of hospital stay.

Main Results:

  • No significant difference in overall postoperative morbidity between RDP (72.4%) and LDP (80%, p=0.49).
  • RDP resulted in higher overall costs (US$6,688 vs. US$6,149, p=0.02), driven by surgical material expenses (US$2,364 vs. US$1,421, p=0.00005).
  • Operative time and conversion rates to open surgery were similar between the two groups.

Conclusions:

  • Robotic-assisted distal pancreatectomy demonstrates comparable postoperative morbidity to the laparoscopic approach.
  • The adoption of RDP is associated with marginally increased healthcare costs compared to LDP.