Comparing oncologic and surgical outcomes of robotic and laparoscopic distal pancreatectomy: a propensity-matched analysis
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View abstract on PubMed
Summary
This summary is machine-generated.Robotic distal pancreatectomy (RDP) shows similar oncologic outcomes to laparoscopic distal pancreatectomy (LDP) but with fewer conversions to open surgery. RDP had a higher readmission rate, while other short-term outcomes were comparable.
Area Of Science
- Surgical Oncology
- Minimally Invasive Surgery
- Gastrointestinal Surgery
Background
- Minimally invasive distal pancreatectomy (MIDP) is increasingly preferred over open procedures.
- This study compares short-term outcomes of robotic (RDP) versus laparoscopic (LDP) distal pancreatectomies for pancreatic ductal adenocarcinoma (PDAC).
Purpose Of The Study
- To compare short-term surgical and oncologic outcomes between RDP and LDP for PDAC.
- To evaluate the impact of institutional volume on minimally invasive distal pancreatectomy (MIDP) outcomes.
Main Methods
- Analysis of the National Cancer Database (2010-2020) for patients with PDAC undergoing MIDP.
- Propensity-score matching (PSM) to compare RDP and LDP cohorts.
- Multivariate logistic regression to assess institutional volume effects.
Main Results
- RDP had significantly lower odds of conversion to open surgery (12.6%) compared to LDP (25.5%).
- No significant differences were observed in length of stay, 30-day mortality, or 90-day mortality.
- RDP showed a higher 30-day readmission rate (OR=1.71).
- Technical oncologic outcomes varied significantly based on MIDP volume quartiles.
Conclusions
- RDP and LDP demonstrate comparable peri- and post-operative surgical and oncologic outcomes.
- Laparoscopic distal pancreatectomy is associated with a higher rate of conversion to open surgery.
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