A comparison between robotic‐assisted laparoscopic distal pancreatectomy versus laparoscopic distal pancreatectomy. Issue 1 (27th January 2016)

• Record Type: Journal Article
• Authors: Goh, Brian K. P.; Chan, Chung Yip; Soh, Hui‐Ling; Lee, Ser Yee; Cheow, Peng‐Chung; Chow, Pierce K. H.; Ooi, London L. P. J.; Chung, Alexander Y. F.
• Is Part Of: International journal of medical robotics and computer assisted surgery. Volume 13:Issue 1(2017)
• Page Start: n/a
• Page End: n/a
• Publication Date: 2016-01-27
• Subjects: laparoscopy -- pancreatectomy -- robotic -- laparoscopic distal pancreatectomy -- minimally invasive surgery -- MIS -- outcome -- comparison; Robotics in medicine -- Periodicals; Surgery -- Technological innovations -- Periodicals; Imaging systems in medicine -- Periodicals; 617.90285
• DOI: 10.1002/rcs.1733
• Languages: English
• ISSNs: 1478-5951

Abstract

Abstract: Background: This study aims to compare the early perioperative outcomes of robotic‐assisted laparoscopic distal pancreatectomy (RDP) versus laparoscopic distal pancreatectomy (LDP). Methods: The clinicopathologic features of 45 consecutive patients who underwent minimally‐invasive distal pancreatectomy from 2006 to 2015 were retrospectively reviewed. Results: Thirty‐nine patients who met our study criteria were included. Eight patients underwent RDP and 31 had LDP. There were 10 (25.6%) open conversions. Six (15.4%) patients had major (> grade 2) morbidities and there was no in‐hospital mortality. There were 14 (35.9%) grade A and 9 (23.1%) grade B pancreatic fistulas. Comparison between RDP and LDP demonstrated no significant difference between the patients' baseline characteristics except there was increased frequency of spleen‐preserving pancreatectomies (3 (37.5%) vs 25 (80.6%), P =0.016) and splenic‐vessel preservation (5 (62.5%) vs 4 (12.9%), P =0.003) in RDP. Comparison between outcomes demonstrated that RDP was associated with a longer median operation time (452.5 (range, 300–685) vs 245 min (range, 85–430), P =0.001) and increased frequency of the procedure completed purely laparoscopically (8 (100%) vs 18 (58.1%), P =0.025). Conclusions: RDP can be safely adopted and is equivalent to LDP in most perioperative outcomes. It is also associated with a decreased frequency of the need for hand‐assistance laparoscopic surgery or open conversion but needed a longer operation time. Copyright © 2016 John Wiley & Sons, Ltd.