Robotic Whipple for pancreatic ductal and ampullary adenocarcinoma: 10 years experience of a US single‐center. Issue 5 (22nd July 2020)

• Record Type: Journal Article
• Authors: Valle, Valentina; Fernandes, Eduardo; Mangano, Alberto; Aguiluz, Gabriela; Bustos, Roberto; Bianco, Francesco; Giulianotti, Pier Cristoforo
• Is Part Of: International journal of medical robotics and computer assisted surgery. Volume 16:Issue 5(2020)
• Page Start: 1
• Page End: 7
• Publication Date: 2020-07-22
• Subjects: computer assisted surgery -- imaged guided surgery -- minimal invasive surgery -- oncology -- pancreas -- pancreaticoduodenectomy; Robotics in medicine -- Periodicals; Surgery -- Technological innovations -- Periodicals; Imaging systems in medicine -- Periodicals; 617.90285
• DOI: 10.1002/rcs.2135
• Languages: English
• ISSNs: 1478-5951

Abstract

Abstract: BACKGROUND: There is currently ample consensus about the safety and feasibility of robotic pancreaticoduodenectomy (RPD). However, few studies are available on the long‐term oncological outcomes of this procedure. We present a long‐term survival analysis (up to 10 years) of our series of RPD carried out for ductal and ampullary adenocarcinoma. METHODS: A retrospective analysis of a prospectively collected approved database was carried out including 39 patients who underwent RPD for pancreatic ductal and ampullary adenocarcinomas. RESULTS: The 5‐year overall survival for ductal and ampullary carcinoma was 41% with an estimated median and mean survival of 27 and 52 months. The ampullary group had significantly longer 5‐year survival (68%) than the ductal group (30%). CONCLUSION: Our data show, within the limitations of their retrospective nature, that robotic pancreaticoduodenectomy provides similar short‐ and long‐term survival outcomes compared to open technique in the treatment of pancreatic ductal and ampullary adenocarcinoma.