Comparison of robotic and open central pancreatectomy

Abstract

BackgroundCentral pancreatectomy (CP) is an ideal parenchyma‐sparing procedure. The experience of r robotic central pancreatectomy (RCP) is very limited.Materials and MethodsPatients undergoing CP were included. Comparisons were made between RCP and open central pancreatectomy (OCP) groups.ResultsThe most common lesion in patients undergoing CP was serous cystadenoma (35.5%). The median operation time was 4.2 h for RCP versus 5.5 h for OCP. The median blood loss was significantly lower in RCP, 20 c.c. versus 170 c.c., p = 0.001. Postoperative pancreatic fistula occurred in 19.4% of all patients, with 22.1% in RCP and 15.4% in OCP. There was no significant difference regarding other surgical complications between the RCP and OCP groups. Only one patient in the OCP group developed de novo diabetes mellitus (DM), and no steatorrhoea/diarrhoea occurred after either RCP or OCP.ConclusionsRCP is feasible and safe without compromising surgical outcomes and pancreatic functions.

Minimally invasive versus open central pancreatectomy: A systematic review and meta-analysis

“…1). Consequently, seven comparative studies including a total of 289 patients were included [15][16][17][18][19][20][21]. Table 1 details the included studies.…”