Laparoscopic robot-assisted versus open total pancreatectomy: a case-matched study

Boggi, Ugo; Palladino, S; Massimetti, Gabriele; Vistoli, Fabio; Caniglia, Fabio; Lio, Nelide De; Perrone, Vittorio; Barbarello, Linda; Belluomini, Mario Antonio; Signori, S; Amorese, G; Mosca, Franco

doi:10.1007/s00464-014-3819-9

Cited by 56 publications

(42 citation statements)

References 45 publications

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“…Recent studies have shown that laparoscopic robot-assisted pancreaticoduodenectomy (RAPD) may be safely feasible [1,2,3,4,5,6,7,8,9,10]. The da Vinci surgical system (dVss; Intuitive Surgical Inc., Sunnyvale, Calif., USA) is a computer-assisted telemanipulator, which allows a remote surgeon to handle tissues, drive electromechanical devices and perform intracorporeal sutures while working through laparoscopic ports.…”

Section: Introductionmentioning

confidence: 99%

The Learning Curve in Robotic Pancreaticoduodenectomy

Napoli¹,

Kauffmann²,

Palmeri³

et al. 2016

Dig Surg

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Background/Purpose: Few data are available on the learning curve (LC) in robot-assisted pancreaticoduodenectomy (RAPD) and no study specifically addresses the LC of a single surgeon. Methods: The LC of a single surgeon in RAPD was determined using the cumulative sum method, based on operative time (OT). Data were extracted from a prospectively maintained database and analyzed retrospectively considering all events occurring within 90 days of index operation. Results: Seventy RAPD were analyzed. One operation was converted to open surgery (1.4%). One patient died within 30 days (1.4%) and one within 90 days (2.8%). Postoperative complications occurred in 53 patients (75.7%) and exceeded Clavien-Dindo grade IIIb in 7 patients (10%). OT dropped after 33 operations from a mean of 564 ± 101.7 min to a mean of 484.1 ± 77.9 min (p = 0.0005) and was associated to reduced incidence of delayed gastric emptying (72.7 vs. 48.7%; p = 0.039). The rate of hospital readmission improved after 40 operations from 20.0 (8 of 40) to 3.3% (1 of 30) (p = 0.04). Conclusions: RAPD was safely feasible in selected patients. OT dropped after the first 33 operations and was associated with reduced rate of delayed gastric emptying. Readmission rate improved after 40 operations.

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Section: Introductionmentioning

confidence: 99%

The Learning Curve in Robotic Pancreaticoduodenectomy

Napoli¹,

Kauffmann²,

Palmeri³

et al. 2016

Dig Surg

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“…TP combines the operative steps of distal pancreatectomy and pancreaticoduodenectomy, but it lowers the risk of pancreatic stump‐related morbidity. Initial reports of TP via minimally invasive approaches have been encouraging, although they have been performed in select patients .…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic total pancreatectomy for multiple endocrine neoplasia type 1 syndrome‐associated multifocal, non‐functioning pancreatic neuroendocrine tumor: A case report

Senthinathan

Jankar

Sabnis

et al. 2017

Asian J Endoscop Surgery

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Pancreatic neuroendocrine tumors are rare, accounting for less than 3% of all pancreatic tumors. Although laparoscopic pancreas-preserving surgery for managing sporadic pancreatic neuroendocrine tumors has been described in the literature, laparoscopic total pancreatectomy has rarely been reported. We present a 30-year-old man who was incidentally diagnosed with multiple endocrine neoplasia type 1 syndrome with parathyroid hyperplasia and a non-functioning pancreatic neuroendocrine tumor. He underwent laparoscopic total pancreatectomy with splenectomy. This report highlights the technical details of laparoscopic total pancreatectomy, which appears to be a feasible and safe option in select cases.

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“…Mortality and morbidity rates of robotic PD have been shown to be similar to laparoscopic and open surgical techniques with decreased mean blood loss compared to open surgery (35,36). To sum up, although it has not been clearly shown whether RAL hepatic and pancreatic surgery are superior to the laparoscopic technique in selected patients, authors report that the robotic technique can be performed safely in hepatic and pancreatic surgery.…”

Section: Robotic Hepatopancreaticobiliary System Surgerymentioning

confidence: 97%

Robotik Gastrointestinal Cerrahide Güncel Uygulama

Ali̇moğlu¹,

Sağıroğlu²,

Alsmadi³

et al. 2016

Anadolu Kliniği Tıp Bilimleri Dergisi

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General surgical diseases have been long treated via conventional (open) or laparoscopic operations. With the advances in technology, there is a paradigm shift from conventional laparoscopy. As a result, single incision laparoscopic surgery (SILS), natural orifice transluminal endoscopic surgery (NOTES), and robotic surgery have evolved as new treatment options for minimal invasive surgery. It has been shown in many series that a wide variety of procedures of general surgery can be managed safely and effectively by robot assisted laparoscopic surgery (RALS). In this review, current advances and practice in robotics in the most commonly applied gastrointestinal surgical procedures will be emphasized.

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Laparoscopic robot-assisted versus open total pancreatectomy: a case-matched study

Abstract: LRATP is feasible in selected patients, but further experience is needed to draw final conclusions.

Cited by 56 publications

References 45 publications

The Learning Curve in Robotic Pancreaticoduodenectomy

The Learning Curve in Robotic Pancreaticoduodenectomy

Laparoscopic total pancreatectomy for multiple endocrine neoplasia type 1 syndrome‐associated multifocal, non‐functioning pancreatic neuroendocrine tumor: A case report

Robotik Gastrointestinal Cerrahide Güncel Uygulama

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