Operative results and patient satisfaction after robotic pancreaticoduodenectomy

Shyr, Bor‐Uei; Shyr, Bor‐Shiuan; Chen, Shih‐Chin; Chang, I-Wen; Shyr, Yi‐Ming; Wang, Shin‐E

doi:10.1016/j.asjsur.2019.08.012

Cited by 7 publications

(13 citation statements)

References 28 publications

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“…It has been claimed that RPD has benefits of less delayed gastric emptying, less blood loss, lower wound infection rate, and shorter postoperative hospital stay, as compared with OPD, according to studies and literature reports 1,5,7–9,26–29 . Our study showed that the biggest complications after RPD are 18.1% occurrence of chyle leakage, followed by 5.7% occurrence of postoperative pancreatic fistula, 4.8% occurrence of intra‐abdominal abscess, 3.8% occurrence of delayed gastric emptying, and post pancreatectomy hemorrhage 2 . The wounds after RPD and OPD are shown in Figure 5.…”

Section: Surgical Outcomes After Robotic Pancreaticoduodenectomysupporting

confidence: 53%

“…The results revealed that almost all of the patients responded to this RPD‐related survey with “fair” to “excellent” grades for all items, except one (<1%) poor grade for operation service and two (1.9%) “not good” grades for diet tolerance. More than 99% (104/105 = 99.05%) of the patients after RPD were satisfied with the surgical outcomes and would like to recommend RPD to those patients with pancreatic head cancer and periampullary lesions 2 …”

Section: Surgical Outcomes After Robotic Pancreaticoduodenectomymentioning

confidence: 99%

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Robotic pancreaticoduodenectomy for pancreatic head cancer and periampullary lesions

Shyr

Wang

Chen

et al. 2021

Annals of Gastroent Surgery

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Pancreaticoduodenectomy, so‐called “Whipple operation,” is a time‐consuming and technically demanding complex operation. Traditionally, this procedure has been performed most usually by open approach, which results in a large and painful wound. With the introduction of laparoscopic and robotic surgery, minimally invasive surgery (MIS) has emerged as a worldwide trend to improve wound cosmesis and to minimize wound pain. Although MIS for pancreaticoduodenectomy has also been attempted at some centers, the role of MIS, either robotic or laparoscopic approach, has not been well‐established for complex pancreaticoduodenectomy. Given that laparoscopic pancreaticoduodenectomy has been limited by its technical complexity and the high level of advanced laparoscopic skills required for pancreatic reconstruction, a robotic surgical system is introduced to overcome several limitations related to the laparoscopic approach. Providing high‐quality three‐dimensional (3‐D) vision, high optical magnification, articulation of robotic instruments, greater precision with suture targeting, and elimination of surgeon tremor, robotic surgical systems innovatively perform more delicate and complex procedures involving extensive dissection and suturing techniques such as pancreaticoduodenectomy. Although associated with longer operative time, robotic pancreaticoduodenectomy (RPD) has been claimed to have the benefits of less delayed gastric emptying, less blood loss, shorter length of postoperative stay, and lower wound infection rate, as compared with the traditional open pancreaticoduodenectomy (OPD). Moreover, RPD seems to be not only technically feasible but also justified without compromising the survival outcomes for pancreatic head and ampullary adenocarcinomas. Therefore, RPD could be recommended not only to surgeons but also to patients in terms of surgical feasibility, surgical outcomes, and patient satisfaction.

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Section: Surgical Outcomes After Robotic Pancreaticoduodenectomysupporting

confidence: 53%

Section: Surgical Outcomes After Robotic Pancreaticoduodenectomymentioning

confidence: 99%

Robotic pancreaticoduodenectomy for pancreatic head cancer and periampullary lesions

Shyr

Wang

Chen

et al. 2021

Annals of Gastroent Surgery

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“…Although the number of enthusiastic supporters of RPD has increased recently exponentially, there are limited data reported on patient satisfaction and the associated quality of life (QoL) following robotic surgery [1,[6][7][8]. The present study is one of the first reporting QoL.…”

Section: To the Editormentioning

confidence: 88%

Initial Experience of Consecutive Robotic Pancreatoduodenectomies With Patient Reported Outcomes From a Single Center in the UK

et al. 2021

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“…Following the introduction of the patient-centered concept, questionnaires and studies on patient satisfaction have gradually increased both nationally and internationally (10)(11)(12). Notably, research on the relationship between the quality of surgery and patient satisfaction has attracted much attention (13)(14)(15); however, the relationship between inpatient satisfaction and the quality of surgery has not been closely examined (16). Surgery plays an important role in surgical treatment, and can cause related complications and even lead to death.…”

Section: Discussionmentioning

confidence: 99%

Relationship between inpatient satisfaction and the quality of surgery

Shang¹,

Cai²,

Chen³

et al. 2021

Gland Surg

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Background: This study sought to investigate the correlation between inpatient satisfaction and surgical quality evaluation indicators, and explore the factors affecting inpatient satisfaction.Methods: A total of 5,000 inpatients who underwent surgery at 10 tertiary. A hospital in Chongqing were randomly selected and asked to complete an inpatient satisfaction questionnaire developed by our team in a previous study. A logistic regression was undertaken to analyze the factors affecting inpatient satisfaction, and the relationship between inpatient satisfaction and evaluation indicators of surgical quality. Results:The overall satisfaction level of inpatients undergoing surgery was high. Specifically, the satisfaction level was 88.7%, and the dissatisfaction level was 11.3%. A univariate analysis showed that age, marital status, education level, monthly family income, the source of medical costs, the average length of the hospital stay, first hospitalization or not, doctor-patient communication, the quality of surgery, service attitude, 30-day postoperative mortality, major and minor complications, the rescue failure rate, readmission, and the incision infection rate affected the patient satisfaction, and the difference between satisfied and dissatisfied patients in each group was statistically significant (all P=0.000). The results of the logistic regression analysis showed that the factors related to the satisfaction of surgical quality indicators were postoperative 30-day mortality, major and minor complications, the rescue failure rate, the incision infection rate, and the average length of the hospital stay (all P<0.05), and the factors related to a decrease in inpatient satisfaction were increased postoperative 30-day mortality, a high incidence of major and minor complications, a high rescue failure rate, and a high incision infection rate.Conclusions: There was a significant correlation between inpatient satisfaction and surgical quality evaluation indicators (i.e., 30-day mortality, major and minor complications, the rescue failure rate, the incision infection rate, and the average length of the hospital stay).

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Operative results and patient satisfaction after robotic pancreaticoduodenectomy

Cited by 7 publications

References 28 publications

Robotic pancreaticoduodenectomy for pancreatic head cancer and periampullary lesions

Robotic pancreaticoduodenectomy for pancreatic head cancer and periampullary lesions

Initial Experience of Consecutive Robotic Pancreatoduodenectomies With Patient Reported Outcomes From a Single Center in the UK

Relationship between inpatient satisfaction and the quality of surgery

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