Robot-assisted laparoscopic pancreatic surgery: single-surgeon experience

Giulianotti, Pier Cristoforo; Sbrana, Fabio; Bianco, Francesco M.; Elli, Enrique F.; Shah, Galaxy; Addeo, Pietro; Caravaglios, Giuseppe; Coratti, Andrea

doi:10.1007/s00464-009-0825-4

Cited by 350 publications

(316 citation statements)

References 25 publications

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“…No clear benefit or advantage over laparoscopy has been established with the application of robotics [51][52][53][54] . It may be reasonable to postulate that the added dexterity of the robotic system may facilitate intracorporeal reconstruction [51][52][53][55][56][57][58][59] .…”

Section: Robotic Pancreatectomymentioning

confidence: 99%

Laparoscopic pancreatectomy: Indications and outcomes

Liang

Hameed

Jayaraman

2014

WJG

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The application of minimally invasive approaches to pancreatic resection for benign and malignant diseases has been growing in the last two decades. Studies have demonstrated that laparoscopic distal pancreatectomy (LDP) is feasible and safe, and many of them show that compared to open distal pancreatectomy, LDP has decreased blood loss and length of hospital stay, and equivalent post-operative complication rates and shortterm oncologic outcomes. LDP is becoming the procedure of choice for benign or small low-grade malignant lesions in the distal pancreas. Minimally invasive pancreaticoduodenectomy (MIPD) has not yet been widely adopted. There is no clear evidence in favor of MIPD over open pancreaticoduodenectomy in operative time, blood loss, length of stay or rate of complications. Robotic surgery has recently been applied to pancreatectomy, and many of the advantages of laparoscopy over open surgery have been observed in robotic surgery. Laparoscopic enucleation is considered safe for patients with small, benign or low-grade malignant lesions of the pancreas that is amenable to parenchyma-preserving procedure. As surgeons' experience with advanced laparoscopic and robotic skills has been growing around the world, new innovations and breakthrough in minimally invasive pancreatic procedures will evolve. Key words: Laparoscopy; Distal pancreatectomy; Pancreaticoduodenectomy; Robotic pancreatectomy; Enucleation Core tip: This review discusses recent advances in laparoscopic distal pancreatectomy (LDP), minimally invasive pancreaticoduodenectomy (MIPD), and enucleation. Recent studies show that LDP have improved perioperative recovery and equivalent oncologic outcomes. Studies on MIPD demonstrate that it is safe in terms of intra-operative outcomes, post-operative recovery and early oncologic outcomes; however, it requires advanced laparoscopic skills. Laparoscopic enucleation has become the operation of choice for small benign tumours that are away from the main pancreatic duct, especially insulinomas. We also summarize key results in pre-operative, perioperative and post-operative outcomes from contemporary series comparing open and laparoscopic pancreatic resections in the tables.

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Section: Robotic Pancreatectomymentioning

confidence: 99%

Laparoscopic pancreatectomy: Indications and outcomes

Liang

Hameed

Jayaraman

2014

WJG

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“…Основным показанием к операции являются злокачественные и доброкачественные опухоли тела и хвоста ПЖ. При осложнениях хронического панкреатита миниинвазивные резекционные операции практически не выполняют [9][10][11][12]. Мы также придерживаемся сдер-жанного отношения к РА-операциям при хроническом панкреатите из-за сложности интраоперационного гемо-стаза при резекции паренхимы ПЖ и затруднениях опре-деления адекватного объема резекции органа.…”

Section: Discussionunclassified

Robot-assisted distal pancreatectomy: Technical aspects and results

Кригер¹,

Калдаров²,

Берелавичус³

et al. 2016

Onkol. Z. im. P.A. Gercena

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“…In 2010, we reported the largest series of RADPs ever published [28]. Since then, we have carried out many more procedure to achieve nearly 80 cases.…”

Section: Robotic-assisted Distal Pancreatectomymentioning

confidence: 99%

Robotic‐assisted pancreatic surgery

Fernandes

Giulianotti

2013

J Hepato Biliary Pancreat

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Background Pancreatic surgery is a challenging application of minimally invasive surgery. Due to the complexity of the surgical technique, requiring dissection along major abdominal vessels as well as delicate reconstruction involving biliary, pancreatic and enteric anastomoses, reports on laparoscopic pancreatic surgery have been scanty. With the advent of robotic-assisted surgery, however, the increased dexterity granted by endo-wristed instruments, the improved three-dimensional vision and the computer filtration of the surgeon's movements have brought minimally invasive pancreatic surgery into a new era. Methods As the surgical group which has performed the highest number of robotic-assisted pancreatic procedures worldwide, we review the state of the art of minimally invasive robotic-assisted pancreatic surgery. Clinical results from all major robotic-assisted pancreatic surgery series are considered. Results Preliminary reports from the published major pancreatic surgery series show encouraging results, with morbidity and mortality comparable to open surgery. Preliminary data on cancer survival rates also appear to be similar to open series. Conclusion Robotic-assisted pancreatic surgery is safe and feasible for all pancreatic diseases. The complexity of pancreatic procedures warrant them to be carried out in specialised centres, where short-and long-term outcomes seem to be similar to the ones achieved in open surgery.

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Robot-assisted laparoscopic pancreatic surgery: single-surgeon experience

Cited by 350 publications

References 25 publications

Laparoscopic pancreatectomy: Indications and outcomes

Laparoscopic pancreatectomy: Indications and outcomes

Robot-assisted distal pancreatectomy: Technical aspects and results

Robotic‐assisted pancreatic surgery

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