Robotic versus laparoscopic distal pancreatectomy for pancreatic adenocarcinoma in obese patients-Reference-Cited by-同舟云学术

Robotic versus laparoscopic distal pancreatectomy for pancreatic adenocarcinoma in obese patients

Published:2023-11-08 Issue:1 Volume:20 Page:
ISSN:1478-5951
Container-title:The International Journal of Medical Robotics and Computer Assisted Surgery
language:en
Short-container-title:Robotics Computer Surgery

Author:

Ausania Fabio¹,Landi Filippo¹,González‐Abós Carolina¹,Martinie John B.²,Vrochides Dionisios²,Walsh Matthew³,Hossain Shanaz M.³,White Steven⁴,Prabakaran Viswakumar⁴,Melstrom Laleh G.⁵,Fong Yuman⁵,Valle Valentina⁶^ORCID,Bing Yuntao⁷,Xiu Dianrong⁷,Di Franco Gregorio⁸,de' Angelis Nicola⁹^ORCID,Laurent Alexis⁹,Giuliani Giuseppe¹⁰,Pernazza Graziano¹¹^ORCID,Memeo Riccardo¹²,Rios José¹³,Coratti Andrea¹⁰,Morelli Luca⁸^ORCID,Giulianotti Pier C.⁶

Affiliation:

1. Department of HBP Surgery and Transplantation Hospital Clinic Barcelona Institut d’Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS) University of Barcelona (UB) Barcelona Spain

2. Department of Surgery Division of HPB Surgery Carolinas Medical Center Charlotte North Carolina USA

3. HPB Surgery Department Digestive Disease and Surgery Institute Cleveland Clinic Cleveland Ohio USA

4. Freeman Hospital NHS Newcastle‐Upon‐Tyne UK

5. Division of Surgical Oncology Gastrointestinal Disease Team City of Hope Medical Center Duarte California USA

6. Department of Surgery Division of General, Minimally Invasive and Robotic Surgery University of Illinois at Chicago Chicago Illinois USA

7. Department of General Surgery Beijing Third Hospital Beijing China

8. Division of Translational and New Technologies in Medicine and Surgery General Surgery Department University of Pisa Pisa Italy

9. Department of Digestive HBP Surgery and Liver Transplantation Henri Mondor Hospital APHP Creteil France

10. Division of General and Minimally Invasive Surgery Misericordia Hospital Grosseto Italy

11. General and Robotic Surgery Department San Giovanni Hospital Rome Italy

12. Department of Surgery Acquaviva delle Fonti Hospital Bari Italy

13. Department of Clinical Pharmacology Hospital Clinic and Medical Statistics Core Facility Institut d’Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS) Biostatistics Unit Faculty of Medicine Universitat Autònoma de Barcelona (UAB) Barcelona Spain

Abstract

AbstractBackgroundRobotic distal pancreatectomy (RDP) is associated with a lower conversion rate and less blood loss than laparoscopic distal pancreatectomy (LDP). LDP has similar oncological outcomes as open surgery in PDAC. The aim of this study was to compare perioperative and oncological outcomes in obese patients with RDP versus LDP for PDAC.Materials and methodsRetrospectively, all obese patients who underwent RDP or LDP for PDAC between 2012 and 2022 at 12 international expert centres were included.Resultsout of 372, 81 patients were included. All baseline features were comparable between the two groups. RDP was associated with decreased blood loss (495mlLDP vs. 188mlRDP; p = 0.003), lower conversion rate (13.5%RDP vs. 36.4%LDP; p = 0.019) and lower rate of Clavien‐Dindo ≥3 complications (13.5%RDP vs. 36.4%LDP; p = 0.019). Overall and disease‐free survival were comparable.ConclusionsIn obese patients with left‐sided PDAC, the robotic approach was associated with improved intraoperative outcomes and fewer severe complications.

Publisher

Wiley

Subject

Computer Science Applications,Biophysics,Surgery

Link

https://onlinelibrary.wiley.com/doi/pdf/10.1002/rcs.2596

Reference20 articles.

1. Robotics in General Surgery

2. Minimally invasive versus open distal pancreatectomy for resectable pancreatic cancer (DIPLOMA): an international randomised non-inferiority trial

3. Robotic versus laparoscopic distal pancreatectomy: multicentre analysis