Related Papers
Technological Advances in Surgery, Trauma and Critical Care
Minimally Invasive Hepato-Pancreato-Biliary Surgery and Associated GI Interventions
2015 •
Henry Pitt
Surgery
A comparison of open and minimally invasive surgery for hepatic and pancreatic resections using the Nationwide Inpatient Sample
2014 •
Nita Ahuja
Journal of Surgical Research
2014 •
Aslam Ejaz
Journal of Gastrointestinal Surgery
Robotic Versus Laparoscopic Pancreaticoduodenectomy: a NSQIP Analysis
Matthew Porembka
Updates in surgery
Robotic versus standard open pancreatectomy: a propensity score-matched analysis comparison
2018 •
hipolito duran
Interest in robotic pancreatectomy has been greatly increasing over the last decade. However, evidence supporting the benefits of robotic over open pancreatectomy is still outstanding. This study aims to assess the safety and efficacy of robotic pancreatectomy compared with the conventional open surgical approach. Propensity score-matched (1:1) was used to balance age, sex, BMI, ASA, tumor size, and malignancy of 17 robotic pancreaticoduodenectomies (PD), 12 pancreatic enucleations (PE), and 28 distal pancreatectomies (DP); and was compared with the open standard approach. Robotic PD was associated with longer operative time (594 vs. 413 min; p = 0.03) and decreased blood loss (190 vs. 394 ml; p = 0.001). Robotic PE showed a lower mean length of hospital stay (8.4 vs. 12.8 days; p = 0.04) and, in addition, robotic DP showed less blood loss (175 vs. 375 ml; p = 0.01), less severe morbidities (7.14 vs. 17.9%; p = 0.02), and a reduced mean length of hospital stay (8.9 vs. 15.1; p = 0.0...
The International Journal of Medical Robotics and Computer Assisted Surgery
Robotic hepatobiliary and pancreatic surgery: lessons learned and predictors for conversion
2013 •
jawad ahmad
European Journal of Surgical Oncology
Robotic versus conventional laparoscopic pancreaticoduodenectomy a systematic review and meta-analysis
2019 •
Hilal MA
Analysis of Outcomes of Open Robotic and LaparoscopicPancreaticoduodenectomy Using NSQIP
2018 •
Tun Jie
Objective Several large volume centers have published positive outcomes with laparoscopic and robotic pancreaticoduodenectomy. The purpose of this study was to compare postoperative outcomes between open, laparoscopic and robotic pancreaticoduodenectomies using ACS National Quality Improvement Program. Methods We performed a review of 2014-2015 NSQIP targeted data for patients undergoing pancreatoduodenectomies for pancreatic cancer. Patient who underwent conversion from robotic or laparoscopic approach to open were excluded. Outcome measures were 30-day postoperative complications, and mortality. Results 11,218 patients who underwent pancreaticoduodenectomies were evaluated. Majority were performed in open fashion (n=8654) were open, followed by laparoscopic (n=1508), and robotic approach (n=596). Compared to open approach, laparoscopic PD had lower rates of SSI, and pneumonia rates; however longer operative time (354 vs. 482 min; p < 0.001). We found higher rates of 30-day mort...
Annals of surgical treatment and research
Which method of pancreatic surgery do medical consumers prefer among open, laparoscopic, or robotic surgery? A survey
2014 •
Mee Kang, Wooil Kwon
The consumers' preferences are not considered in developing or implementing new medical technologies. Furthermore, little efforts are made to investigate their demands. Therefore, their preferred surgical method and the factors affecting that preference were investigated in pancreatic surgery. Six-hundred subjects including 100 medical personnel (MP) and 500 lay persons (LP) were surveyed. Questionnaire included basic information on different methods of distal pancreatectomy; open surgery (OS), laparoscopic surgery (LS), and robotic surgery (RS). Assuming they required the operation, participants were told to indicate their preferred method along with a reason and an acceptable cost for both benign and malignant conditions. For benign disease, the most preferred method was LS. Limiting the choice to LS and RS, LS was preferred for cost and well-established safety and efficacy. OS was favored in malignant disease for the concern for radicality. Limiting the choice to LS and RS, L...
Trials
Evaluation of robotic versus open partial pancreatoduodenectomy—study protocol for a randomised controlled pilot trial (EUROPA, DRKS00020407)
2021 •
Rosa Klotz
Background Partial pancreatoduodenectomy (PD) is the indicated surgical procedure for a wide range of benign and malignant diseases of the pancreatic head and distal bile duct and offers the only potential cure for pancreatic head cancer. The current gold standard, open PD (OPD) performed via laparotomy, is associated with morbidity in around 40% of cases, even at specialised centres. Robotic PD (RPD) might offer a viable alternative to OPD and has been shown to be feasible. Encouraging perioperative results have been reported for RPD in a number of small, non-randomised studies. However, since those studies showed a considerable risk of bias, a thorough comparison of RPD with OPD is warranted. Methods The EUROPA (EvalUation of RObotic partial PAncreatoduodenectomy) trial is designed as a randomised controlled unblinded exploratory surgical trial with two parallel study groups. A total of 80 patients scheduled for elective PD will be randomised after giving written informed consent....
