Comparison of robotic and open central pancreatectomy
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Published:2023-08-13
Issue:1
Volume:20
Page:
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ISSN:1478-5951
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Container-title:The International Journal of Medical Robotics and Computer Assisted Surgery
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language:en
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Short-container-title:Robotics Computer Surgery
Author:
Wang Man‐Ling1,
Shyr Bor‐Shiuan1ORCID,
Chen Shih‐Chin1,
Wang Shin‐E1ORCID,
Shyr Yi‐Ming1ORCID,
Shyr Bor‐Uei1
Affiliation:
1. Departments of Surgery Division of General Surgery Taipei Veterans General Hospital National Yang Ming Chiao Tung University Taipei Taiwan
Abstract
AbstractBackgroundCentral pancreatectomy (CP) is an ideal parenchyma‐sparing procedure. The experience of r robotic central pancreatectomy (RCP) is very limited.Materials and MethodsPatients undergoing CP were included. Comparisons were made between RCP and open central pancreatectomy (OCP) groups.ResultsThe most common lesion in patients undergoing CP was serous cystadenoma (35.5%). The median operation time was 4.2 h for RCP versus 5.5 h for OCP. The median blood loss was significantly lower in RCP, 20 c.c. versus 170 c.c., p = 0.001. Postoperative pancreatic fistula occurred in 19.4% of all patients, with 22.1% in RCP and 15.4% in OCP. There was no significant difference regarding other surgical complications between the RCP and OCP groups. Only one patient in the OCP group developed de novo diabetes mellitus (DM), and no steatorrhoea/diarrhoea occurred after either RCP or OCP.ConclusionsRCP is feasible and safe without compromising surgical outcomes and pancreatic functions.
Funder
Ministry of Science and Technology
Health Promotion Administration, Ministry of Health and Welfare
Taipei Veterans General Hospital
Subject
Computer Science Applications,Biophysics,Surgery