9
views
0
recommends
+1 Recommend
0 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: not found

      Robotic versus standard open pancreatectomy: a propensity score-matched analysis comparison.

      Read this article at

      ScienceOpenPublisherPubMed
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          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 = 0.001). Overall, conversion rate was 4 (7%). Robotic pancreatectomy is as safe and effective as the standard open surgical approach with reduced blood loss in PD and DP, length of hospital stay in PE and DP, and severe morbidity in DP.

          Related collections

          Author and article information

          Journal
          Updates Surg
          Updates in surgery
          Springer Science and Business Media LLC
          2038-3312
          2038-131X
          Mar 2019
          : 71
          : 1
          Affiliations
          [1 ] General Surgery Department, Sanchinarro University Hospital, San Pablo CEU University of Madrid, Calle Oña 10, 28050, Madrid, Spain. ielpo.b@gmail.com.
          [2 ] General Surgery Department, Sanchinarro University Hospital, San Pablo CEU University of Madrid, Calle Oña 10, 28050, Madrid, Spain.
          Article
          10.1007/s13304-018-0529-1
          10.1007/s13304-018-0529-1
          29582359
          ef1fdf80-b0ca-4dfa-909d-41bf82a68742
          History

          Pancreatic resection,Case matched,Robotic surgery
          Pancreatic resection, Case matched, Robotic surgery

          Comments

          Comment on this article