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Safety and Feasibility of Robotic Reduced-Port Distal Pancreatectomy: a Multicenter Experience of a Novel Technique
- Title
- Safety and Feasibility of Robotic Reduced-Port Distal Pancreatectomy: a Multicenter Experience of a Novel Technique
- Authors
- Park, Guisuk; Choi, Sung Hoon; Lee, Jin Ho; Lim, Jin Hong; Lee, Huisong; Lee, Jae Hoon; Kang, Chang Moo
- Ewha Authors
- 이희성
- SCOPUS Author ID
- 이희성
- Issue Date
- 2020
- Journal Title
- JOURNAL OF GASTROINTESTINAL SURGERY
- ISSN
- 1091-255X
1873-4626
- Citation
- JOURNAL OF GASTROINTESTINAL SURGERY vol. 24, no. 9, pp. 2015 - 2020
- Keywords
- Robotic surgical procedure; Distal pancreatectomy; Outcome
- Publisher
- SPRINGER
- Indexed
- SCIE; SCOPUS
- Document Type
- Article
- Abstract
- Background A reduced-port approach including single-site surgery has been used for distal pancreatectomy. However, triangulation is difficult in reduced-port laparoscopic distal pancreatectomy, and instrument crowding, and collision may occur, so this approach has not been widely used. Recently, an innovative technique for distal pancreatectomy using a robotic single-site surgical system was introduced. Herein, we evaluate the safety and feasibility of this technique. Methods Twenty-seven patients with a pancreatic tail mass underwent robotic single-site plus one-port distal pancreatectomy at six centers. We collected clinicopathologic data and evaluated the short-term perioperative outcomes of robotic single-site plus one-port distal pancreatectomy. Results We evaluated 26 patients who underwent robotic single-site plus one-port distal pancreatectomy excluding one patient who needed more ports because of fatty abdomen. The mean age and body mass index were 47.3 years (range 21-74) and 22.6 kg/m(2)(range 15.8-28.8), respectively. The most common pathologic diagnosis was solid papillary neoplasm followed by a neuroendocrine tumor. The mean operating time was 201 min. The mean length of hospital stay after surgery was 7 days (range 4-10). The rate of spleen preservation was 34.6% (9/26). Six patients had postoperative pancreatic fistula (POPF) grade A, and no patients had POPF grade B or C. Only one patient had class II morbidity. Conclusion Robotic single-site plus one-port distal pancreatectomy is safe and feasible in terms of short-term outcomes. This technique could be performed in select cases to expand the surgical boundaries of the robotic single-site platform. Further studies are needed with more cases to investigate long-term outcomes.
- DOI
- 10.1007/s11605-019-04330-w
- Appears in Collections:
- 의과대학 > 의학과 > Journal papers
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