Comparison of robotic and open central pancreatectomy.
Int J Med Robot
; : e2562, 2023 Aug 13.
Article
em En
| MEDLINE
| ID: mdl-37574857
ABSTRACT
BACKGROUND:
Central pancreatectomy (CP) is an ideal parenchyma-sparing procedure. The experience of r robotic central pancreatectomy (RCP) is very limited. MATERIALS ANDMETHODS:
Patients undergoing CP were included. Comparisons were made between RCP and open central pancreatectomy (OCP) groups.RESULTS:
The 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.CONCLUSIONS:
RCP is feasible and safe without compromising surgical outcomes and pancreatic functions.
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Base de dados:
MEDLINE
Idioma:
En
Ano de publicação:
2023
Tipo de documento:
Article
País de afiliação:
Taiwan