Your browser doesn't support javascript.
loading
Robotic Vascular Resection in Pancreatic Ductal Adenocarcinoma: A Systematic Review.
Zecchin Ferrara, Victoria; Martinino, Alessandro; Toti, Francesco; Schilirò, Davide; Pinto, Federico; Giovinazzo, Francesco.
Affiliation
  • Zecchin Ferrara V; Faculty of Medicine and Surgery, University of Padua, 35122 Padua, Italy.
  • Martinino A; Department of Surgery, Duke University, Durham, NC 27708, USA.
  • Toti F; Department of Surgery, ASST Santi Paolo e Carlo, 20100 Milan, Italy.
  • Schilirò D; Department of Surgery, Duke University, Durham, NC 27708, USA.
  • Pinto F; Department of Surgery, University of Illinois at Chicago, Chicago, IL 60607, USA.
  • Giovinazzo F; Department of Surgery, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00131 Rome, Italy.
  • On Behalf Of The Smageics Group; Department of Health Sciences, UniCamillus-Saint Camillus International University, 00131 Rome, Italy.
J Clin Med ; 13(7)2024 Mar 29.
Article in En | MEDLINE | ID: mdl-38610766
ABSTRACT
(1)

Background:

This study comprehensively compared robotic pancreatic surgery with vascular resection (RPS-VR) to other surgical procedures in the treatment of pancreatic ductal adenocarcinoma (PDAC). (2)

Methods:

A systematic review of relevant literature was conducted to assess a range of crucial surgical and oncological outcomes. (3)

Results:

Findings indicate that robotic surgery with vascular resections (VRs) significantly prolongs the duration of surgery compared to other surgical procedures, and they notably demonstrate an equal hospital stay. While some studies reported a lower conversion rate and a higher rate of blood loss and blood transfusion in the RPS-VR group, others found no significant disparity. Furthermore, RPS-VR consistently correlated with comparable recurrence rates, free margins R0, postoperative mortality, and complication rates. Concerning the last one, certain reviews reported a higher rate of major complications. Overall survival and disease-free survival remained comparable between the RPS-VR and other surgical techniques in treating PDAC. (4)

Conclusions:

The analysis emphasizes how RPS-VR is a resembling approach in terms of surgical outcomes and aligns with existing literature findings in this field.
Key words

Full text: 1 Collection: 01-internacional Database: MEDLINE Language: En Journal: J Clin Med Year: 2024 Document type: Article Affiliation country: Italy Country of publication: Switzerland

Full text: 1 Collection: 01-internacional Database: MEDLINE Language: En Journal: J Clin Med Year: 2024 Document type: Article Affiliation country: Italy Country of publication: Switzerland