Safety and Feasibility of Robotic Reduced-Port Distal Pancreatectomy: a Multicenter Experience of a Novel Technique
- 주제(키워드) Robotic surgical procedure , Distal pancreatectomy , Outcome
- 주제(기타) Gastroenterology & Hepatology
- 주제(기타) Surgery
- 설명문(일반) [Park, Guisuk; Lee, Jae Hoon] Asan Med Ctr, Dept Surg, Div Hepatobiliary & Pancreas Surg, 88,Olymp Ro 43 Gil, Seoul 05505, South Korea; [Choi, Sung Hoon] Cha Bundang Med Ctr, Dept Surg, Div HBP Surg, Bundang, South Korea; [Lee, Jin Ho] Ilsan Hosp, Natl Hlth Insurance Serv, Dept Surg, Goyang, South Korea; [Lim, Jin Hong; Kang, Chang Moo] Yonsei Univ, Coll Med, Dept Surg, Div HBP Surg, 41 Yeondaedongmun Gil, Seoul 03721, South Korea; [Lee, Huisong] Ewha Womans Univ, Sch Med, Dept Surg, Seoul, South Korea
- 등재 SCIE, SCOPUS
- 발행기관 SPRINGER
- 발행년도 2020
- 총서유형 Journal
- URI http://www.dcollection.net/handler/ewha/000000174493
- 본문언어 영어
- Published As http://dx.doi.org/10.1007/s11605-019-04330-w
- PubMed https://pubmed.ncbi.nlm.nih.gov/31388883
초록/요약
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.
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