Surgical Outcomes of Robotic Distal Pancreatectomy Versus Laparoscopic Distal Pancreatectomy at a Hospital in a Sparsely Populated Area.

IF 0.9 4区医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Yonago acta medica Pub Date : 2023-08-01 DOI:10.33160/yam.2023.08.010

Teruhisa Sakamoto, Mikiya Kishino, Yuki Murakami, Kozo Miyatani, Yuji Shishido, Takehiko Hanaki, Tomoyuki Matsunaga, Manabu Yamamoto, Naruo Tokuyasu, Yoshiyuki Fujiwara

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Abstract

Background: Robotic distal pancreatectomy (RDP) has a better or comparable surgical outcome when compared with laparoscopic distal pancreatectomy (LDP). However, whether the surgical outcome for these procedures in local, low-volume hospitals are comparable with those of the typically larger centers described in published reports remains unclear.

Methods: This study enrolled 48 patients who underwent either RDP or LDP between August 2012 and April 2023. Data were retrospectively analyzed to evaluate the short-term surgical outcomes of RDP versus LDP in our hospital, which is a low-volume center.

Results: The use of stapling with reinforcement in RDP was significantly higher than in LDP, and the postoperative hospital stay for RDP was significantly shorter than for LDP. Except for these two variables, there were no statistically significant differences between RDP and LDP in preoperative, intraoperative, or postoperative patient characteristics.

Conclusion: RDP can be performed as safely and effectively as LDP in a low-volume hospital located in a sparsely populated area.

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在人口稀少地区的医院，机器人远端胰腺切除术与腹腔镜远端胰腺切除术的手术效果。

背景:与腹腔镜胰远端切除术(LDP)相比，机器人胰远端切除术(RDP)具有更好或相当的手术效果。然而，这些手术在当地小规模医院的手术结果是否与在已发表的报告中描述的典型的大型中心的手术结果相媲美仍不清楚。方法:本研究纳入了48例2012年8月至2023年4月期间接受RDP或LDP治疗的患者。我们回顾性分析资料，评价我院小容量中心RDP与LDP的短期手术效果。结果:RDP的吻合器加固率明显高于LDP, RDP的术后住院时间明显短于LDP。除这两个变量外，RDP和LDP在术前、术中、术后患者特征上均无统计学差异。结论:在人口稀少地区的小容量医院，RDP与LDP一样安全有效。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Yonago acta medica MEDICINE, RESEARCH & EXPERIMENTAL-

CiteScore

1.60

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Yonago Acta Medica (YAM) is an electronic journal specializing in medical sciences, published by Tottori University Medical Press, 86 Nishi-cho, Yonago 683-8503, Japan. The subject areas cover the following: molecular/cell biology; biochemistry; basic medicine; clinical medicine; veterinary medicine; clinical nutrition and food sciences; medical engineering; nursing sciences; laboratory medicine; clinical psychology; medical education. Basically, contributors are limited to members of Tottori University and Tottori University Hospital. Researchers outside the above-mentioned university community may also submit papers on the recommendation of a professor, an associate professor, or a junior associate professor at this university community. Articles are classified into four categories: review articles, original articles, patient reports, and short communications.