{"title":"Robotic distal pancreatectomy using the hinotori™ surgical system: Differences in surgical techniques from the daVinci™ surgical system","authors":"Yuichiro Uchida , Takeshi Takahara , Takahisa Kawase , Takuya Mizumoto , Masaya Nakauchi , Akihiro Nishimura , Satoshi Mii , Hirotaka Fukuoka , Shinichi Taniwaki , Hideaki Iwama , Masayuki Kojima , Ichiro Uyama , Koichi Suda","doi":"10.1016/j.suronc.2025.102195","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>The use of the hinotori™ Surgical System (hinotori) in distal pancreatectomy (DP) is new compared to the da Vinci™ Surgical System (DVSS). The hinotori is equipped with mechanisms distinct from those of DVSS, and comprehensive reports detailing the surgical techniques and outcomes associated with hinotori in DP (hinotori-DP) are lacking. This study aimed to compare the outcomes of DP using the hinotori and DVSS (Xi system), focusing on differences in settings and techniques between the two methods.</div></div><div><h3>Methods</h3><div>This study retrospectively investigated consecutive patients who underwent robotic DP from April 2010 (the introduction of robotic DP at our institute) to July 2024. The analysis excluded patients who underwent spleen-preserving procedures or procedures performed using robotic platform other than hinotori or daVinci Xi. The hinotori-DP cases were compared with those performed using DVSS (DVSS-DP). The techniques used in hinotori-DP were examined in more detail.</div></div><div><h3>Results</h3><div>A total of 75 robotic DP cases (11 with hinotori and 64 with DVSS) were analyzed in this study. Different port configurations and techniques, including a lesser curvature approach, were used in the hinotori-DP compared to DVSS-DP. The operation time was relatively shorter in the hinotori-DP group (299 vs. 366 min, p = 0.095), and the postoperative complication rates were comparable (pancreatic fistula: 27 % vs. 30 %, p = 0.871; Clavien–Dindo Grade ≥3a complications: 18 % vs. 19 %, p = 0.964) between the two groups.</div></div><div><h3>Conclusion</h3><div>The hinotori-DP can be safely performed by focusing on the unique characteristics of the hinotori surgical system.</div></div>","PeriodicalId":51185,"journal":{"name":"Surgical Oncology-Oxford","volume":"59 ","pages":"Article 102195"},"PeriodicalIF":2.4000,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Surgical Oncology-Oxford","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0960740425000106","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/2/10 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"ONCOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Background
The use of the hinotori™ Surgical System (hinotori) in distal pancreatectomy (DP) is new compared to the da Vinci™ Surgical System (DVSS). The hinotori is equipped with mechanisms distinct from those of DVSS, and comprehensive reports detailing the surgical techniques and outcomes associated with hinotori in DP (hinotori-DP) are lacking. This study aimed to compare the outcomes of DP using the hinotori and DVSS (Xi system), focusing on differences in settings and techniques between the two methods.
Methods
This study retrospectively investigated consecutive patients who underwent robotic DP from April 2010 (the introduction of robotic DP at our institute) to July 2024. The analysis excluded patients who underwent spleen-preserving procedures or procedures performed using robotic platform other than hinotori or daVinci Xi. The hinotori-DP cases were compared with those performed using DVSS (DVSS-DP). The techniques used in hinotori-DP were examined in more detail.
Results
A total of 75 robotic DP cases (11 with hinotori and 64 with DVSS) were analyzed in this study. Different port configurations and techniques, including a lesser curvature approach, were used in the hinotori-DP compared to DVSS-DP. The operation time was relatively shorter in the hinotori-DP group (299 vs. 366 min, p = 0.095), and the postoperative complication rates were comparable (pancreatic fistula: 27 % vs. 30 %, p = 0.871; Clavien–Dindo Grade ≥3a complications: 18 % vs. 19 %, p = 0.964) between the two groups.
Conclusion
The hinotori-DP can be safely performed by focusing on the unique characteristics of the hinotori surgical system.
与达芬奇手术系统（DVSS）相比，hinotori™手术系统（hinotori）在远端胰腺切除术（DP）中的应用是新的。hinotori具有与DVSS不同的机制，并且缺乏详细介绍DP （hinotori-DP）中与hinotori相关的手术技术和结果的综合报道。本研究旨在比较hinotori和DVSS （Xi系统）的DP结果，重点关注两种方法在设置和技术上的差异。方法本研究回顾性调查了2010年4月至2024年7月期间连续接受机器人DP治疗的患者。该分析排除了接受保脾手术或使用非hinotori或达芬奇Xi机器人平台进行手术的患者。将使用DVSS （DVSS- dp）的hinotori-DP病例进行比较。在hinotori-DP中使用的技术进行了更详细的检查。结果本研究共分析75例机器人DP，其中hinotori 11例，DVSS 64例。与DVSS-DP相比，hinotori-DP使用了不同的端口配置和技术，包括小曲率入路。hinotori-DP组手术时间相对较短（299 vs 366 min, p = 0.095），术后并发症发生率相当(胰瘘：27% vs 30%， p = 0.871；Clavien-Dindo分级≥3a级并发症：18% vs. 19%, p = 0.964)。结论利用鸟鸣手术系统的独特特点，可以安全地进行鸟鸣- dp手术。
期刊介绍：
Surgical Oncology is a peer reviewed journal publishing review articles that contribute to the advancement of knowledge in surgical oncology and related fields of interest. Articles represent a spectrum of current technology in oncology research as well as those concerning clinical trials, surgical technique, methods of investigation and patient evaluation. Surgical Oncology publishes comprehensive Reviews that examine individual topics in considerable detail, in addition to editorials and commentaries which focus on selected papers. The journal also publishes special issues which explore topics of interest to surgical oncologists in great detail - outlining recent advancements and providing readers with the most up to date information.
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