Does robotic distal pancreatectomy surgery offer similar results as laparoscopic and open approach? A comparative study from a single medical center.

The international journal of medical robotics + computer assisted surgery : MRCAS Pub Date : 2014-09-01 Epub Date: 2014-01-16 DOI:10.1002/rcs.1569

Hipolito Duran, Benedetto Ielpo, Riccardo Caruso, Valentina Ferri, Yolanda Quijano, Eduardo Diaz, Isabel Fabra, Catalina Oliva, Sergio Olivares, Emilio Vicente

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引用次数: 61

Abstract

Introduction: In the field of pancreatic surgery, robotic surgery has yet to be evaluated against open and laparoscopic approaches. The outcomes of robotic surgery for distal pancreatectomy were analysed and the results compared with those of laparoscopic and open procedures.

Methods: Retrospective reviews were made of 47 patients who underwent distal pancreatectomy at our institution between 2008 and 2013 with three different approaches: 16 robotic, 18 laparoscopic and 13 open surgeries.

Results: A significant difference was observed in blood loss in the open group (mean 3.44 units) compared with the robotic (mean 0.5 units) and laparoscopic (0 units) technique (P = 0.046). A shorter hospital stay was observed for the robotic group (8.87 days) compared with the laparoscopic (19.16 days) and open groups (20.44 days) (P = 0.035). Morbidity was lower in the robotic group (0%) compared with the Laparoscopic (44%) and Open groups (46%) (P = 0.014).

Conclusions: These findings support the proposition that robotic distal pancreatectomy is as safe as the laparoscopic approach.

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机器人远端胰腺切除术是否提供与腹腔镜和开放手术相似的结果?来自单一医疗中心的比较研究。

在胰腺手术领域，机器人手术与开放和腹腔镜手术的对比还有待评估。分析了机器人手术在远端胰腺切除术中的效果，并与腹腔镜和开放式手术进行了比较。方法:回顾性分析2008年至2013年在我院行远端胰腺切除术的47例患者，采用三种不同的手术方式:机器人手术16例，腹腔镜手术18例，开放手术13例。结果:与机器人技术(平均0.5单位)和腹腔镜技术(0单位)相比，开放组出血量(平均3.44单位)有显著差异(P = 0.046)。机器人组住院时间(8.87天)较腹腔镜组(19.16天)和开放组(20.44天)短(P = 0.035)。机器人组的发病率(0%)低于腹腔镜组(44%)和开放式组(46%)(P = 0.014)。结论:这些发现支持了机器人远端胰腺切除术与腹腔镜手术一样安全的观点。

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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The international journal of medical robotics + computer assisted surgery : MRCAS

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5.30

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