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The surgical outcomes of robot-assisted laparoscopic pancreaticoduodenectomy versus laparoscopic pancreaticoduodenectomy for periampullary neoplasms: a comparative study of a single center

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Abstract

Background

Pancreaticoduodenectomy (PD) is a difficult and complex operation. The introduction of robotics has opened up new angles in pancreatic surgery. This study aims to assess the surgical outcomes of robot-assisted laparoscopic pancreaticoduodenectomy relative to its laparoscopic counterpart.

Methods

A retrospective study was designed to compare the surgical outcomes of 27 robot-assisted laparoscopic pancreaticoduodenectomy (RPD) and 25 laparoscopic pancreaticoduodenectomy (LPD). Perioperative data, including operating time, complication, morbidity and mortality, estimated blood loss, and postoperative length of stay, were analyzed.

Results

The robotic group exhibited significantly shorter operative time (mean 387 vs. 442 min), shorter hospital stay (mean 17 vs. 24 days), and less blood loss (mean 219 vs. 334 ml) than those in the LPD group. No statistical difference was observed between the two groups in terms of complication rate, mortality rate, R0 resection rate, and number of harvested lymph node.

Conclusions

RPD is more efficient and secure process than LPD among properly selected patients. RPD is therefore a feasible alternative to the laparoscopic procedure. Further studies are needed to evaluate the cost effectiveness of the robotic approach for PD.

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Author notes

    Authors and Affiliations

    1. Department of Hepatobiliary and Pancreatic Surgical Oncology, Chinese PLA General Hospital and Chinese PLA Medical School, 28 Fuxing Road, Haidian District, Beijing, 100853, China

      Rong Liu, Tao Zhang, Zhi-Ming Zhao, Xiang-Long Tan, Guo-Dong Zhao, Xuan Zhang & Yong Xu

    2. Department of General Surgery, 306 Hospital of PLA, Beijing, China

      Tao Zhang

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    1. Rong Liu
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    2. Tao Zhang
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    3. Zhi-Ming Zhao
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    5. Guo-Dong Zhao
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    6. Xuan Zhang
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    Correspondence to Rong Liu.

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    Disclosures

    Drs. Rong Liu, Tao Zhang, Zhi-Ming Zhao, Xiang-Long Tan, Guo-Dong Zhao, Xuan Zhang and Yong Xu declare no conflicts of interest or financial ties to disclose.

    Additional information

    Rong Liu and Tao Zhang contributed equally to this work and both should be considered first author.

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    Liu, R., Zhang, T., Zhao, ZM. et al. The surgical outcomes of robot-assisted laparoscopic pancreaticoduodenectomy versus laparoscopic pancreaticoduodenectomy for periampullary neoplasms: a comparative study of a single center. Surg Endosc 31, 2380–2386 (2017). https://doi.org/10.1007/s00464-016-5238-6

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    • DOI: https://doi.org/10.1007/s00464-016-5238-6

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