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Robotic-assisted organ-preserving or parenchymal-sparing pancreatectomy in pancreatic benign or low-grade malignant tumors: a single institute's experience.
Huang, Xi-Tai; Qu, Xiao-Fei; Zhou, Jia-Wei; Cai, Jian-Peng; Xie, Jin-Zhao; Chen, Wei; Chen, Liu-Hua; Yin, Xiao-Yu.
Afiliación
  • Huang XT; Department of Pancreato-Biliary Surgery, The First Affiliated Hospital, Sun Yat-Sen University, 58 Zhongshan 2nd Rd, Guangzhou, 510080, Guangdong, People's Republic of China.
  • Qu XF; Department of Pancreato-Biliary Surgery, The First Affiliated Hospital, Sun Yat-Sen University, 58 Zhongshan 2nd Rd, Guangzhou, 510080, Guangdong, People's Republic of China.
  • Zhou JW; Department of Pancreato-Biliary Surgery, The First Affiliated Hospital, Sun Yat-Sen University, 58 Zhongshan 2nd Rd, Guangzhou, 510080, Guangdong, People's Republic of China.
  • Cai JP; Department of Pancreato-Biliary Surgery, The First Affiliated Hospital, Sun Yat-Sen University, 58 Zhongshan 2nd Rd, Guangzhou, 510080, Guangdong, People's Republic of China.
  • Xie JZ; Department of Pancreato-Biliary Surgery, The First Affiliated Hospital, Sun Yat-Sen University, 58 Zhongshan 2nd Rd, Guangzhou, 510080, Guangdong, People's Republic of China.
  • Chen W; Department of Pancreato-Biliary Surgery, The First Affiliated Hospital, Sun Yat-Sen University, 58 Zhongshan 2nd Rd, Guangzhou, 510080, Guangdong, People's Republic of China.
  • Chen LH; Department of Pancreato-Biliary Surgery, The First Affiliated Hospital, Sun Yat-Sen University, 58 Zhongshan 2nd Rd, Guangzhou, 510080, Guangdong, People's Republic of China.
  • Yin XY; Department of Pancreato-Biliary Surgery, The First Affiliated Hospital, Sun Yat-Sen University, 58 Zhongshan 2nd Rd, Guangzhou, 510080, Guangdong, People's Republic of China. yinxy@mail.sysu.edu.cn.
J Robot Surg ; 18(1): 1, 2024 Jan 04.
Article en En | MEDLINE | ID: mdl-38175325
ABSTRACT

AIM:

Robotic-assisted pancreatectomy has been widely used. Organ-preserving pancreatectomy (OPP) and parenchymal-sparing pancreatectomy (PSP) has been gradually adopted for pancreatic benign or low-grade malignant tumors. This study aimed to evaluate the safety and efficacy of robotic-assisted OPP/PSP in our institute.

METHODS:

Patients undergoing robotic-assisted OPS/PSP at First Affiliated Hospital of Sun Yat-sen University between July 2015 and October 2021 were included in this study. The short-term and long-term outcomes of patients were retrospectively analyzed.

RESULTS:

Seventy-two patients were enrolled, including spleen-preserving distal pancreatectomy, central pancreatectomy, duodenum-preserving pancreatic head resection, and enucleation. Patients included were more likely to be young female (female 46/72, median age 47 years old). The median intraoperative blood loss and operation time was 50 ml and 255 min, respectively. Clinically relevant postoperative pancreatic fistula was 20.8% (grade B 15/72, 20.8%; no grade C). The overall complication rate was 22.2% with the median postoperative length-of-stay of 8 days. At a median follow-up time of 28.5 months, the 5-year overall survival and recurrence-free survival rate were 100.0% and 100.0%, respectively.

CONCLUSION:

The short-term and long-term outcomes of patients receiving robotic-assisted OPP/PSP were acceptable. Robotic-assisted OPP/PSP was a feasible and safe technique for pancreatic benign or low-grade malignant lesions.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Procedimientos Quirúrgicos Robotizados / Neoplasias Tipo de estudio: Observational_studies / Risk_factors_studies Límite: Female / Humans / Middle aged Idioma: En Revista: J Robot Surg Año: 2024 Tipo del documento: Article Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Procedimientos Quirúrgicos Robotizados / Neoplasias Tipo de estudio: Observational_studies / Risk_factors_studies Límite: Female / Humans / Middle aged Idioma: En Revista: J Robot Surg Año: 2024 Tipo del documento: Article Pais de publicación: Reino Unido