Robotic Dual‐Console Distal Pancreatectomy: Could it be Considered a Safe Approach and Surgical Teaching even in Pancreatic Surgery? A Retrospective Observational Study Cohort

Abstract

Background The study aims to assess the safety and feasibility of the robotic dual-console during a robotic distal pancreatectomy Methods The data of the consecutive patients submitted to RDP from 2012 to 2019 at the Verona University were retrieved from a prospectively maintained database. The patients submitted to RDP were divided into the dual-console platform group (DG) and compared to the standard robotic procedure group (SG). Results In the study period, 102 robotic distal pancreatectomies were performed, of whom 42 patients (41%) belonged to the DG and 60 patients (59%) to the SG. Higher operation time was recorded in the DG compared to the SG (410 vs. 265 min, p < 0.001). The overall conversion rate of the series was 7% (n 7 patients). All the conversions were observed in the SG (p = 0.021). No differences in morbidity or pancreatic fistula rate were recorded (p > 0.05). No mortality events in the 90th postoperative days were reported in this series. Conclusions The robotic dual-console approach for distal pancreatectomy is safe, feasible, and reproducible. The postoperative surgical outcomes are comparable to the standard RDP with the single-console da Vinci Surgical System®. This surgical technique can widely and safely improve the robotic surgical training program.

Transition from open to robotic distal pancreatectomy in a low volume pancreatic surgery country: a single Australian centre experience

“…Robotic pancreatic surgery is a niche specialty and surgeons can take many years to overcome the learning curve. In addition to a robust robotic training program, introduction of dual‐console robotic platforms can provide active and safe learning and a faster transition to autonomy performing robotic surgeries, which may be more useful in low‐medium volume countries such as Australia 23,62 …”

“…In addition to a robust robotic training program, introduction of dual-console robotic platforms can provide active and safe learning and a faster transition to autonomy performing robotic surgeries, which may be more useful in low-medium volume countries such as Australia. 23,62 Low volume centres are unlikely to have adequate exposure and/or access to robotic pancreatic resections and likely do not meet the number of minimally invasive pancreatectomies required to overcome the associated significant learning curve. Whilst there remains no formal centralized process for pancreatic resections in Australia, we propose that all patients with a pancreatic body or tail lesion considered for resection should be referred to a highvolume pancreatic centre for further work-up in a multidisciplinary team setting (Fig.…”

Feasibility and Safety of Dual-console Telesurgery with the KangDuo Surgical Robot-01 System Using Fifth-generation and Wired Networks: An Animal Experiment and Clinical Study

“…However, there was a possibility of an open or a laparoscopic conversion. Owing to this concern, a dual console is a possible solution [4] . The KangDuo Surgical Robot-01 (KD-SR-01) system, which was developed in China, has been used successfully in single-console telesurgery in animal experiments using the 5G network and clinical surgeries, including a pyeloplasty, partial nephrectomy, and radical prostatectomy [2] , [5] , [6] , [7] , [8] .…”