Robotic pancreas surgery: an overview of history and update on technique, outcomes, and financials

Khachfe, Hussein H.; Harthi, Salem Al; Suhool, Amal; Hallal, Ali; Jamali, Faek R.

doi:10.1007/s11701-021-01289-2

Cited by 15 publications

(9 citation statements)

References 91 publications

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“…87,[89][90][91][92][93][94][95][96] The number of lymph nodes removed with MIPS is much the same as with OPS, 87,92,93,95 or even higher. 90,96 Similar complication, 87,[90][91][92][93][94][95] reoperation, 87,91,[93][94][95] unplanned readmission, 87,92,96 and mortality 87,[90][91][92][93][94][95][96] rates are reported for OPS and MIPS. On the other hand, 30-and 90-day mortality rates after LPD were 5.2% and 8.6%, respectively, at hospitals performing 1-4 procedures a year, as opposed to 2.4% and 2.5%, respectively for centers performing >10 a year.…”

Section: Role Of Minimally-invasive Pancreatic Surgery In the Treatme...mentioning

confidence: 93%

“… 87 Reported cases of RPD tripled from around 150 a year in 2010 to around 450 in 2016, 87 but its use remains low (less than 5% of PD performed in USA) because of its complexity. 88 The main, commonly-recognized benefits of MIPS 87 , 89 - 95 over open surgery (OPS) are less blood loss during the procedure and a shorter hospital stay, but the operating time is reportedly longer. 87 , 89 - 96 The number of lymph nodes removed with MIPS is much the same as with OPS, 87 , 92 , 93 , 95 or even higher.…”

Section: Role Of Minimally-invasive Pancreatic Surgery In the Treatme...mentioning

confidence: 99%

“… 88 The main, commonly-recognized benefits of MIPS 87 , 89 - 95 over open surgery (OPS) are less blood loss during the procedure and a shorter hospital stay, but the operating time is reportedly longer. 87 , 89 - 96 The number of lymph nodes removed with MIPS is much the same as with OPS, 87 , 92 , 93 , 95 or even higher. 90 , 96 Similar complication, 87 , 90 - 95 reoperation, 87 , 91 , 93 - 95 unplanned readmission, 87 , 92 , 96 and mortality 87 , 90 - 96 rates are reported for OPS and MIPS.…”

Section: Role Of Minimally-invasive Pancreatic Surgery In the Treatme...mentioning

confidence: 99%

“…Robotic pancreaticoduodenectomy (RPD) is more expensive than laparoscopic surgery, but it gives surgeons three-dimensional stereoscopic views of the field, a greater dexterity from endo-wristed instruments, the filtration of tremors, and the ability to perform complex dissections, sutures and knots with unprecedented precision. 87 Reported cases of RPD tripled from around 150 a year in 2010 to around 450 in 2016, 87 but its use remains low (less than 5% of PD performed in USA) because of its complexity. 88 The main, commonly-recognized benefits of MIPS 87,[89][90][91][92][93][94][95] over open surgery (OPS) are less blood loss during the procedure and a shorter hospital stay, but the operating time is reportedly longer.…”

Section: Role Of Minimally-invasive Pancreatic Surgery In the Treatme...mentioning

confidence: 99%

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Surgical Treatment of Pancreatic Cancer: Currently Debated Topics on Vascular Resection

Pedrazzoli

2023

Cancer Control

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Vascular resections involving the superior mesenteric and portal veins (SMV-PV), celiac axis (CA), superior mesenteric artery (SMA) and hepatic artery (HA) have multiplied in recent years, raising the resection rate for pancreatic cancer (PDAC) and the related morbidity and mortality rates. While resection is generally accepted for resectable SMV-PV, the usefulness of associated arterial resection in borderline resectable (BRPC) and locally-advanced PDAC (LAPC) is much debated. Careful selection of splenic vein reconstruction is very important to prevent left-sided portal hypertension (LSPH). During distal pancreatectomy (DP), CA and common HA resection is largely accepted, while there is debate on the value of SMA and proper HA resection and reconstruction. Their resection is useless according to several reviews and meta-analyses, and some international societies, although some high-volume centers have reported good results. Short- and long-term reconstructed vessel patency varies with the type of reconstruction, the material used, and the surgeon’s experience. Laparoscopic and robotic pancreaticoduodenectomy and DP are generally accepted if done by surgeons performing at least 10 such procedures annually. The usefulness of associated vascular resection remains highly controversial. Surgeons need to complete numerous minimally-invasive procedures to overcome the learning curve, and prevent an increase in complications and surgical mortality. Higher resectability rates and satisfactory long-term results have been reported after neoadjuvant therapy (NAT) for BRPC and LAPC requiring vascular resection. It is essential to select the most appropriate NAT for a given patient and to assess PDAC resectability preoperatively.

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Section: Role Of Minimally-invasive Pancreatic Surgery In the Treatme...mentioning

confidence: 93%

Section: Role Of Minimally-invasive Pancreatic Surgery In the Treatme...mentioning

confidence: 99%

Section: Role Of Minimally-invasive Pancreatic Surgery In the Treatme...mentioning

confidence: 99%

Section: Role Of Minimally-invasive Pancreatic Surgery In the Treatme...mentioning

confidence: 99%

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Surgical Treatment of Pancreatic Cancer: Currently Debated Topics on Vascular Resection

Pedrazzoli

2023

Cancer Control

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“…Die am häufigsten am Pankreas durchgeführten Operationen sind die Pankreatoduodenektomie (PD, Pankreaskopfresektion) sowie die distale Pankreatektomie (DP, Pankreaslinksresektion). 1994 wurde die erste laparoskopische PD und DP durchgeführt, gefolgt von der ersten roboterassistierten PD 2001 und DP 2003 [31].…”

Section: Pankreaschirurgieunclassified

Robotik – was geht in der Chirurgie?

Hillebrandt¹,

Schmelzle²,

Sauer³

et al. 2022

OP-JOURNAL

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ZusammenfassungDie roboterassistierte Chirurgie hat sich in den letzten Jahren deutlich weiterentwickelt und wurde in immer mehr Teilbereichen der Chirurgie als fester Bestandteil des operativen Spektrums implementiert. Dieser Beitrag legt den aktuellen Stand der roboterassistierten Chirurgie in Bereichen der Allgemein-, Viszeral- und Thoraxchirurgie unter Berücksichtigung der aktuellen Literatur dar.

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