کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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4286915 | 1612010 | 2012 | 5 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: Robot-assisted laparoscopic pancreaticoduodenectomy versus open pancreaticoduodenectomy – A comparative study Robot-assisted laparoscopic pancreaticoduodenectomy versus open pancreaticoduodenectomy – A comparative study](/preview/png/4286915.png)
BackgroundTraditionally, pancreatic surgery is considered as one of the most complex surgeries. The recently developed robotic technology allows surgeons to perform pancreaticoduodenectomy. A comparative study was undertaken to study outcomes between robotic approach and open approach.MethodsA consecutive patients underwent pancreaticoduodenectomy (robotic approach, n = 20; open approach = 67) between January 2000 and February 2012 at a single institution were analyzed.ResultsThe robotic group had a significantly longer operative time (mean, 491.5 vs. 264.9 min), reduced blood loss (mean, 247 vs. 774.8 ml), and shorter hospital stay (mean, 13.7 vs. 25.8 days) compared to the open group. Open conversion rate was 5%. There was no significant difference between the two groups in terms of overall complication rates, mortality rates, R0 resection rate and harvested lymph node numbers.ConclusionsThis study showed that robot-assisted laparoscopic pancreaticoduodenectomy was safe and feasible in appropriately selected patients. However, it is too early to draw definitive conclusions about the value of robot-assisted laparoscopic pancreaticoduodenectomy. In light of remaining uncertainties regarding short-term and long-term outcome, caution should be exercised in the assessment of the appropriateness of this operation for individual patient.
Journal: International Journal of Surgery - Volume 10, Issue 9, 2012, Pages 475–479