Open AccessSafety and effectiveness of the da Vinci robot with the "3+2" mode for distal pancreatectomy
Author(s) -
Zhan Weipeng,
Hu Ming,
Han Caiwen,
Tian Hongwei,
Jing Wutang,
Li Xiaofei,
Shi Hao,
Yang Xiaojun,
Guo Tiankang,
Su He,
Ma Yuntao
Publication year - 2019
Publication title -
cancer medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.403
H-Index - 53
ISSN - 2045-7634
DOI - 10.1002/cam4.2353
Subject(s) - medicine , blood loss , distal pancreatectomy , clinical efficacy , surgery , resection
Background Recently, no relevant research has focused on the relationship between the clinical efficacy of da Vinci robotic distal pancreatectomy (RDP) and the number of mechanical arms and assistants used for RDP. The aim of this study was to evaluate the safety, efficacy, and advantages of RDP with the “3 + 2” mode. Methods Clinical data from 53 patients (observation group) who received RDP using the “3 + 2” mode in our department, from March 2016 to September 2018, were reviewed. An additional 53 patients who received RDP using the classical mode were chosen at random for the control group. Short‐term outcomes for the two groups were compared. Results There were no statistically significant differences between the two groups for estimated blood loss, postoperative day of flatus passage, postoperative hospital stay, and postoperative complication ( P > 0.05). Compared with the control group, the observation group had a significantly shorter operative time (166.9 ± 13.3 vs 192.6 ± 11.1 minutes, P < 0.001), lower surgical costs ($2827.79 ± $173.02 vs $3900.63 ± $317.29, P < 0.001). Conclusions The RDP using the “3 + 2” mode can increase the exposure of surgical field, improve cooperation between assistants, lower the surgical costs, and shorten the operative time and learning curve. Moreover, the clinical effect is equal to that of RDP using the classical mode. These findings indicate that RDP using the “3 + 2” mode is safe and feasible for institutions that are equipped for robot‐assisted surgery.