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Comparison of surgical outcomes between open and robot‐assisted minimally invasive pancreaticoduodenectomy
Author(s) -
Kim Hyeong Seok,
Han Youngmin,
Kang Jae Seung,
Kim Hongbeom,
Kim Jae Ri,
Koon Wooil,
Kim SunWhe,
Jang JinYoung
Publication year - 2018
Publication title -
journal of hepato‐biliary‐pancreatic sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.63
H-Index - 60
eISSN - 1868-6982
pISSN - 1868-6974
DOI - 10.1002/jhbp.522
Subject(s) - pancreaticoduodenectomy , medicine , pancreatic fistula , demographics , surgery , robotic surgery , pancreatic duct , pancreas , pancreatitis , resection , demography , sociology
Background Robot surgery is a new method that maintains advantages and overcomes disadvantages of conventional methods, even in pancreatic surgery. This study aimed to evaluate safety and benefits of robot‐assisted minimally invasive pancreaticoduodenectomy (robot PD ). Methods This study included 237 patients who underwent PD between 2015 and 2017. Demographics and surgical outcomes were evaluated. Results Fifty‐one patients underwent robot PD and 186 underwent open PD . Robot PD group had younger age (60.7 vs. 65.4 years, P = 0.006) and lower body mass index (22.7 vs. 24.0, P = 0.007). Robot PD group had lower proportion of patients with firm or hard pancreatic texture (15.7% vs. 38.2%, P = 0.004) and smaller pancreatic duct size (2.3 vs. 3.3 mm, P = 0.002). Two groups had similar operation time (robot vs. open: 335.6 vs. 330.1 min) and complications (15.7% vs. 21.0%), including postoperative pancreatic fistula rate (6.0% vs. 12.0%). Robot PD group had lower postoperative pain score (3.7 vs. 4.1 points, P = 0.008), and shorter postoperative stay (10.6 vs. 15.3 days, P = 0.001). Conclusion Robot PD is comparable to open PD in early outcomes. Robot PD is safe and feasible and enables early recovery; indication for robot PD is expected to expand in the near future.