Premium
Early experience of laparoscopic and robotic hybrid pancreaticoduodenectomy
Author(s) -
Kim Hongbeom,
Kim Jae Ri,
Han Youngmin,
Kwon Wooil,
Kim SunWhe,
Jang JinYoung
Publication year - 2017
Publication title -
the international journal of medical robotics and computer assisted surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.556
H-Index - 53
eISSN - 1478-596X
pISSN - 1478-5951
DOI - 10.1002/rcs.1814
Subject(s) - pancreaticoduodenectomy , medicine , anastomosis , surgery , robotic surgery , laparoscopic surgery , general surgery , laparoscopy , resection
Abstract Background Laparoscopic surgery and robotic surgery have their own merits and demerits. The aim of this study was to evaluate early experiences of hybrid pancreaticoduodenectomy (PD) and to identify the learning curve of robotic surgery. Methods Sixteen patients underwent hybrid PD from August 2015 to February 2016. The outcomes were compared with those of an open PD group by the same operator during the same period. The resection time and anastomosis time were analyzed. Results Six patients in the hybrid PD group developed complications. The postoperative hospital stay in the hybrid surgery group was significantly shorter than the open PD group (10.9 ± 3.2 vs 16.9 ± 8.8 days). The total operative time of hybrid surgery was significantly longer than that of open surgery (414.7 ± 47.0 vs 266.0 ± 51.1 minutes). In hybrid surgery, the actual operation time reduced with experience, particularly anastomosis time. Conclusion Hybrid PD is feasible and safe. The learning curve of hybrid surgery, particularly robotic anastomosis, is relatively short.