Robotic Versus Open Distal Pancreatectomy: A Propensity Score Matching Analysis

被引：0
作者：
Bencini, Lapo [1 ]
Moraldi, Luca [2 ]
Miceli, Elisangela [1 ]
Risaliti, Matteo [2 ]
Tofani, Lorenzo [3 ]
Buccianti, Simone [2 ]
Tirloni, Luca [2 ]
Gatto, Chiara [2 ]
Minuzzo, Alessio [1 ]
Bianchi, William Tyler [1 ]
Coratti, Andrea [4 ]
Taddei, Antonio [2 ]
Bartolini, Ilenia [2 ]
机构：
[1] Careggi Univ Hosp, Dept Surg Oncol & Robot, Gen Surg Div, Florence, Italy
[2] Hepatobiliary Pancreat Surg Div, Florence, Italy
[3] Univ Florence, Dept Stat, Informat, Applicat, Florence, Italy
[4] Misericordia Hosp, Gen Surg Div, Grosseto, Italy
来源：
INTERNATIONAL JOURNAL OF MEDICAL ROBOTICS AND COMPUTER ASSISTED SURGERY | 2024年 / 20卷 / 06期
关键词：
distal pancreatectomy; open technique; propensity score matching; robot technique; INTERNATIONAL STUDY-GROUP; PERIOPERATIVE OUTCOMES; SURGERY; RESECTION; DEFINITION; EXPERIENCE;
D O I：
10.1002/rcs.70025
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
BackgroundMinimally invasive distal pancreatectomy offers recognised benefits over open surgery. Robotic surgery, with its shorter learning curve and technical advancements, presents a promising alternative to laparoscopy in managing pancreatic diseases.MethodsThis study enrolled consecutive patients undergoing distal pancreatectomy between January 2013 and May 2022. After propensity score matching, perioperative and medium-term outcomes were compared between robotic and open procedures.ResultsAmong 79 patients analysed, 50 were eligible after matching. Both groups showed similar demographics, with 11% experiencing grade III-IV complications, and one patient died within 90 days after surgery. Robotic surgery exhibited longer operating times but allowed for earlier refeeding, drain removal, canalisation, and shorter hospital stays compared with open surgery. Spleen preservation rates, postoperative pancreatic fistula occurrences and survival were comparable between the groups.ConclusionsOverall, robotic and open distal pancreatectomy demonstrated similar outcomes, with robotic surgery offering advantages in certain postoperative parameters despite longer operation times.
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页数：9
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