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. 2019 Aug;8(9):4226-4234.
doi: 10.1002/cam4.2353. Epub 2019 Jun 18.

Safety and effectiveness of the da Vinci robot with the "3+2" mode for distal pancreatectomy

Weipeng Zhan  1   2   3 , Ming Hu  1   2   3 , Caiwen Han  1   2   4 , Hongwei Tian  1   2   3 , Wutang Jing  1   2   3 , Xiaofei Li  1   2 , Hao Shi  1   2 , Xiaojun Yang  1   2   3 , Tiankang Guo  1   2   3   4 , He Su  1   2   3 , Yuntao Ma  1   2   3
Affiliations

Safety and effectiveness of the da Vinci robot with the "3+2" mode for distal pancreatectomy

Weipeng Zhan et al. Cancer Med. 2019 Aug.

Abstract

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.

Keywords: distal pancreatectomy; pancreatic neoplasm; robotic surgical; “3+2” mode.

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Conflict of interest statement

Weipeng Zhan, Ming Hu, Caiwen Han, Hongwei Tian, Wutang Jing, Xiaofei Li, Hao Shi, Xiaojun Yang, Tiankang Guo, He Su, Yuntao Ma have no conflict of interest or financial ties to disclose.

Figures

Figure 1
Figure 1
(A) R1, Robotic first arm; R2, robotic second arm; A1, the first assistant; A2, the second assistant; C, the camera arm. (B) R1, Robotic first arm; R2, robotic second arm; R3, robotic third arm; A1, the first assistant; C, the camera arm
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References

    1. He J, Ahuja N, Makary MA, et al. 2564 resected periampullary adenocarcinomas at a single institution: trends over three decades. HPB (Oxford). 2014;16(1):83‐90. - PMC - PubMed
    1. Stauffer JA, Asbun HJ. Minimally invasive pancreatic surgery. Semin Oncol. 2015;42(1):123‐133. - PubMed
    1. Hashimoto D, Arima K, Chikamoto A, et al. Limited resection of the duodenum for nonampullary duodenal tumors, with review of the literature. Am Surg. 2016;82(11):1126‐1132. - PubMed
    1. Vijan SS, Ahmed KA, Harmsen WS, et al. Laparoscopic vs open distal pancreatectomy: a single‐institution comparative study. Arch Surg. 2010;145(7):616‐621. - PubMed
    1. Liu QU, Tang W, Zhou R, et al. Robotic distal pancreatectomy: experience in a high‐volume center. Ann Pancreat Cancer. 2018;1:363‐368.

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