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. 2020 Sep;9(9):5166-5172.
doi: 10.21037/tcr-19-2121.

Robot-assisted distal pancreatectomy improves spleen preservation rate versus laparoscopic distal pancreatectomy for benign and low-grade malignant lesions of the pancreas

Yabo Jiang #  1 , Kailian Zheng #  2 , Shichao Zhang #  1 , Zhuo Shao  2 , Peng Cheng  2 , Yijie Zhang  2 , Gang Jin  2 , Tianlin He  2
Affiliations

Robot-assisted distal pancreatectomy improves spleen preservation rate versus laparoscopic distal pancreatectomy for benign and low-grade malignant lesions of the pancreas

Yabo Jiang et al. Transl Cancer Res. 2020 Sep.

Abstract

Background: The aim of this retrospective study was to compare robot-assisted distal pancreatectomy (RDP) with laparoscopic distal pancreatectomy (LDP) for patients with benign and low-grade malignant lesions of the pancreas.

Methods: This study included 166 patients who underwent RDP (n=63) or LDP (n=103) for benign or low-grade malignant lesions of the pancreas from January 2011 to October 2018 in Changhai Hospital. A retrospective analysis was performed between the two groups. The primary points were operation time, operative blood loss, hospital stay, pancreatic fistula and spleen preservation.

Results: There were no significant differences in patient characteristics or indications between RDP and LDP. Notably, among all patients, RDP was associated with a significantly higher rate of spleen preservation than that for LDP (30.2% vs. 6.8%, P<0.001), while other intraoperative variables were similar between the two groups. No death cases in the study group within 30 days were reported in either group. Referring to postoperative outcomes, postoperative pancreatic fistula (POPF) was 22% for the RDP group and 33% for the LDP group. In addition, the rate of clinically significant grade B/C pancreatic fistula was 5% and 7%, respectively. There were also no significant differences in hospital stay (6.0±3.0 vs. 6.4±2.5, P=0.404). Furthermore, the univariate analysis demonstrated that tumor size (P=0.001) and surgery group (RDP/LDP) (P=0.002) were associated with SP rate independent factor for spleen preservation.

Conclusions: RDP is an effective and safe technique with significant advantage in spleen preservation for patients with benign and low-grade malignant lesions in the distal pancreas.

Keywords: Robot-assisted distal pancreatectomy (RDP); laparoscopic distal pancreatectomy (LDP); spleen preservation.

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Conflict of interest statement

Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form (available at http://dx.doi.org/10.21037/tcr-19-2121). The authors have no conflicts of interest to declare.

Figures

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Figure 1
Flow chart of the patients.
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References

    1. Klompmaker S, van der Vliet WJ, Thoolen SJ, et al. Procedure-specific Training for Robot-assisted Distal Pancreatectomy. Ann Surg 2019. [Epub ahead of print]. 10.1097/SLA.0000000000003291 - DOI - PubMed
    1. Pais-Costa SR, Sousa GCC, Araujo SLM, et al. Laparoscopic distal pancreatectomy with spleen preservation. Arq Bras Cir Dig 2018;31:e1395. 10.1590/0102-672020180001e1395 - DOI - PMC - PubMed
    1. Pais-Costa SR, Sousa GCC. Laparoscopic distal pancreatectomy with or without spleen preservation: comparative analysis of short and long-term outcomes. Arq Bras Cir Dig 2019;32:e1461. 10.1590/0102-672020190001e1461 - DOI - PMC - PubMed
    1. Zhao W, Liu C, Li S, et al. Safety and efficacy for robot-assisted versus open pancreaticoduodenectomy and distal pancreatectomy: A systematic review and meta-analysis. Surg Oncol 2018;27:468-78. 10.1016/j.suronc.2018.06.001 - DOI - PubMed
    1. Alfieri S, Boggi U, Butturini G, et al. Full Robotic Distal Pancreatectomy: Safety and Feasibility Analysis of a Multicenter Cohort of 236 Patients. Surg Innov 2020;27:11-8. 10.1177/1553350619868112 - DOI - PubMed