Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Nov 8:e2596.
doi: 10.1002/rcs.2596. Online ahead of print.

Robotic versus laparoscopic distal pancreatectomy for pancreatic adenocarcinoma in obese patients

Fabio Ausania  1 , Filippo Landi  1 , Carolina González-Abós  1 , John B Martinie  2 , Dionisios Vrochides  2 , Matthew Walsh  3 , Shanaz M Hossain  3 , Steven White  4 , Viswakumar Prabakaran  4 , Laleh G Melstrom  5 , Yuman Fong  5 , Valentina Valle  6 , Yuntao Bing  7 , Dianrong Xiu  7 , Gregorio Di Franco  8 , Nicola De' Angelis  9 , Alexis Laurent  9 , Giuseppe Giuliani  10 , Graziano Pernazza  11 , Riccardo Memeo  12 , José Rios  13 , Andrea Coratti  10 , Luca Morelli  8 , Pier C Giulianotti  6
Affiliations

Robotic versus laparoscopic distal pancreatectomy for pancreatic adenocarcinoma in obese patients

Fabio Ausania et al. Int J Med Robot. .

Abstract

Background: Robotic distal pancreatectomy (RDP) is associated with a lower conversion rate and less blood loss than laparoscopic distal pancreatectomy (LDP). LDP has similar oncological outcomes as open surgery in PDAC. The aim of this study was to compare perioperative and oncological outcomes in obese patients with RDP versus LDP for PDAC.

Materials and methods: Retrospectively, all obese patients who underwent RDP or LDP for PDAC between 2012 and 2022 at 12 international expert centres were included.

Results: out of 372, 81 patients were included. All baseline features were comparable between the two groups. RDP was associated with decreased blood loss (495mlLDP vs. 188mlRDP; p = 0.003), lower conversion rate (13.5%RDP vs. 36.4%LDP; p = 0.019) and lower rate of Clavien-Dindo ≥3 complications (13.5%RDP vs. 36.4%LDP; p = 0.019). Overall and disease-free survival were comparable.

Conclusions: In obese patients with left-sided PDAC, the robotic approach was associated with improved intraoperative outcomes and fewer severe complications.

Keywords: PDAC; distal pancreatectomy; obese patients; robotic surgery.

PubMed Disclaimer

References

REFERENCES

    1. Giulianotti PC, Coratti A, Angelini M, et al. Robotics in general surgery: personal experience in a large community hospital. Arch Surg. 2003;138(7):777-784. https://doi.org/10.1001/archsurg.138.7.777
    1. Li P, Zhang H, Chen L, Liu T, Dai M. Robotic versus laparoscopic distal pancreatectomy on perioperative outcomes: a systematic review and meta-analysis. Updates Surg. 2022;75(1):7-21. Epub ahead of print. PMID: 36378464. https://doi.org/10.1007/s13304-022-01413-3
    1. Korrel M, Jones LR, van Hilst J, et al. European Consortium on Minimally Invasive Pancreatic Surgery (E-MIPS) (2023). Minimally invasive versus open distal pancreatectomy for resectable pancreatic cancer (DIPLOMA): an international randomised non-inferiority trial. Lancet Reg Health Eur. 2023;31:100673. https://doi.org/10.1016/j.lanepe.2023.100673
    1. Hong S, Song KB, Madkhali AA, et al. Robotic versus laparoscopic distal pancreatectomy for left-sided pancreatic tumors: a single surgeon's experience of 228 consecutive cases. Surg Endosc. 2020;34(6):2465-2473. https://doi.org/10.1007/s00464-019-07047-8
    1. Lof S, van der Heijde N, Abuawwad M, et al. Robotic versus laparoscopic distal pancreatectomy: multicentre analysis. Br J Surg. 2021;108(2):188-195. https://doi.org/10.1093/bjs/znaa039

LinkOut - more resources