Experience of robotic middle pancreatectomy: a report of 177 cases

doi:10.16139/j.1007-9610.2019.03.009

Abstract

Abstract: Objectives Clinical effect and postoperative complications were compared between robotic middle pancreatectomy (RMP) and open middle pancreatectomy (OMP). Methods Retrospective study was done with 177 patients of the demographics and perioperative data including 115 cases of RMP group and 62 cases of OMP group in our hospital from December 2010 to December 2017. Results There were 41 male and 74 female with mean age (46.9± 14.2) years in RMP group, and 25 male and 37 female with age (53.0± 13.7) years in OMP group. It was seen biochemical pancreatic leakage 14 cases (12.2%) in RMP group and 7 cases (11.3%) in OMP group. Only pancreatic leakage grade B was present 38 ca-ses (33%) in RMP group. Pancreatic leakage grade B and C were present 14 cases (22.6%) in OMP group. Length of hospital stay was (24.5± 12.8) days in RMP group and (23.3± 17.8) days in OMP group (P>; 0.05). There was significant difference in operative time and intraoperative blood loss between 2 groups(P< 0.001). A total of 14 cases were found postoperative bleeding with treatment of digital subtraction angiography in 6 cases and reoperation in 6 cases and nonoperative hemostasis in 1 case. There was 1 case death for severe postoperative bleeding and other case death for acute pulmonary embolism. Conclusions Postoperative pancreatic leakage is still main complication of both RMP and OMP. RMP could be safe now with advantages of minimal invasive surgery.

Key words: Pancreatic tumors, Robotic surgery, Middle pancreatectomy, Pancreatic leak

CLC Number:

R735.9

SHI Yusheng, WANG Yue, QIN Kai, WENG Yuanchi, ZHAO Shulin, ZHAI Shuyu, TANG Xiaomei, HUO Zhen, DENG Xiaxing, SHEN Baiyong, PENG Chenghong. Experience of robotic middle pancreatectomy: a report of 177 cases[J]. Journal of Surgery Concepts & Practice, 2019, 24(03): 215-221.

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