Detailed Abstract
[E-poster - Biliary & Pancreas (Pancreas Disease/Surgery)]
[EP 249] Surgical Techniques And Short-term Outcomes of the Robot-assisted Distal Pancreatectomy
ISAYA HASHIMOTO 1, KAZUTO SHIBUYA 1, NANA KIMURA 1, MINA FUKASAWA 1, AYAKA IYOH 1, RYO MURANUSHI 1, TOSHIHIRO SHIRAI 1, TORU WATANABW 1, TAKESHI MIWA 1, KATSUHISA HIRANO 1, ISAKU YOSHIOKA 1, TSYTOMU YOSHIOKA 1
1 Department of Surgery And Science Faculty of Medicine, Academic Assembly, University of Toyama, JAPAN
Background : Minimally invasive approaches using robot-assisted pancreatic surgery have become feasible worldwide. The purpose of this study is to clarify the usefulness of robot-assisted distal pancreatectomy
Methods : We use is daVinci Xi system with placing 5 ports for the surgery. The patient cart is rolled in after setting the patient's position and elevation of the lateral segment of liver with conventional laparoscopic techniques. We retrospectively compared perioperative outcomes of RDP patients and laparoscopic distal pancreatectomy patients (LDP) who underwent in our institution from 2017 to 2022.
Results : RDP has been performed in 52 patients (R group) so far. The diseases in R group included 29 cases of pancreatic body/tail cancer, 3 cases of IPMN, 8 cases of PNEN, 6 cases of MCN, 5 cases of SPN, and 1 case of pancreatic AVM. On the other hand, LDP was performed in 39 patients (L group). In the R group, the operative time was significantly longer, but the amount of blood loss was significantly decreased. The conversion rate to laparotomy was also significantly lower in the group R. There was no significant difference in the incidence of clinically relevant postoperative pancreatic fistula and postoperative hospital stay between the two groups. There was no 30-day postoperative mortality in either group. In the investigation limited to pancreatic adenocarcinoma, there was no significant difference in survival or recurrence rates between R group and L group.
Conclusions : The outcomes of RDP are comparable to those of LDP, and it is feasible to continue to perform RDP in the future.
Methods : We use is daVinci Xi system with placing 5 ports for the surgery. The patient cart is rolled in after setting the patient's position and elevation of the lateral segment of liver with conventional laparoscopic techniques. We retrospectively compared perioperative outcomes of RDP patients and laparoscopic distal pancreatectomy patients (LDP) who underwent in our institution from 2017 to 2022.
Results : RDP has been performed in 52 patients (R group) so far. The diseases in R group included 29 cases of pancreatic body/tail cancer, 3 cases of IPMN, 8 cases of PNEN, 6 cases of MCN, 5 cases of SPN, and 1 case of pancreatic AVM. On the other hand, LDP was performed in 39 patients (L group). In the R group, the operative time was significantly longer, but the amount of blood loss was significantly decreased. The conversion rate to laparotomy was also significantly lower in the group R. There was no significant difference in the incidence of clinically relevant postoperative pancreatic fistula and postoperative hospital stay between the two groups. There was no 30-day postoperative mortality in either group. In the investigation limited to pancreatic adenocarcinoma, there was no significant difference in survival or recurrence rates between R group and L group.
Conclusions : The outcomes of RDP are comparable to those of LDP, and it is feasible to continue to perform RDP in the future.
SESSION
E-poster
E-Session 03/21 ALL DAY