Experience of Laparoscopic and Robot-assisted Distal Pancreatectomy
https://doi.org/10.16931/1995-5464.2018-1-25-29
Abstract
Aim. To analyze the outcomes of robot-assisted and laparoscopic distal pancreatectomies.
Material and Methods. 42 patients were enrolled: 27 patients underwent laparoscopic distal pancreatectomy, 15 – robot-assisted distal pancreatectomy.
Results. Both groups were statistically homogeneous and comparable. Time of laparoscopic and robot-assisted distal pancreatectomy was 184 ± 21.4 and 236 ± 31.6 min (p = 0.0384), respectively; intraoperative blood loss – 310 ± 54 ml and 240 ± 86 ml (p = 0.0564), respectively. There were 6 (66.7%) spleen-sparing laparoscopic distal pancreatectomies and 6 (85.7%) robotic procedures in the same fashion. The length of hospital-stay after laparoscopy was 5.4 ± 1.8 days, after robot-assisted operation – 6.1 ± 1.6 days (p = 0.073). The number of hemorrhagic complications and pancreatic fistulas ISGPS 2016 was similar in both groups. There were 16 Clavien–Dindo complications after laparoscopic pancreatectomy and 8 after robot-assisted surgery.
Conclusion. It was established that laparoscopic pancreatectomy is associated with reduced time of surgery and lower percentage of spleen-sparing interventions. Intraoperative blood loss, hospital-stay and postoperative morbidity do not depend on the type of surgery.
About the Authors
A. V. Shabunin
Botkin Municipal Clinical Hospital of Moscow Healthcare Department
Chair of Surgery of Russian Medical Academy of Continuous Professional Education of Healthcare Ministry of the Russian Federation
Russian Federation
Russian Federation
5, 2 Botkinsky proezd, Moscow, 125284, Russian Federation
2/1, Barricadnaya str., Moscow, 123242, Russian Federation
Doct. of Med. Sci., Professor, Сorresponding-member of RAS, Head of the Chair of Surgery of Russian Medical Academy of Continuous Professional Education of Healthcare Ministry of the Russian Federation, Head Physician at Moscow Botkin Clinical Hospital
V. V. Bedin
Botkin Municipal Clinical Hospital of Moscow Healthcare Department
Chair of Surgery of Russian Medical Academy of Continuous Professional Education of Healthcare Ministry of the Russian Federation
Russian Federation
Russian Federation
5, 2 Botkinsky proezd, Moscow, 125284, Russian Federation
2/1, Barricadnaya str., Moscow, 123242, Russian Federation
Cand. of Med. Sci., Associate Professor of the Chair of Surgery of Russian Medical Academy of Continuous Professional Education of Healthcare Ministry of the Russian Federation, Deputy Head Physician at Moscow Botkin Clinical Hospital
M. M. Tavobilov
Botkin Municipal Clinical Hospital of Moscow Healthcare Department
Chair of Surgery of Russian Medical Academy of Continuous Professional Education of Healthcare Ministry of the Russian Federation
Russian Federation
Russian Federation
5, 2 Botkinsky proezd, Moscow, 125284, Russian Federation
2/1, Barricadnaya str., Moscow, 123242, Russian Federation
Cand. of Med. Sci., Associate Professor of the Chair of Surgery of Russian Medical Academy of Continuous Professional Education of Healthcare Ministry of the Russian Federation, Head of the Liver and Pancreatic Surgery Department at Moscow Botkin Clinical Hospital
S. S. Lebedev
Botkin Municipal Clinical Hospital of Moscow Healthcare Department
Chair of Surgery of Russian Medical Academy of Continuous Professional Education of Healthcare Ministry of the Russian Federation
Russian Federation
Russian Federation
5, 2 Botkinsky proezd, Moscow, 125284, Russian Federation
2/1, Barricadnaya str., Moscow, 123242, Russian Federation
Phone: +7-926-173-31-94
Cand. of Med. Sci., Associate Professor of the Chair of Surgery of Russian Medical Academy of Continuous Professional Education of Healthcare Ministry of the Russian Federation, Surgeon of the Liver and Pancreatic Surgery Department at Moscow Botkin Clinical Hospital
A. A. Karpov
Botkin Municipal Clinical Hospital of Moscow Healthcare Department
Russian Federation
Russian Federation
5, 2 Botkinsky proezd, Moscow, 125284, Russian Federation
Surgeon of the Liver and Pancreatic Surgery Department at Moscow Botkin Clinical Hospital
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Review
For citations:
Shabunin A.V., Bedin V.V., Tavobilov M.M., Lebedev S.S., Karpov A.A. Experience of Laparoscopic and Robot-assisted Distal Pancreatectomy. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2018;23(1):25-29. (In Russ.) https://doi.org/10.16931/1995-5464.2018-1-25-29
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