ROBOT-ASSISTED PANCREATIC SURGERY (REVIEW)
https://doi.org/10.16931/1995-5464.2017155-63
Abstract
Aim. To systematize world literature data for robot-assisted pancreatic surgery. Material and methods. 31 publications for the period 2010–2014 were analyzed. In these articles 856 robot-assisted pancreatic operations were assessed. Results. 90% of robot-assisted pancreatic operations include pancreaticoduodenectomy (55%) and distal pancreatectomy (35%). Median time of robot-assisted pancreatoduodenectomy was 342 ± 209 minutes, distal pancreatectomy time – 200 ± 131.9 minutes. Median blood loss during robot - assisted operations was referred to class 1 by WHO (2001) classification. The number of complications is increased as far as the number of robotic assisted operations is augmented. Conclusion. Analyses demonstrates growing interest of pancreatic surgeons in robotic technologies. At the same time there is no unique strategy of robotic pancreatic surgery. Certain indications and contraindications for pancreatic robotassisted surgery are absent. There is no methodological base describing technical aspects of these difficult interventions. So, further researches of robot-assisted techniques are advisable to eliminate these limitations.
About the Authors
S. V. Berelavichus
A.V. Vishnevsky Institute of Surgery, Ministry of Health
Russian Federation
Cand. of Med. Sci., the Senior Researcher of the Abdominal Surgery Department No.1
Russian Federation
Cand. of Med. Sci., the Senior Researcher of the Abdominal Surgery Department No.1
N. L. Titova
National Research University Higher School of Economics
Russian Federation
Cand. of Med. Sci., Associate Professor at the Chair of General and Strategic Management
Russian Federation
Cand. of Med. Sci., Associate Professor at the Chair of General and Strategic Management
A. R. Kaldarov
A.V. Vishnevsky Institute of Surgery, Ministry of Health
Russian Federation
Postgraduate Student of Abdominal Surgery Department No.1
Russian Federation
Postgraduate Student of Abdominal Surgery Department No.1
A. V. Smirnov
A.V. Vishnevsky Institute of Surgery, Ministry of Health
Russian Federation
Postgraduate Student of Abdominal Surgery Department No.1
Russian Federation
Postgraduate Student of Abdominal Surgery Department No.1
A. G. Kriger
A.V. Vishnevsky Institute of Surgery, Ministry of Health
Russian Federation
Doct. of Med. Sci., Professor, Head of Abdominal Surgery Department No.1
Russian Federation
Doct. of Med. Sci., Professor, Head of Abdominal Surgery Department No.1
References
1. Abood G.J., Can M.F., Daouadi M., Huss H.T., Steve J.Y., Ramalingam L., Stang M., Bartlett D.L., Zeh H.J. 3rd, Moser A.J. Robotic-assisted minimally invasive central pancreatectomy: technique and outcomes. J. Gastrointest. Surg. 2013; 17 (5): 1002–1008. DOI: 10.1007/s11605-012-2137-6.
2. Addeo P., Marzano E., Nobili C., Bachellier P., Jaeck D., Pessaux P. Robotic central pancreatectomy with stented pancreaticogastrostomy: operative details. Int. J. Med. Robot. 2011; 7 (3): 293–297. DOI: 10.1002/rcs.397.
3. Bao P.Q., Mazirka P.O., Watkins K.T. Retrospective comparison of robot-assisted minimally invasive versus open pancreaticoduodenectomy for periampullary neoplasms. J. Gastrointest. Surg. 2014; 18 (4): 682–689. DOI: 10.1007/s11605-013-2410-3.
4. Buchs N.C., Addeo P., Bianco F.M., Ayloo S., Benedetti E., Giulianotti P.C. Robotic versus open pancreaticoduodenectomy: a comparative study at a single institution. World J. Surg. 2011; 35 (12): 2739–2746. DOI: 10.1007/s00268-011-1276-3.
5. Chalikonda S., Aguilar-Saavedra J.R., Walsh R.M. Laparoscopic robotic-assisted pancreaticoduodenectomy: a case-matched comparison with open resection. Surg. Endosc. 2012; 26 (9): 2397–2402. DOI: 10.1007/s00464-012-2207-6.
6. Cheng K., Shen B., Peng C., Deng X., Hu S. Initial experiences in robot-assisted middle pancreatectomy. HPB (Oxford). 2013; 15 (4): 315–321. DOI: 10.1111/j.1477-2574.2012.00605.x.
7. Choi S.H., Kang C.M., Hwang H.K., Lee W.J., Chi H.S. Robotic anterior RAMPS in well-selected left-sided pancreatic cancer. J. Gastrointest. Surg. 2012; 16 (4): 868–869. DOI: 10.1007/s11605-012-1825-6.
8. Choi S.H., Kang C.M., Kim D.H., Lee W.J., Chi H.S. Robotic pylorus preserving pancreaticoduodenectomy with minilaparotomy reconstruction in patient with ampullary adenoma. J. Korean Surg. Soc. 2011; 81 (5): 355–359. DOI: 0.4174/jkss.2011.81.5.355.
9. D’Annibale A., Orsini C., Morpurgo E., Sovernigo G. La chirurgia robotica. Considerazioni dopo 250 interventi. Chirurgia Italiana. 2006; 58 (1): 5–14. DOI: 10.1007/s10350-004-0711-z.
10. Daouadi M., Zureikat A.H., Zenati M.S., Choudry H., Tsung A., Bartlett D.L., Hughes S.J., Lee K.K., Moser A.J., Zeh H.J. Robot-assisted minimally invasive distal pancreatectomy is superior to the laparoscopic technique. Ann. Surg. 2012; 257 (1): 128–132. DOI: 10.1097/sla.0b013e31825fff08.
11. De Vasconcellos A.L., Schraibman V., Okazaki S., Concilio F., Epstein M.G., Goldman S.M., Lustosa S.A., Matos D. Treatment of intraductal papillary mucinous neoplasms, neuroendocrine and periampullary pancreatic tumors using robotic surgery: a safe and feasible technique. J. Robotic Surg. 2011; 5 (1): 35–41. DOI: 10.1007/s11701-010-0238-3.
12. Duran H., Ielpo B., Caruso R., Ferri V., Quijano Y., Diaz E., Fabra I., Oliva C., Olivares S., Vicente E. Does robotic distal pancreatectomy surgery offer similar results as laparoscopic and open approach? A comparative study from a single medical center. Int. J. Med. Robot. 2014; 10 (3): 280–285. DOI: 10.1002/rcs.1569.
13. Galvani C.A., Rodriguez Rilo H., Samamé J., Porubsky M., Rana A., Gruessner R.W. Fully robotic-assisted technique for total pancreatectomy with an autologous islet transplant in chronic pancreatitis patients: results of a first series. J. Am. Coll. Surg. 2014; 218 (3): 73–78. DOI: 10.1016/j.jamcollsurg.2013.12.006.
14. Giulianotti P.C., Sbrana F., Bianco F., Elli E.F., Shah G., Addeo P., Caravaglios G., Coratti A. Robot-assisted laparoscopic pancreatic surgery: single-surgeon experience. Surg. Endosc. 2010; 24 (7): 1646–1657. DOI: 10.1007/s00464-009-0825-4.
15. Giulianotti P.C., Sbrana F., Bianco F.M., Addeo P., Caravaglios G. Robot-assisted laparoscopic middle pancreatectomy. J. Laparoendosc. Adv. Surg. Tech. A. 2010; 20 (2): 135–139. DOI: 10.1089/lap.2009.0296.
16. Hammill C., Cassera M., Swanstrom L., Hansen P. Robotic assistance may provide the technical capability to perform a safe, minimally invasive pancreaticoduodenectomy. HPB. 2010; 12 (1): 198.
17. Horiguchi A., Uyama I., Ito M., Ishihara S., Asano Y., Yamamoto T., Ishida Y., Miyakawa S. Robot-assisted laparoscopic pancreatic surgery. J. Hepatobiliary Pancreat. Sci. 2011; 18 (4): 488–492. DOI: 10.1007/s00534-011-0383-8.
18. Hwang H.K., Kang C.M., Chung Y.E., Kim K.A., Choi S.H., Lee W.J. Robot-assisted spleen-preserving distal pancreatectomy: a single surgeon's experiences and proposal of clinical application. Surg. Endosc. 2013; 27 (3): 774–781. DOI: 10.1007/s00464-012-2551-6.
19. Kang C.M., Kim D.H., Lee W.J., Chi H.S. Conventional laparoscopic and robot-assisted spleen-preserving pancreatectomy: does da Vinci have clinical advantages? Surg. Endosc. 2010; 25 (6): 2004–2009. DOI: 10.1007/s00464-010-1504-1.
20. Kang C.M., Kim D.H., Lee W.J., Chi H.S. Initial experiences using robot-assisted central pancreatectomy with pancreaticogastrostomy: a potential way to advanced laparoscopic pancreatectomy. Surg. Endosc. 2011; 25 (4): 1101–1106. DOI: 10.1007/s00464-010-1324-3.
21. Lai E.C., Yang G.P., Tang C.N. Robot-assisted laparoscopic pancreaticoduodenectomy versus open pancreaticoduodenectomy – a comparative study. Int. J. Surg. 2012; 10 (9): 475–479. DOI: 10.1016/j.ijsu.2012.06.003.
22. Narula V.K., Mikami D.J., Melvin W.S. Robotic and laparoscopic pancreaticoduodenectomy: a hybrid approach. Pancreas. 2010; 39 (2): 160–164. DOI: 10.1097/MPA.0b013e3181bd604e.
23. Suman P., Rutledge J., Yiengpruksawan A. Robotic spleen preserving distal pancreatectomy is safe and feasible. Gastroenterology. 2012; 142 (5): 1060–1061. DOI: 10.1016/s0016-5085(12)64114-6. 2
24. Boggi U., Signori S., de Lio N., Perrone V.G., Vistoli F., Belluomini M., Cappelli C., Amorese G., Mosca F. Feasibility of robotic pancreatoduodenectomy. Br. J. Surg. 2013; 100 (7): 917–925. DOI: 10.1002/bjs.9135.
25. Walsh M., Chalikonda S., Saavedra J.R.A., Lentz G., Fung J. Laparoscopic robotic assisted Whipple: early results of a nove technique and comparison with the standard open procedure. Surg. Endosc. 2011; 25 (9): 221–223. DOI: 10.1007/s00464-012-2207-6.
26. Waters J.A., Canal D.F., Wiebke E.A., Dumas R.P., Beane J.D., Aguilar-Saavedra J.R., Ball C.G., House M.G., Zyromski N.J., Nakeeb A., Pitt H.A., Lillemoe K.D., Schmidt C.M. Robotic distal pancreatectomy: cost effective? Surgery. 2010; 148 (4): 814–823. DOI: 10.1016/j.surg.2010.07.027.
27. Zeh H.J., Zureikat A.H., Secrest A., Dauoudi M., Bartlett D., Moser A.J. Outcomes after robot-assisted pancreaticoduodenectomy for periampullary lesions. Ann. Surg. Oncol. 2012; 19 (3): 864–870. DOI: 10.1245/s10434-011-2045-0.
28. Zhan Q., Deng X.X., Han B., Liu Q., Shen B.Y., Peng C.H., Li H.W. Robotic-assisted pancreatic resection: a report of 47 cases. Int. J. Med. Robot. 2013; 9 (1): 44–51. DOI: 10.1002/rcs.1475.
29. Zhou N.X., Chen J.Z., Liu Q., Zhang X., Wang Z., Ren S., Chen X.F. Outcomes of pancreatoduodenectomy with robotic surgery versus open surgery. Int. J. Med. Robot. 2011; 7 (2): 131–137. DOI: 10.1002/rcs.380.
30. Zureikat A.H., Moser A.J., Boone B.A., Bartlett D.L., Zenati M., Zeh H.J. 250 robotic pancreatic resections. Safety and feasibility. Ann. Surg. 2013; 258 (4): 554–562. DOI: 10.1097/sla.0b013e3182a4e87c.
31. Zureikat A.H., Nguyen T., Boone B.A., Wijkstrom M., Hogg M.E., Humar A., Zeh H. 3rd. Robotic total pancreatectomy with or without autologous islet cell transplantation: replication of an open technique through a minimal access approach. Surg. Endosc. 2014; 29 (1): 176–183. DOI: 10.1007/s00464-014-3656-x.
32. Asbun H.J., Stauffer J.A. Laparoscopic vs open pancreaticoduodenectomy: overall outcomes and severity of complications using the accordion severity grading system. Am. Coll. Surg. 2012; 215 (6): 810–819. DOI: 10.1016/j.jamcollsurg.2012.08.006.
33. Palanivelu C., Rajan P.S., Rangarajan M. Evolution in techniques of laparoscopic pancreaticoduodenectomy: a decade long experience from a tertiary center. J. Hepatobiliary Pancreat. Surg. 2009; 16 (6): 731–740. DOI: 10.1007/s00534-009-0157-8.
34. Kim S.C., Song K.B., Jung S.Y. Short-term clinical outcomes for 100 consecutive cases of laparoscopic pylorus-preserving pancreatoduodenectomy: improvement with surgical experience. Surg. Endosc. 2012; 27 (1): 95–103. DOI: 10.1007/s00464-012-2427-9.
35. Kendrick M.L., Cusati D. Total laparoscopic pancreaticoduodenectomy. Arch. Surg. 2010; 145 (1): 19–23. DOI: 10.1001/archsurg.2009.243.
36. Jayaraman S., Gonen M., Brennan M.F. Laparoscopic distal pancreatectomy: evolution of a technique at a single institution. J. Am. Coll. Surg. 2010; 211 (4): 503–509. DOI: 10.1016/j.jamcollsurg.2010.06.010.
37. Mabrut J.-Y., Fernandez-Cruz L., Azagra J.S. Laparoscopic pancreatic resection: results of a multicenter european study of 127 patients. Surgery. 2005; 137 (6): 597–605. DOI: 10.1016/j.surg.2005.02.002.
38. Lillemoe K., Kaushal S., Cameron J.L. Distal pancreatectomy: indications and outcomes in 235 patients. Ann. Surg. 1999; 229 (5): 693–700. DOI: 10.1097/00000658-199905000-00012.
39. Dulucq J.L., Wintringer P., Stabilini C. Are major laparoscopic pancreatic resections worthwhile? Surg. Endosc. 2005; 19 (8): 1028–1034. DOI: 10.1007/s00464-004-2182-7.
40. Kang C.M., Kim D.H., Lee W.J. Ten years of experience with resection of left-sided pancreatic ductal adenocarcinoma: evolution and initial experience to a laparoscopic approach. Surg. Endosc. 2010; 24 (7): 1533–1541. DOI: 10.1007/s00464-009-0806-7.
41. Patterson E.J., Gagner M., Salky B., Inabnet W.B., Brower S., Edye M., Gurland B., Reiner M., Pertsemlides D. Laparoscopic pancreatic resection: single-institution experience of 19 patients. J. Am. Coll. Surg. 2001; 193 (3): 281–287. DOI: 10.1016/s1072-7515(01)01018-3.
Review
For citations:
Berelavichus S.V., Titova N.L., Kaldarov A.R., Smirnov A.V., Kriger A.G. ROBOT-ASSISTED PANCREATIC SURGERY (REVIEW). Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2017;22(1):55-63. (In Russ.) https://doi.org/10.16931/1995-5464.2017155-63
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