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A.G. Kriger

Institut khirurgii im. A.V. Vishnevskogo, Moskva

S.V. Berelavichus

Institut khirurgii im. A.V. Vishnevskogo, Moskva

A.V. Smirnov

Volgograd State Medical University, Volgograd, Russia

D.S. Gorin

Institut khirurgii im. A.V. Vishnevskogo, Moskva

E.A. Akhtanin

Institut khirurgii im. A.V. Vishnevskogo Ministerstva zdravookhraneniia i sotsial'nogo razvitiia RF, Moskva

Comparative results of open robot-assisted and laparoscopic distal pancreatic resection

Authors:

A.G. Kriger, S.V. Berelavichus, A.V. Smirnov, D.S. Gorin, E.A. Akhtanin

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Journal: Pirogov Russian Journal of Surgery. 2015;(1): 23‑29

DOI: 10.17116/hirurgia2015123-29

Read: 3300 times

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Table of contents

COMPARATIVE RESULTS OF OPEN ROBOT-ASSISTED AND LAPAROSCOPIC DISTAL PANCREATIC RESECTION
COMPARATIVE RESULTS OF OPEN ROBOT-ASSISTED AND LAPAROSCOPIC DISTAL PANCREATIC RESECTION

To cite this article:

Kriger AG, Berelavichus SV, Smirnov AV, Gorin DS, Akhtanin EA. Comparative results of open robot-assisted and laparoscopic distal pancreatic resection. Pirogov Russian Journal of Surgery. 2015;(1):23‑29. (In Russ.)
https://doi.org/10.17116/hirurgia2015123-29

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
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Abstract:

It was performed a retrospective analysis of the results of distal pancreatic resections (DPR) in 89 patients with different tumors. Conventional open operations were performed in 60 patients, robot-assisted - in 19 patients, laparoscopic - in 10 cases. Absolute indication for open surgery was pancreatic cancer T3-4 stages. Mini-invasive distal resections (robot-assisted and laparoscopic) were performed in cases of pancreatic cancer T1-2 stages, benign tumors and tumors with low potential of malignancy and diameter up to 4-5 cm. Results of robot-assisted and laparoscopic interventions are similar but robot-assisted technique provides more precise surgery. It improves quality of lymphadenectomy, decreases probability of intraoperative bleeding. Duration of robot-assisted and open operation did not differ significantly. Blood loss was significantly lower in group of robot-assisted method (mean 470 ml) while in cases of open and laparoscopic techniques this parameter was 1013.8 and 833.3 ml respectively. Postoperative complications in open, laparoscopic and robot-assisted groups developed in 45.1, 52.6 and 50% of observations respectively. Pancreatic fistulas were revealed in 58.8, 80 and 58.3% of cases respectively. There were not deaths after laparoscopic and robot-assisted pancreatic resections. 2 patients died after open surgery.

Keywords:

pancreas
robot-assisted surgery
robotic surgical complex
distal pancreatic resection
pancreatic tumors

Authors:

A.G. Kriger

Institut khirurgii im. A.V. Vishnevskogo, Moskva

S.V. Berelavichus

Institut khirurgii im. A.V. Vishnevskogo, Moskva

A.V. Smirnov

Volgograd State Medical University, Volgograd, Russia

D.S. Gorin

Institut khirurgii im. A.V. Vishnevskogo, Moskva

E.A. Akhtanin

Institut khirurgii im. A.V. Vishnevskogo Ministerstva zdravookhraneniia i sotsial'nogo razvitiia RF, Moskva

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