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Kriger A.G.

Institut khirurgii im. A.V. Vishnevskogo, Moskva

Berelavichus S.V.

Institut khirurgii im. A.V. Vishnevskogo, Moskva

Smirnov A.V.

Volgograd State Medical University, Volgograd, Russia

Gorin D.S.

Institut khirurgii im. A.V. Vishnevskogo, Moskva

Akhtanin E.A.

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:

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

More about the authors

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

DOI: 10.17116/hirurgia2015123-29

Views: 1819

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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 2025 (Pirogov Russian Journal of Surgery)
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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:

Kriger A.G.

Institut khirurgii im. A.V. Vishnevskogo, Moskva

Berelavichus S.V.

Institut khirurgii im. A.V. Vishnevskogo, Moskva

Smirnov A.V.

Volgograd State Medical University, Volgograd, Russia

Gorin D.S.

Institut khirurgii im. A.V. Vishnevskogo, Moskva

Akhtanin E.A.

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

List of references:

  1. Buriev I.M., Ikramov R.Z. Distal'naya rezektsiya podzheludochnoj zhelezy [Distal pancreatic resection]. Аnn khir gepatol 1997; 2: 136-138. (in Russian)
  2. Kriger А.G., Karmazanovskij G.G., Gorin D.S. i dr. Diagnostika I khirurgicheskoe lechenie kistoznykh opukholej podzheludochnoj zhelezy [Diagnosis and surgical treatment of pancreatic cystic tumors]. Vestn ehksperim i klin khir 2012; V: 1: 26-32. (in Russian)
  3. Kriger А.G., Kochatkov А.V., Berelavichus S.V. i dr. Robot-assistirovannaya distal'naya rezektsiya podzheludochnoj zhelezy pri insulinome [Robot-assisted distal pancreatectomy for insulinoma]. KHirurgiya 2011; 8: 83-86. (in Russian)
  4. Kriger А.G., Kubyshkin V.А., Karmazanovskij G.G. i dr. Posleoperatsionnyj pankreatit pri khirurgicheskikh vmeshatel'stvakh na podzheludochnoj zheleze [Postoperative pancreatitis after pancreatic surgery]. KHirurgiya 2012; 4: 14-19. (in Russian)
  5. Kubyshkin V.А., Kriger А.G., Kozlov I.А. i dr. Taktika khirurgicheskogo lecheniya bol'nykh khronicheskim pankreatitom [Medical tactics in patients with chronic pancreatitis]. KHirurgiya 2013; 1: 17-24. (in Russian)
  6. Kubyshkin V.А., Kriger А.G., Gorin D.S. i dr. KHirurgicheskoe lechenie kistoznykh opukholej podzheludochnoj zhelezy [Surgical treatment of pancreatic cystic tumors]. Аnn khir gepatol 2012; 17: 1: 17-24. (in Russian)
  7. Fedorov А.V., Kriger А.G., Berelavichus S.V. i dr. Robot-assistirovannye operatsii v abdominal'noj khirurgii [Robot-assisted operations in abdominal surgery]. KHirurgiya 2010; 1:16-21. (in Russian)
  8. Butturini G., Damoli I., Esposito A. et al. Robotic distal pancreatectomy: is hybrid operation a viable approach? J Pancreas (Online) 2012; 13: Suppl 5: 592.
  9. Chan O.C., Tang C.N., Lai E.C. et al. Robotic hepatobiliary and pancreatic surgery: a cohort study. J Hepatobiliary Pancreat Sci 2011; 18: 4: 471-480.
  10. Choi S.H., Kang C.M., Hwang H.K. et al. Robotic anterior RAMPS in well-selected left-sided pancreatic cancer. J Gastrointest Surg 2012; 16: 4: 868-869.
  11. Cirocchi R., Partelli S., Coratti A. et al. Current status of robotic distal pancreatectomy: a systematic review. Surg Oncol 2013; 22: 3: 201-207.
  12. Cuschieri A., Jakimowicz J.J., van Spreeuwel J. Laparoscopic distal 70% pancreatectomy and splenectomy for chronic pancreatitis. Ann Surg 1996; 223: 3: 280-285.
  13. D'Annibale A., Orsini C., Morpurgo E., Sovernigo G. La chirurgia robotica. Considerazioni dopo 250 interventi. Chir Ital 2006; 58: 1: 5-14.
  14. Daouadi M., Zureikat A.H., Zenati M.S. et al. Robot-assisted minimally invasive distal pancreatectomy is superior to the laparoscopic technique. Ann Surg 2012; 257: 1: 128-132.
  15. Duran H., Ielpo B., Caruso R. et al. 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; DOI: 10.1002/rcs.1569.
  16. Giulianotti P.C., Sbrana F., Bianco F.M. et al. Robotassisted laparoscopic pancreatic surgery: single-surgeon experience. Surg Endosc 2010; 24: 7: 1646-1657.
  17. Hwang H.K., Kang C.M., Chung Y.E. et al. Robot-assisted spleen-preserving distal pancreatectomy: a single surgeon's experiences and proposal of clinical application. Surg Endosc 2012; Presented at the SAGES 2012 annual meeting, 2012, San Diego, CA.
  18. Kang C.M., Kim D.H., Lee W.J., Chi H.S. Conventional laparoscopic and robotassisted spleen-preserving pancreatectomy: does da Vinci have clinical advantages? Surg Endosc 2011; 25: 6: 2004-2009.
  19. 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: 1533-1541.
  20. Kim D.H., Kang C.M., Lee W.J., Chi H.S. The first experience of robot assisted spleen-preserving laparoscopic distal pancreatectomy in Korea. Yonsei Med J 2011; 52: 3: 539-542.
  21. Machado M.A., Makdissi F.F., Surjan R.C., Abdalla R.Z. Robotic resection of intraductal neoplasm of the pancreas. J Laparoendosc Adv Surg Tech A 2009; 19: 6: 771-775.
  22. Melvin W.S., Needleman B.J., Krause K.R., Ellison E.C. Robotic resection of pancreatic neuroendocrine tumor. J Laparoendosc Adv Surg Tech A 2003; 13: 1: 33-36.
  23. Nakamura M., Nakashima H. Laparoscopic distal pancreatectomy and pancreatoduodenectomy: is it worthwhile? A meta-analysis of laparoscopic pancreatectomy. J Hepatobiliary Pancreat Sci 2013; 20: 4: 421-428.
  24. Ntourakis D., Marzano E., De Blasi V. et al. Robotic left pancreatectomy for pancreatic solid pseudopapillary tumor. Ann Surg Oncol 2011; 18: 3: 642-643.
  25. Ntourakis D., Marzano E., Lopez Penza P.A. et al. Robotic distal splenopancreatectomy: bridging the gap between pancreatic and minimal access surgery. J Gastrointest Surg 2010; 14: 8: 1326-1330.
  26. Patterson E.J., Gagner M., Salky B. et al. Laparoscopic pancreatic resection: single-institution experience of 19 patients. J Am Coll Surg 2001; 193: 281-287.
  27. Strasberg S.M., Drebin J.A., Linehan D. Radical antegrade modular pancreatosplenectomy. Surgery 2003; 133: 5: 521-527.
  28. Suman P., Rutledge J., Yiengpruksawan A. Robotic spleen preserving distal pancreatectomy is safe and feasible. Gastroenterology 2012; 142: 5: 1060-1061.
  29. Vasilescu C., Sgarbura O., Tudor S. Robotic spleenpreserving distal pancreatectomy. A case report. Acta Chir Belg 2009; 109: 3: 396-399.
  30. Waters J.A., Canal D.F., Wiebke E.A. et al. Robotic distal pancreatectomy: cost effective? Surgery 2010; 148: 4: 814-823.
  31. Yiengpruksawan A. Technique for laparobotic distal pancreatectomy with preservation of spleen. J Robotic Surg 2011; 5: 11-15.
  32. Zhan Q., Deng X.X., Han B. et al. Robotic-assisted pancreatic resection: a report of 47 cases. Int J Med Robot 2013; 9: 1: 44-51.
  33. Zureikat A.H., Moser A.J., Boone B.A. et al. 250 robotic pancreatic resections: safety and feasibility. Ann Surg 2013; 258: 4: 554-559.

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