Robotic Versus Open Distal Pancreatectomy: A Propensity Score Matching Analysis

IF 2.3 3区医学 Q2 SURGERY

International Journal of Medical Robotics and Computer Assisted Surgery Pub Date : 2024-12-18 DOI:10.1002/rcs.70025

Lapo Bencini, Luca Moraldi, Elisangela Miceli, Matteo Risaliti, Lorenzo Tofani, Simone Buccianti, Luca Tirloni, Chiara Gatto, Alessio Minuzzo, William Tyler Bianchi, Andrea Coratti, Antonio Taddei, Ilenia Bartolini

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引用次数: 0

Abstract

Background

Minimally invasive distal pancreatectomy offers recognised benefits over open surgery. Robotic surgery, with its shorter learning curve and technical advancements, presents a promising alternative to laparoscopy in managing pancreatic diseases.

Methods

This study enrolled consecutive patients undergoing distal pancreatectomy between January 2013 and May 2022. After propensity score matching, perioperative and medium-term outcomes were compared between robotic and open procedures.

Results

Among 79 patients analysed, 50 were eligible after matching. Both groups showed similar demographics, with 11% experiencing grade III-IV complications, and one patient died within 90 days after surgery. Robotic surgery exhibited longer operating times but allowed for earlier refeeding, drain removal, canalisation, and shorter hospital stays compared with open surgery. Spleen preservation rates, postoperative pancreatic fistula occurrences and survival were comparable between the groups.

Conclusions

Overall, robotic and open distal pancreatectomy demonstrated similar outcomes, with robotic surgery offering advantages in certain postoperative parameters despite longer operation times.

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机器人与开放式远端胰腺切除术：倾向评分匹配分析。

背景：与开放手术相比，微创远端胰腺切除术具有公认的优势。机器人手术，以其较短的学习曲线和技术进步，提供了一个有希望的替代腹腔镜治疗胰腺疾病。方法：本研究纳入2013年1月至2022年5月期间接受远端胰腺切除术的连续患者。倾向评分匹配后，比较机器人手术和开放手术的围手术期和中期结果。结果：79例患者中，经配型后符合条件的有50例。两组的人口统计数据相似，11%的患者出现III-IV级并发症，1名患者在手术后90天内死亡。与开放手术相比，机器人手术表现出更长的手术时间，但允许更早的重新喂食、引流、疏通和更短的住院时间。两组间脾脏保存率、术后胰瘘发生率和生存率具有可比性。结论：总体而言，机器人和开放式远端胰腺切除术的结果相似，尽管手术时间较长，但机器人手术在某些术后参数方面具有优势。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Medical Robotics and Computer Assisted Surgery 医学-外科

CiteScore

4.50

自引率

12.00%

发文量

131

审稿时长

6-12 weeks

期刊介绍： The International Journal of Medical Robotics and Computer Assisted Surgery provides a cross-disciplinary platform for presenting the latest developments in robotics and computer assisted technologies for medical applications. The journal publishes cutting-edge papers and expert reviews, complemented by commentaries, correspondence and conference highlights that stimulate discussion and exchange of ideas. Areas of interest include robotic surgery aids and systems, operative planning tools, medical imaging and visualisation, simulation and navigation, virtual reality, intuitive command and control systems, haptics and sensor technologies. In addition to research and surgical planning studies, the journal welcomes papers detailing clinical trials and applications of computer-assisted workflows and robotic systems in neurosurgery, urology, paediatric, orthopaedic, craniofacial, cardiovascular, thoraco-abdominal, musculoskeletal and visceral surgery. Articles providing critical analysis of clinical trials, assessment of the benefits and risks of the application of these technologies, commenting on ease of use, or addressing surgical education and training issues are also encouraged. The journal aims to foster a community that encompasses medical practitioners, researchers, and engineers and computer scientists developing robotic systems and computational tools in academic and commercial environments, with the intention of promoting and developing these exciting areas of medical technology.