The safety and feasibility of robotic pancreaticoduodenectomy: A multicenter retrospective assessment of 425 patients in Japan.

IF 3.2 3区医学 Q2 GASTROENTEROLOGY & HEPATOLOGY

Journal of Hepato‐Biliary‐Pancreatic Sciences Pub Date : 2024-12-23 DOI:10.1002/jhbp.12101

So Nakamura, Kohei Nakata, Yuichi Nagakawa, Shingo Kozono, Go Wakabayashi, Taiga Wakabayashi, Ichiro Uyama, Takeshi Takahara, Yutaka Takeda, Yoshiaki Ohmura, Saiho Ko, Ayumi Nishioka, Sho Kiritani, Yosuke Inoue, Tomohiko Adachi, Susumu Eguchi, Mamoru Morimoto, Yoichi Matsuo, Hiroshi Kurahara, Takao Ohtsuka, Masafumi Nakamura

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引用次数: 0

Abstract

Background/purpose: The Japanese public health insurance system has recently covered robotic pancreaticoduodenectomy (RPD). This study aimed to review the results of RPD during the introductory period and elucidate its safety and feasibility in Japan.

Methods: Consecutive data of 425 patients who underwent RPD were retrospectively collected from 10 high-volume centers in Japan between April 2020 and September 2022. The primary endpoints were the rates of conversion to open surgery and completion of minimally invasive surgery (MIS), defined as the use of a totally robotic operation or combined robotic and laparoscopic procedures. Secondary endpoints were operative time, blood loss, complication rate, and 30- and 90-day mortality rates.

Results: Study comprised 222 males and 203 females, with a median age of 70 (p10-p90; 50-81) years. The conversion to open surgery and completion rates of MIS were 3.8% (16 patients) and 91.1% (387 patients), respectively. The median operative time was 617 min (p10-p90; 456-834 min), and the median volume of blood loss was 160 g (p10-p90; 30-558 g). The complication rate (Clavien-Dindo classification grade ≥ IIIa) was 20.5%. The 30- and 90-day mortality rates were 0.2% and 0.5%, respectively.

Conclusions: Our results indicate that RPD can be introduced successfully and is a promising approach for pancreaticoduodenectomy.

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机器人胰十二指肠切除术的安全性和可行性：日本425例患者的多中心回顾性评估。

背景/目的：日本公共健康保险系统最近覆盖了机器人胰十二指肠切除术（RPD）。本研究旨在回顾RPD在初期的研究结果，并阐明其在日本的安全性和可行性。方法：回顾性收集日本10个大容量中心2020年4月至2022年9月期间接受RPD治疗的425例患者的连续数据。主要终点是转向开放手术的比率和微创手术（MIS）的完成率，定义为使用完全机器人手术或机器人和腹腔镜联合手术。次要终点为手术时间、出血量、并发症发生率、30天和90天死亡率。结果：研究纳入222名男性和203名女性，中位年龄为70岁(p10-p90；50 - 81)年。开放手术转换率为3.8%（16例），MIS完成率为91.1%（387例）。中位手术时间为617 min (p10-p90；456 ~ 834 min)，中位失血量为160 g (p10 ~ p90；30 - 558克)。并发症发生率（Clavien-Dindo分级≥IIIa）为20.5%。30天和90天的死亡率分别为0.2%和0.5%。结论：RPD是一种可行的胰十二指肠切除术方法。

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

Journal of Hepato‐Biliary‐Pancreatic Sciences GASTROENTEROLOGY & HEPATOLOGY-SURGERY

自引率

10.00%

发文量

178

审稿时长

6-12 weeks

期刊介绍： The Journal of Hepato-Biliary-Pancreatic Sciences (JHBPS) is the leading peer-reviewed journal in the field of hepato-biliary-pancreatic sciences. JHBPS publishes articles dealing with clinical research as well as translational research on all aspects of this field. Coverage includes Original Article, Review Article, Images of Interest, Rapid Communication and an announcement section. Letters to the Editor and comments on the journal’s policies or content are also included. JHBPS welcomes submissions from surgeons, physicians, endoscopists, radiologists, oncologists, and pathologists.