scholarly journals Reduced morbidity with minimally invasive distal pancreatectomy for pancreatic adenocarcinoma

HPB ◽  
2017 ◽  
Vol 19 (3) ◽  
pp. 279-285 ◽  
Author(s):  
Anastasia Plotkin ◽  
Eugene P. Ceppa ◽  
Ben L. Zarzaur ◽  
Elizabeth M. Kilbane ◽  
Taylor S. Riall ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Distal Pancreatectomy ◽  
Pancreatic Adenocarcinoma

scholarly journals Minimally invasive distal pancreatectomy: a case-matched cost-analysis between robot-assisted surgery and direct manual laparoscopy

2021 ◽  
Author(s):  
Gregorio Di Franco ◽  
Andrea Peri ◽  
Valentina Lorenzoni ◽  
Matteo Palmeri ◽  
Niccolò Furbetta ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Cost Analysis ◽  
Distal Pancreatectomy ◽  
Length Of Hospital Stay ◽  
High Volume ◽  
Fixed Costs ◽  
Spleen Preservation ◽  
Robotic Assisted Surgery ◽  
The Mean ◽  
Complications Rate

Abstract Background Few studies have reported a structured cost analysis of robotic distal pancreatectomy (RDP), and none have compared the relative costs between the robotic-assisted surgery (RAS) and the direct manual laparoscopy (DML) in this setting. The aim of the present study is to address this issue by comparing surgical outcomes and costs of RDP and laparoscopic distal pancreatectomies (LDP). Methods Eighty-eight RDP and 47 LDP performed between January 2008 and January 2020 were retrospectively analyzed. Three comparable groups of 35 patients each (Si-RDP-group, Xi-RDP group, LDP-group) were obtained matching 1:1 the RDP-groups with the LDP-group. Overall costs, including overall variable costs (OVC) and fixed costs were compared using generalized linear regression model adjusting for covariates. Results The conversion rate was significantly lower in the Si-RDP-group and Xi-RDP-group: 2.9% and 0%, respectively, versus 14.3% in the LDP-group (p = 0.045). Although not statistically significant, the mean operative time was lower in Xi-RDP-group: 226 min versus 262 min for Si-RDP-group and 247 min for LDP-group. The overall post-operative complications rate and the length of hospital stay (LOS) were not significantly different between the three groups. In LDP-group, the LOS of converted cases was significantly longer: 15.6 versus 9.8 days (p = 0.039). Overall costs of LDP-group were significantly lower than RDP-groups, (p < 0.001). At multivariate analysis OVC resulted no longer statistically significantly different between LDP-group and Xi-RDP-group (p = 0.099), and between LDP-group and the RDP-groups when the spleen preservation was indicated (p = 0.115 and p = 0.261 for Si-RDP-group and Xi-RDP-group, respectively). Conclusions RAS is more expensive than DML for DP because of higher acquisition and maintenance costs. The flattening of these differences considering only the variable costs, in a high-volume multidisciplinary center for RAS, suggests a possible optimization of the costs in this setting. RAS might be particularly indicated for minimally invasive DP when the spleen preservation is scheduled.

Precision vascular anatomy for minimally invasive distal pancreatectomy: A systematic review

2021 ◽  
Author(s):  
Hitoe Nishino ◽  
Giuseppe Zimmitti ◽  
Takao Ohtsuka ◽  
Mohammed Abu Hilal ◽  
Brian K. P. Goh ◽  
...  
Keyword(s):  
Systematic Review ◽  
Minimally Invasive ◽  
Distal Pancreatectomy ◽  
Vascular Anatomy

Preoperative risk factors for conversion and learning curve of minimally invasive distal pancreatectomy

Surgery ◽  
2017 ◽  
Vol 162 (5) ◽  
pp. 1040-1047 ◽  
Author(s):  
Yongfei Hua ◽  
Ammar A. Javed ◽  
Richard A. Burkhart ◽  
Martin A. Makary ◽  
Matthew J. Weiss ◽  
...  
Keyword(s):  
Risk Factors ◽  
Minimally Invasive ◽  
Learning Curve ◽  
Distal Pancreatectomy ◽  
Preoperative Risk ◽  
Preoperative Risk Factors

scholarly journals Epithelial cyst arising in an intrapancreatic accessory spleen: a case report of robotic surgery and review of minimally invasive treatment

BMC Surgery ◽  
2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Tomokatsu Kato ◽  
Yoichi Matsuo ◽  
Goro Ueda ◽  
Yoshinaga Aoyama ◽  
Kan Omi ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Minimally Invasive ◽  
Distal Pancreatectomy ◽  
Accessory Spleen ◽  
Cystic Neoplasm ◽  
Epithelial Cyst ◽  
Robot Assisted ◽  
Invasive Treatment ◽  
Intrapancreatic Accessory Spleen ◽  
Pancreatic Tail

Abstract Background An epithelial cyst in an intrapancreatic accessory spleen (ECIPAS) is rare. We report a case of ECIPAS that was treated with robot-assisted distal pancreatectomy with splenectomy. Case presentation The case was a 59-year-old woman who was referred to our hospital after a pancreatic tail tumor was found on computed tomography prior to surgery for small bowel obstruction at another hospital. A cystic lesion in the pancreatic tail was discovered and evaluated by magnetic resonance imaging and endoscopic ultrasonography. Based on clinical and radiological features, mucinous cystic neoplasm was included in the differential diagnosis. The patient underwent robot-assisted distal pancreatectomy with splenectomy. The postoperative course was uneventful. Pathological evaluation revealed a 20-mm ECIPAS in the pancreatic tail. Conclusions If a pancreatic tail tumor is present, ECIPAS should be included in the differential diagnosis. However, preoperative diagnosis is difficult, and a definitive diagnosis is often not obtained until after surgery. Surgery should be minimally invasive. Laparoscopic distal pancreatectomy has become a standard surgical procedure because it is minimally invasive. Robot-assisted surgery is not only minimally invasive, but also advantageous, because it has a stereoscopic magnifying effect and allows the forceps to move smoothly. Robot-assisted distal pancreatectomy may be a good option, when performing surgery for a pancreatic tail tumor.

Conversion of Minimally Invasive Distal Pancreatectomy: Predictors and Outcomes

2017 ◽  
Vol 24 (12) ◽  
pp. 3725-3731 ◽  
Author(s):  
Ibrahim Nassour ◽  
Sam C. Wang ◽  
Matthew R. Porembka ◽  
Mathew M. Augustine ◽  
Adam C. Yopp ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Distal Pancreatectomy

Minimally Invasive Versus Open Distal Pancreatectomy (LEOPARD)

2019 ◽  
Vol 269 (1) ◽  
pp. 2-9 ◽  
Author(s):  
Thijs de Rooij ◽  
Jony van Hilst ◽  
Hjalmar van Santvoort ◽  
Djamila Boerma ◽  
Peter van den Boezem ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Distal Pancreatectomy ◽  
Open Distal Pancreatectomy
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