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- W2895588374 abstract "Robot surgery is a novel platform that maintains advantages and overcomes disadvantages of conventional methods, even pancreaticoduodenectomy is a difficult and complex operation. This study aimed to evaluate safety and feasibility of robotic pancreaticoduodenectomy (RPD). Retrospective review of a prospective database of RPD for periampullary lesions between December 2015 and January 2018. Thirty patients with mean age of 55.3 years underwent attempted RPD. No one required conversion to open procedure. Totally mean operative time was 461.8 min (range 350-754) with 514 min of initial 10 cases and 410 min of last 10 cases. Perioperative transfusion was required in 2 patients. For pancreatojejunostomy, all were performed duct-to-mucosa anastomosis, with internal stent (28 cases, 93.3%). Diagnosis was ampullary carcinoma (n= 12), pancreatic adenocarcinoma (n = 7), and bile duct adenocarcinoma (n=5), intraductal papillary mucinous neoplasm (n = 3), neuroendocrine tumor (n = 2), and metastatic renal cell carcinoma (n = 1). Median tumor size was 2.4 cm and the median number of lymph nodes harvested was 16 (range, 7-32). The margin-negative resection rate was 93.3% and metastatic lymph nodes were found 11 patients (36.6%). Pancreatic fistula occurred in 7 patients (23.3%) of grade A and 3 (10%) of grade B. Delayed gastric emptying occurred in 1 patient and wound problem in 2. No one occurred mortality. Median length of postoperative stay was 11 days (range, 7-34 days). RPD can be performed with safety and oncologic outcomes. This procedure holds promise for providing advantages seen with minimally invasive approaches in other procedures." @default.
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- W2895588374 date "2018-09-01" @default.
- W2895588374 modified "2023-10-16" @default.
- W2895588374 title "Robotic pancreaticoduodenectomy: surgical outcomes of consecutive 30 cases" @default.
- W2895588374 doi "https://doi.org/10.1016/j.hpb.2018.06.177" @default.
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