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• W3208485905 abstract "Purpose: Robotic surgery may improve surgical performance during minimally invasive pancreatoduodenectomy as compared to 3D- and 2D-laparoscopy but comparative studies are lacking. This study assessed the impact of robotic surgery versus 3D- and 2D-laparoscopy on surgical performance and operative time using a standardized biotissue model for pancreatico- and hepatico-jejunostomy using pooled data from two randomized controlled crossover trials (RCTs). Method: Pooled analysis of data from two RCTs with 60 participants (36 surgeons, 24 residents) from 11 countries (December 2017 - July 2019). Each included participant completed two pancreatico- and two hepatico-jejunostomies in biotissue using both 3D- and 2D-robotic surgery, or 3D- and 2D-laparoscopy. Primary outcomes were the objective structured assessment of technical skills (OSATS; 12-60) rating, scored by observers blinded for 3D/2D and the operative time required to complete both anastomoses. Sensitivity analysis excluded participants with excess experience compared to others. Results: A total of 220 anastomoses were completed (robotic 80, 3D-laparoscopy 70, 2D-laparoscopy 70). Participants in the robotic group had less surgical experience (median 1 [0-2] versus 6 years [4-12], p < 0.001), as compared to the laparoscopic group. Robotic surgery resulted in better OSATS ratings (50, 43, 39 points, p = .021 and p <.001) and shorter operative time (56.5, 65.0, 81.5 min, p = .055 and p <.001), as compared to 3D- and 2D-laparoscopy, respectively, which remained in the sensitivity analysis. Conclusion: In a pooled analysis of two RCTs, robotic surgery resulted in better surgical performance scores and shorter operative time for biotissue pancreatic and biliary anastomoses, as compared to 3D- and 2D-laparoscopy." @default.
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• W3208485905 date "2021-01-01" @default.
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• W3208485905 title "Performance with Robotic Surgery versus 3D- and 2D-laparoscopy during Pancreatic and Biliary Anastomoses in a Biotissue Model: Pooled Analysis of Two Randomized Trials" @default.
• W3208485905 doi "https://doi.org/10.1016/j.hpb.2021.08.107" @default.
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