Initial experiences using robot-assisted central pancreatectomy with pancreaticogastrostomy: A potential way to advanced laparoscopic pancreatectomy

Chang Moo Kang, Dong Hyun Kim, Woo Jung Lee, Hoon Sang Chi

Research output: Contribution to journalArticle

52 Citations (Scopus)

Abstract

Background: Benign and borderline malignant pancreatic tumors are increasing. Function-preserving and minimally invasive pancreatectomy may be an ideal approach for these tumors. Methods: The authors retrospectively evaluated their initial experiences with five consecutive robotic central pancreatectomies (CPs). They also compared the perioperative outcome for open CPs performed in their institution. Results: The five women in the study had a median age of 45 years (range 36-64 years). A solid pseudopapillary tumor of the pancreas was found in four patients, and a pancreatic endocrine tumor was found in one patient. The tumor was relatively small (median size, 1.5 cm; range, 1-2 cm). All remnant pancreases were managed using pancreaticogastrostomy. The median operation time was 480 min (range 360-480 min), and the median estimated intraoperative bleeding was 200 ml (range 100-600 ml). No transfusion was given during the perioperative period. The median hospital stay was 12 days (range 9-28 days). Only one patient experienced postoperative pancreatic fistula (grade B), which was managed using the percutaneous drainage procedure. No operative morality was noted. In a comparative analysis with open CP, the robotic CP group demonstrated a smaller asymptomatic (17 out of 10 patients vs none, p = 0.026) tumor (5.9 ± 6.4 vs 1.4 ± 0.4 cm; p = 0.055), a longer operation time (286.5 ± 90.2 vs 432.0 ± 65.7 min, p = 0.013), and less intraoperative bleeding (432.0 ± 65.7 vs 286.5 ± 90.2 ml, p = 0.013). Conclusion: Central pancreatectomy can be selected carefully as an appropriate surgical option for benign and borderline malignant lesions limited to the pancreatic neck area. The robotic surgical system may allow surgeons to perform complex and difficult laparoscopic procedures more easily, effectively, and precisely.

Original languageEnglish
Pages (from-to)1101-1106
Number of pages6
JournalSurgical endoscopy
Volume25
Issue number4
DOIs
Publication statusPublished - 2011 Apr

Fingerprint

Pancreatectomy
Robotics
Neoplasms
Pancreas
Hemorrhage
Pancreatic Fistula
Perioperative Period
Drainage
Length of Stay

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

@article{1441aa09ad454f52b27f482d2729515f,
title = "Initial experiences using robot-assisted central pancreatectomy with pancreaticogastrostomy: A potential way to advanced laparoscopic pancreatectomy",
abstract = "Background: Benign and borderline malignant pancreatic tumors are increasing. Function-preserving and minimally invasive pancreatectomy may be an ideal approach for these tumors. Methods: The authors retrospectively evaluated their initial experiences with five consecutive robotic central pancreatectomies (CPs). They also compared the perioperative outcome for open CPs performed in their institution. Results: The five women in the study had a median age of 45 years (range 36-64 years). A solid pseudopapillary tumor of the pancreas was found in four patients, and a pancreatic endocrine tumor was found in one patient. The tumor was relatively small (median size, 1.5 cm; range, 1-2 cm). All remnant pancreases were managed using pancreaticogastrostomy. The median operation time was 480 min (range 360-480 min), and the median estimated intraoperative bleeding was 200 ml (range 100-600 ml). No transfusion was given during the perioperative period. The median hospital stay was 12 days (range 9-28 days). Only one patient experienced postoperative pancreatic fistula (grade B), which was managed using the percutaneous drainage procedure. No operative morality was noted. In a comparative analysis with open CP, the robotic CP group demonstrated a smaller asymptomatic (17 out of 10 patients vs none, p = 0.026) tumor (5.9 ± 6.4 vs 1.4 ± 0.4 cm; p = 0.055), a longer operation time (286.5 ± 90.2 vs 432.0 ± 65.7 min, p = 0.013), and less intraoperative bleeding (432.0 ± 65.7 vs 286.5 ± 90.2 ml, p = 0.013). Conclusion: Central pancreatectomy can be selected carefully as an appropriate surgical option for benign and borderline malignant lesions limited to the pancreatic neck area. The robotic surgical system may allow surgeons to perform complex and difficult laparoscopic procedures more easily, effectively, and precisely.",
author = "Kang, {Chang Moo} and Kim, {Dong Hyun} and Lee, {Woo Jung} and Chi, {Hoon Sang}",
year = "2011",
month = "4",
doi = "10.1007/s00464-010-1324-3",
language = "English",
volume = "25",
pages = "1101--1106",
journal = "Surgical Endoscopy",
issn = "0930-2794",
publisher = "Springer New York",
number = "4",

}

Initial experiences using robot-assisted central pancreatectomy with pancreaticogastrostomy : A potential way to advanced laparoscopic pancreatectomy. / Kang, Chang Moo; Kim, Dong Hyun; Lee, Woo Jung; Chi, Hoon Sang.

In: Surgical endoscopy, Vol. 25, No. 4, 04.2011, p. 1101-1106.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Initial experiences using robot-assisted central pancreatectomy with pancreaticogastrostomy

T2 - A potential way to advanced laparoscopic pancreatectomy

AU - Kang, Chang Moo

AU - Kim, Dong Hyun

AU - Lee, Woo Jung

AU - Chi, Hoon Sang

PY - 2011/4

Y1 - 2011/4

N2 - Background: Benign and borderline malignant pancreatic tumors are increasing. Function-preserving and minimally invasive pancreatectomy may be an ideal approach for these tumors. Methods: The authors retrospectively evaluated their initial experiences with five consecutive robotic central pancreatectomies (CPs). They also compared the perioperative outcome for open CPs performed in their institution. Results: The five women in the study had a median age of 45 years (range 36-64 years). A solid pseudopapillary tumor of the pancreas was found in four patients, and a pancreatic endocrine tumor was found in one patient. The tumor was relatively small (median size, 1.5 cm; range, 1-2 cm). All remnant pancreases were managed using pancreaticogastrostomy. The median operation time was 480 min (range 360-480 min), and the median estimated intraoperative bleeding was 200 ml (range 100-600 ml). No transfusion was given during the perioperative period. The median hospital stay was 12 days (range 9-28 days). Only one patient experienced postoperative pancreatic fistula (grade B), which was managed using the percutaneous drainage procedure. No operative morality was noted. In a comparative analysis with open CP, the robotic CP group demonstrated a smaller asymptomatic (17 out of 10 patients vs none, p = 0.026) tumor (5.9 ± 6.4 vs 1.4 ± 0.4 cm; p = 0.055), a longer operation time (286.5 ± 90.2 vs 432.0 ± 65.7 min, p = 0.013), and less intraoperative bleeding (432.0 ± 65.7 vs 286.5 ± 90.2 ml, p = 0.013). Conclusion: Central pancreatectomy can be selected carefully as an appropriate surgical option for benign and borderline malignant lesions limited to the pancreatic neck area. The robotic surgical system may allow surgeons to perform complex and difficult laparoscopic procedures more easily, effectively, and precisely.

AB - Background: Benign and borderline malignant pancreatic tumors are increasing. Function-preserving and minimally invasive pancreatectomy may be an ideal approach for these tumors. Methods: The authors retrospectively evaluated their initial experiences with five consecutive robotic central pancreatectomies (CPs). They also compared the perioperative outcome for open CPs performed in their institution. Results: The five women in the study had a median age of 45 years (range 36-64 years). A solid pseudopapillary tumor of the pancreas was found in four patients, and a pancreatic endocrine tumor was found in one patient. The tumor was relatively small (median size, 1.5 cm; range, 1-2 cm). All remnant pancreases were managed using pancreaticogastrostomy. The median operation time was 480 min (range 360-480 min), and the median estimated intraoperative bleeding was 200 ml (range 100-600 ml). No transfusion was given during the perioperative period. The median hospital stay was 12 days (range 9-28 days). Only one patient experienced postoperative pancreatic fistula (grade B), which was managed using the percutaneous drainage procedure. No operative morality was noted. In a comparative analysis with open CP, the robotic CP group demonstrated a smaller asymptomatic (17 out of 10 patients vs none, p = 0.026) tumor (5.9 ± 6.4 vs 1.4 ± 0.4 cm; p = 0.055), a longer operation time (286.5 ± 90.2 vs 432.0 ± 65.7 min, p = 0.013), and less intraoperative bleeding (432.0 ± 65.7 vs 286.5 ± 90.2 ml, p = 0.013). Conclusion: Central pancreatectomy can be selected carefully as an appropriate surgical option for benign and borderline malignant lesions limited to the pancreatic neck area. The robotic surgical system may allow surgeons to perform complex and difficult laparoscopic procedures more easily, effectively, and precisely.

UR - http://www.scopus.com/inward/record.url?scp=79954442836&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79954442836&partnerID=8YFLogxK

U2 - 10.1007/s00464-010-1324-3

DO - 10.1007/s00464-010-1324-3

M3 - Article

C2 - 20835724

AN - SCOPUS:79954442836

VL - 25

SP - 1101

EP - 1106

JO - Surgical Endoscopy

JF - Surgical Endoscopy

SN - 0930-2794

IS - 4

ER -