Reduced port minimally invasive distal pancreatectomy: single-port laparoscopic versus robotic single-site plus one-port distal pancreatectomy

Hyung Joon Han, Chang Moo Kang

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Background: Minimally invasive surgery appears to be developing in multiple directions, including single-port laparoscopic (SPL), single-port robotic, reduced port laparoscopic, or single-site plus one-port robotic approach. The aim of study was to compare the short-term perioperative variables and outcomes of patients undergoing reduced port minimally invasive distal pancreatectomy (DP) via the SPL, or robotic single-site plus one-port (RSS + 1) approach. Methods: The medical records of 35 patients were retrospectively reviewed, who underwent SPL-DP (n = 22) or RSS + 1 DP (n = 13) at Korea University Ansan Hospital and Yonsei University Severance Hospital. Results: The mean operation time in SPL group was significantly higher than that of RSS + 1 group (281 vs 192, p =.001). The mean blood loss in SPL was significantly larger than that of RSS + 1 group (163 vs 12, p =.002). The mean length of free resection margin in SPL group was significantly longer than that of RSS + 1 group (2.1 vs 0.4 cm, p =.001). Spleen was significantly preserved in SPL group (54.5 vs 7.7%, p =.001). All RSS + 1 cases had tumors located near spleen hilum (p <.001). SPL approach had significantly grade IIIa complications (p =.014). Moreover, the mean hospital stay in SPL group was significantly longer than that of RSS + 1 group (14.4 vs 7.4 days, p =.004). Postoperative pancreatic fistula (POPF) was significantly observed in longer operation time (p =.043) and smaller tumor size (p =.037) in the univariate analysis. Higher BMI was significantly important factor for prolonged operation time (p =.034) in the multivariate analysis. Prolonged hospital stay was related to spleen preservation (p =.014) in the multivariate analysis. Conclusions: Both SPL and RSS + 1 are technically feasible and safe. RSS + 1-DP is superior to SPL-DP in terms of operation time, blood loss, severe complications, and hospital stay. SPL-DP shows advantages in terms of single wound site, less trocar usage, higher rate of spleen preservation, and wider range of operative field.

Original languageEnglish
Pages (from-to)1091-1099
Number of pages9
JournalSurgical endoscopy
Volume33
Issue number4
DOIs
Publication statusPublished - 2019 Apr 15

Fingerprint

Pancreatectomy
Robotics
Spleen
Length of Stay
Multivariate Analysis
Pancreatic Fistula
Minimally Invasive Surgical Procedures
Korea
Surgical Instruments
Medical Records
Neoplasms
Wounds and Injuries

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

@article{451f71753b6e48d383efb6b393d195f9,
title = "Reduced port minimally invasive distal pancreatectomy: single-port laparoscopic versus robotic single-site plus one-port distal pancreatectomy",
abstract = "Background: Minimally invasive surgery appears to be developing in multiple directions, including single-port laparoscopic (SPL), single-port robotic, reduced port laparoscopic, or single-site plus one-port robotic approach. The aim of study was to compare the short-term perioperative variables and outcomes of patients undergoing reduced port minimally invasive distal pancreatectomy (DP) via the SPL, or robotic single-site plus one-port (RSS + 1) approach. Methods: The medical records of 35 patients were retrospectively reviewed, who underwent SPL-DP (n = 22) or RSS + 1 DP (n = 13) at Korea University Ansan Hospital and Yonsei University Severance Hospital. Results: The mean operation time in SPL group was significantly higher than that of RSS + 1 group (281 vs 192, p =.001). The mean blood loss in SPL was significantly larger than that of RSS + 1 group (163 vs 12, p =.002). The mean length of free resection margin in SPL group was significantly longer than that of RSS + 1 group (2.1 vs 0.4 cm, p =.001). Spleen was significantly preserved in SPL group (54.5 vs 7.7{\%}, p =.001). All RSS + 1 cases had tumors located near spleen hilum (p <.001). SPL approach had significantly grade IIIa complications (p =.014). Moreover, the mean hospital stay in SPL group was significantly longer than that of RSS + 1 group (14.4 vs 7.4 days, p =.004). Postoperative pancreatic fistula (POPF) was significantly observed in longer operation time (p =.043) and smaller tumor size (p =.037) in the univariate analysis. Higher BMI was significantly important factor for prolonged operation time (p =.034) in the multivariate analysis. Prolonged hospital stay was related to spleen preservation (p =.014) in the multivariate analysis. Conclusions: Both SPL and RSS + 1 are technically feasible and safe. RSS + 1-DP is superior to SPL-DP in terms of operation time, blood loss, severe complications, and hospital stay. SPL-DP shows advantages in terms of single wound site, less trocar usage, higher rate of spleen preservation, and wider range of operative field.",
author = "Han, {Hyung Joon} and Kang, {Chang Moo}",
year = "2019",
month = "4",
day = "15",
doi = "10.1007/s00464-018-6361-3",
language = "English",
volume = "33",
pages = "1091--1099",
journal = "Surgical Endoscopy",
issn = "0930-2794",
publisher = "Springer New York",
number = "4",

}

TY - JOUR

T1 - Reduced port minimally invasive distal pancreatectomy

T2 - single-port laparoscopic versus robotic single-site plus one-port distal pancreatectomy

AU - Han, Hyung Joon

AU - Kang, Chang Moo

PY - 2019/4/15

Y1 - 2019/4/15

N2 - Background: Minimally invasive surgery appears to be developing in multiple directions, including single-port laparoscopic (SPL), single-port robotic, reduced port laparoscopic, or single-site plus one-port robotic approach. The aim of study was to compare the short-term perioperative variables and outcomes of patients undergoing reduced port minimally invasive distal pancreatectomy (DP) via the SPL, or robotic single-site plus one-port (RSS + 1) approach. Methods: The medical records of 35 patients were retrospectively reviewed, who underwent SPL-DP (n = 22) or RSS + 1 DP (n = 13) at Korea University Ansan Hospital and Yonsei University Severance Hospital. Results: The mean operation time in SPL group was significantly higher than that of RSS + 1 group (281 vs 192, p =.001). The mean blood loss in SPL was significantly larger than that of RSS + 1 group (163 vs 12, p =.002). The mean length of free resection margin in SPL group was significantly longer than that of RSS + 1 group (2.1 vs 0.4 cm, p =.001). Spleen was significantly preserved in SPL group (54.5 vs 7.7%, p =.001). All RSS + 1 cases had tumors located near spleen hilum (p <.001). SPL approach had significantly grade IIIa complications (p =.014). Moreover, the mean hospital stay in SPL group was significantly longer than that of RSS + 1 group (14.4 vs 7.4 days, p =.004). Postoperative pancreatic fistula (POPF) was significantly observed in longer operation time (p =.043) and smaller tumor size (p =.037) in the univariate analysis. Higher BMI was significantly important factor for prolonged operation time (p =.034) in the multivariate analysis. Prolonged hospital stay was related to spleen preservation (p =.014) in the multivariate analysis. Conclusions: Both SPL and RSS + 1 are technically feasible and safe. RSS + 1-DP is superior to SPL-DP in terms of operation time, blood loss, severe complications, and hospital stay. SPL-DP shows advantages in terms of single wound site, less trocar usage, higher rate of spleen preservation, and wider range of operative field.

AB - Background: Minimally invasive surgery appears to be developing in multiple directions, including single-port laparoscopic (SPL), single-port robotic, reduced port laparoscopic, or single-site plus one-port robotic approach. The aim of study was to compare the short-term perioperative variables and outcomes of patients undergoing reduced port minimally invasive distal pancreatectomy (DP) via the SPL, or robotic single-site plus one-port (RSS + 1) approach. Methods: The medical records of 35 patients were retrospectively reviewed, who underwent SPL-DP (n = 22) or RSS + 1 DP (n = 13) at Korea University Ansan Hospital and Yonsei University Severance Hospital. Results: The mean operation time in SPL group was significantly higher than that of RSS + 1 group (281 vs 192, p =.001). The mean blood loss in SPL was significantly larger than that of RSS + 1 group (163 vs 12, p =.002). The mean length of free resection margin in SPL group was significantly longer than that of RSS + 1 group (2.1 vs 0.4 cm, p =.001). Spleen was significantly preserved in SPL group (54.5 vs 7.7%, p =.001). All RSS + 1 cases had tumors located near spleen hilum (p <.001). SPL approach had significantly grade IIIa complications (p =.014). Moreover, the mean hospital stay in SPL group was significantly longer than that of RSS + 1 group (14.4 vs 7.4 days, p =.004). Postoperative pancreatic fistula (POPF) was significantly observed in longer operation time (p =.043) and smaller tumor size (p =.037) in the univariate analysis. Higher BMI was significantly important factor for prolonged operation time (p =.034) in the multivariate analysis. Prolonged hospital stay was related to spleen preservation (p =.014) in the multivariate analysis. Conclusions: Both SPL and RSS + 1 are technically feasible and safe. RSS + 1-DP is superior to SPL-DP in terms of operation time, blood loss, severe complications, and hospital stay. SPL-DP shows advantages in terms of single wound site, less trocar usage, higher rate of spleen preservation, and wider range of operative field.

UR - http://www.scopus.com/inward/record.url?scp=85049663748&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85049663748&partnerID=8YFLogxK

U2 - 10.1007/s00464-018-6361-3

DO - 10.1007/s00464-018-6361-3

M3 - Article

C2 - 29998392

AN - SCOPUS:85049663748

VL - 33

SP - 1091

EP - 1099

JO - Surgical Endoscopy

JF - Surgical Endoscopy

SN - 0930-2794

IS - 4

ER -