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Total robotic pancreaticoduodenectomy: a systematic review of the literature.

Publication ,  Journal Article
Kornaropoulos, M; Moris, D; Beal, EW; Makris, MC; Mitrousias, A; Petrou, A; Felekouras, E; Michalinos, A; Vailas, M; Schizas, D; Papalampros, A
Published in: Surgical endoscopy
November 2017

Pancreaticoduodenectomy (PD) is a complex operation with high perioperative morbidity and mortality, even in the highest volume centers. Since the development of the robotic platform, the number of reports on robotic-assisted pancreatic surgery has been on the rise. This article reviews the current state of completely robotic PD.A systematic literature search was performed including studies published between January 2000 and July 2016 reporting PDs in which all procedural steps (dissection, resection and reconstruction) were performed robotically.Thirteen studies met the inclusion criteria, including a total of 738 patients. Data regarding perioperative outcomes such as operative time, blood loss, mortality, morbidity, conversion and oncologic outcomes were analyzed. No major differences were observed in mortality, morbidity and oncologic parameters, between robotic and non-robotic approaches. However, operative time was longer in robotic PD, whereas the estimated blood loss was lower. The conversion rate to laparotomy was 6.5-7.8%.Robotic PD is feasible and safe in high-volume institutions, where surgeons are experienced and medical staff are appropriately trained. Randomized controlled trials are required to further investigate outcomes of robotic PD. Additionally, cost analysis and data on long-term oncologic outcomes are needed to evaluate cost-effectiveness of the robotic approach in comparison with the open technique.

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Published In

Surgical endoscopy

DOI

EISSN

1432-2218

ISSN

0930-2794

Publication Date

November 2017

Volume

31

Issue

11

Start / End Page

4382 / 4392

Related Subject Headings

  • Surgery
  • Robotics
  • Robotic Surgical Procedures
  • Postoperative Complications
  • Pancreaticoduodenectomy
  • Pancreatic Neoplasms
  • Operative Time
  • Male
  • Length of Stay
  • Humans
 

Citation

APA
Chicago
ICMJE
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Kornaropoulos, M., Moris, D., Beal, E. W., Makris, M. C., Mitrousias, A., Petrou, A., … Papalampros, A. (2017). Total robotic pancreaticoduodenectomy: a systematic review of the literature. Surgical Endoscopy, 31(11), 4382–4392. https://doi.org/10.1007/s00464-017-5523-z
Kornaropoulos, Michail, Demetrios Moris, Eliza W. Beal, Marinos C. Makris, Apostolos Mitrousias, Athanasios Petrou, Evangelos Felekouras, et al. “Total robotic pancreaticoduodenectomy: a systematic review of the literature.Surgical Endoscopy 31, no. 11 (November 2017): 4382–92. https://doi.org/10.1007/s00464-017-5523-z.
Kornaropoulos M, Moris D, Beal EW, Makris MC, Mitrousias A, Petrou A, et al. Total robotic pancreaticoduodenectomy: a systematic review of the literature. Surgical endoscopy. 2017 Nov;31(11):4382–92.
Kornaropoulos, Michail, et al. “Total robotic pancreaticoduodenectomy: a systematic review of the literature.Surgical Endoscopy, vol. 31, no. 11, Nov. 2017, pp. 4382–92. Epmc, doi:10.1007/s00464-017-5523-z.
Kornaropoulos M, Moris D, Beal EW, Makris MC, Mitrousias A, Petrou A, Felekouras E, Michalinos A, Vailas M, Schizas D, Papalampros A. Total robotic pancreaticoduodenectomy: a systematic review of the literature. Surgical endoscopy. 2017 Nov;31(11):4382–4392.
Journal cover image

Published In

Surgical endoscopy

DOI

EISSN

1432-2218

ISSN

0930-2794

Publication Date

November 2017

Volume

31

Issue

11

Start / End Page

4382 / 4392

Related Subject Headings

  • Surgery
  • Robotics
  • Robotic Surgical Procedures
  • Postoperative Complications
  • Pancreaticoduodenectomy
  • Pancreatic Neoplasms
  • Operative Time
  • Male
  • Length of Stay
  • Humans