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  • van Ramshorst, Tess M. E.Ist Osped Fdn Poliambulanza, Italy; Locat Univ Amsterdam, Netherlands; Canc Ctr Amsterdam, Netherlands (author)

Benchmarking of robotic and laparoscopic spleen-preserving distal pancreatectomy by using two different methods

  • Article/chapterEnglish2023

Publisher, publication year, extent ...

  • 2022-11-02
  • Oxford University Press,2023
  • electronicrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:liu-189921
  • https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-189921URI
  • https://doi.org/10.1093/bjs/znac352DOI

Supplementary language notes

  • Language:English
  • Summary in:English

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  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • Background Benchmarking is an important tool for quality comparison and improvement. However, no benchmark values are available for minimally invasive spleen-preserving distal pancreatectomy, either laparoscopically or robotically assisted. The aim of this study was to establish benchmarks for these techniques using two different methods. Methods Data from patients undergoing laparoscopically or robotically assisted spleen-preserving distal pancreatectomy were extracted from a multicentre database (2006-2019). Benchmarks for 10 outcomes were calculated using the Achievable Benchmark of Care (ABC) and best-patient-in-best-centre methods. Results Overall, 951 laparoscopically assisted (77.3 per cent) and 279 robotically assisted (22.7 per cent) procedures were included. Using the ABC method, the benchmarks for laparoscopically assisted and robotically assisted spleen-preserving distal pancreatectomy respectively were: 150 and 207 min for duration of operation, 55 and 100 ml for blood loss, 3.5 and 1.7 per cent for conversion, 0 and 1.7 per cent for failure to preserve the spleen, 27.3 and 34.0 per cent for overall morbidity, 5.1 and 3.3 per cent for major morbidity, 3.6 and 7.1 per cent for pancreatic fistula grade B/C, 5 and 6 days for duration of hospital stay, 2.9 and 5.4 per cent for readmissions, and 0 and 0 per cent for 90-day mortality. Best-patient-in-best-centre methodology revealed milder benchmark cut-offs for laparoscopically and robotically assisted procedures, with operating times of 254 and 262.5 min, blood loss of 150 and 195 ml, conversion rates of 5.8 and 8.2 per cent, rates of failure to salvage spleen of 29.9 and 27.3 per cent, overall morbidity rates of 62.7 and 55.7 per cent, major morbidity rates of 20.4 and 14 per cent, POPF B/C rates of 23.8 and 24.2 per cent, duration of hospital stay of 8 and 8 days, readmission rates of 20 and 15.1 per cent, and 90-day mortality rates of 0 and 0 per cent respectively. Conclusion Two benchmark methods for minimally invasive distal pancreatectomy produced different values, and should be interpreted and applied differently. This study established benchmark values for laparoscopically and robotically assisted spleen-preserving distal pancreatectomy in both unselected and low-risk patients using two validated methodologies. The benchmark values require different interpretation and application based on the purpose of benchmarking and the patient cohort, and can be used for in-hospital and interhospital comparison and improvement purposes.

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Added entries (persons, corporate bodies, meetings, titles ...)

  • Giani, AlessandroASST Grande Osped Metropolitano Niguarda, Italy (author)
  • Mazzola, MicheleASST Grande Osped Metropolitano Niguarda, Italy (author)
  • Dokmak, SafiBeaujon Hosp, France (author)
  • Fteriche, Fadhel SamirBeaujon Hosp, France (author)
  • Esposito, AlessandroVerona Univ Hosp, Italy (author)
  • de Pastena, MatteoVerona Univ Hosp, Italy (author)
  • Lof, SanneLocat Univ Amsterdam, Netherlands; Canc Ctr Amsterdam, Netherlands (author)
  • Edwin, BjornUniv Oslo, Norway; Univ Oslo, Norway; Univ Oslo, Norway (author)
  • Sahakyan, MusheghOslo Univ Hosp, Norway (author)
  • Boggi, UgoUniv Hosp Pisa, Italy (author)
  • Kauffman, Emanuele FedericoUniv Hosp Pisa, Italy (author)
  • Fabre, Jean MichelSt Eloi Hosp, France (author)
  • Souche, Regis FrancoisSt Eloi Hosp, France (author)
  • Zerbi, AlessandroHumanitas Univ, Italy; IRCCS Humanitas Res Hosp, Italy (author)
  • Butturini, GiovanniPederzoli Hosp, Italy (author)
  • Molenaar, QuintusUMC Utrecht Canc Ctr, Netherlands; Univ Med Ctr Utrecht, Netherlands (author)
  • Al-Sarireh, BilalMorriston Hosp, Wales (author)
  • Marino, Marco VGen & Emergency Surg Dept, Italy; Ist Villa Salus, Italy (author)
  • Keck, TobiasUniv Med Ctr Schleswig Holstein, Germany (author)
  • White, Steven A.Freeman Rd Hosp, England (author)
  • Casadei, RiccardoSt Orsola Malphigi Hosp, Italy (author)
  • Burdio, FernandoUniv Hosp del Mar, Spain (author)
  • Björnsson, Bergthor,1975-Linköpings universitet,Avdelningen för kirurgi, ortopedi och onkologi,Medicinska fakulteten,Region Östergötland, Kirurgiska kliniken US(Swepub:liu)berbj34 (author)
  • Soonawalla, ZahirOxford Univ Hosp, England (author)
  • Koerkamp, Bas GrootErasmus MC, Netherlands (author)
  • Fusai, Giuseppe KitoRoyal Free London, England (author)
  • Pessaux, PatrickUniv Hosp, France (author)
  • Jah, AsifCambridge Univ Hosp NHS Fdn Trust, England (author)
  • Pietrabissa, AndreaFdn IRCCS Policlin San Matteo, Italy (author)
  • Hackert, ThiloHeidelberg Univ Hosp, Germany (author)
  • DHondt, MathieuGroeninge Hosp, Belgium (author)
  • Pando, ElizabethVall dHebron Univ Hosp, Spain (author)
  • Besselink, Marc G.Locat Univ Amsterdam, Netherlands; Canc Ctr Amsterdam, Netherlands (author)
  • Ferrari, GiovanniASST Grande Osped Metropolitano Niguarda, Italy (author)
  • Abu Hilaland, MohammadIst Osped Fdn Poliambulanza, Italy; Univ Hosp Southampton NHS Fdn Trust, England (author)
  • Ist Osped Fdn Poliambulanza, Italy; Locat Univ Amsterdam, Netherlands; Canc Ctr Amsterdam, NetherlandsASST Grande Osped Metropolitano Niguarda, Italy (creator_code:org_t)

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  • In:British Journal of Surgery: Oxford University Press110:1, s. 76-830007-13231365-2168

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