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  • Chen, JeffreyAmsterdam UMC, Netherlands; Canc Ctr Amsterdam, Netherlands (author)

Robot-Assisted Versus Laparoscopic Distal Pancreatectomy in Patients with Resectable Pancreatic Cancer: An International, Retrospective, Cohort Study

  • Article/chapterEnglish2023

Publisher, publication year, extent ...

  • 2023-02-17
  • SPRINGER,2023
  • electronicrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:liu-192494
  • https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-192494URI
  • https://doi.org/10.1245/s10434-022-13054-2DOI

Supplementary language notes

  • Language:English
  • Summary in:English

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

Notes

  • BackgroundRobot-assisted distal pancreatectomy (RDP) is increasingly used as an alternative to laparoscopic distal pancreatectomy (LDP) in patients with resectable pancreatic cancer but comparative multicenter studies confirming the safety and efficacy of RDP are lacking.MethodsAn international, multicenter, retrospective, cohort study, including consecutive patients undergoing RDP and LDP for resectable pancreatic cancer in 33 experienced centers from 11 countries (2010-2019). The primary outcome was R0-resection. Secondary outcomes included lymph node yield, major complications, conversion rate, and overall survival.ResultsIn total, 542 patients after minimally invasive distal pancreatectomy were included: 103 RDP (19%) and 439 LDP (81%). The R0-resection rate was comparable (75.7% RDP vs. 69.3% LDP, p = 0.404). RDP was associated with longer operative time (290 vs. 240 min, p < 0.001), more vascular resections (7.6% vs. 2.7%, p = 0.030), lower conversion rate (4.9% vs. 17.3%, p = 0.001), more major complications (26.2% vs. 16.3%, p = 0.019), improved lymph node yield (18 vs. 16, p = 0.021), and longer hospital stay (10 vs. 8 days, p = 0.001). The 90-day mortality (1.9% vs. 0.7%, p = 0.268) and overall survival (median 28 vs. 31 months, p = 0.599) did not differ significantly between RDP and LDP, respectively.ConclusionsIn selected patients with resectable pancreatic cancer, RDP and LDP provide a comparable R0-resection rate and overall survival in experienced centers. Although the lymph node yield and conversion rate appeared favorable after RDP, LDP was associated with shorter operating time, less major complications, and shorter hospital stay. The specific benefits associated with each approach should be confirmed by multicenter, randomized trials.

Subject headings and genre

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

  • van Ramshorst, Tess M. E.Amsterdam UMC, Netherlands; Canc Ctr Amsterdam, Netherlands; Ist Osped Fdn Poliambulanza, Italy (author)
  • Lof, SanneAmsterdam UMC, Netherlands; Canc Ctr Amsterdam, Netherlands (author)
  • Al-Sarireh, BilalMorriston Hosp, Wales (author)
  • Björnsson, BergthorLinköpings universitet,Avdelningen för kirurgi, ortopedi och onkologi,Medicinska fakulteten,Region Östergötland, Kirurgiska kliniken US(Swepub:liu)berbj34 (author)
  • Boggi, UgoUniv Hosp Pisa, Italy (author)
  • Burdio, Fernando M.Univ Hosp Del Mar, Spain (author)
  • Butturini, GiovanniPederzoli Hosp, Italy (author)
  • Casadei, RiccardoSt Orsola Malphigi Hosp, Italy (author)
  • Coratti, AndreaCareggi Univ Hosp, Italy (author)
  • DHondt, MathieuGroeninge Hosp, Belgium (author)
  • Dokmak, SafiBeaujon Hosp, France (author)
  • Edwin, BjornUniv Oslo, Norway; Univ Oslo, Norway (author)
  • Esposito, AlessandroVerona Univ Hosp, Italy (author)
  • Fabre, Jean M.St Eloi Hosp, France (author)
  • Ferrari, GiovanniOsped Niguarda Ca Granda, Italy (author)
  • Fteriche, Fadhel S.Beaujon Hosp, France (author)
  • Fusai, Giuseppe K.Royal Free London, England (author)
  • Groot Koerkamp, BasErasmus MC, Netherlands (author)
  • Hackert, ThiloHeidelberg Univ Hosp, Germany (author)
  • Jah, AsifCambridge Univ Hosp NHS Fdn Trust, England (author)
  • Jang, Jin-YoungSeoul Natl Univ Hosp, South Korea (author)
  • Kauffmann, Emanuele F.Univ Hosp Pisa, Italy (author)
  • Keck, TobiasUniv Med Ctr Schleswig Holstein, Germany (author)
  • Manzoni, AlbertoIst Osped Fdn Poliambulanza, Italy (author)
  • Marino, Marco VAzienda Osped Ospedali Riuniti Villa Sofia Cervel, Italy (author)
  • Molenaar, QuintusUniv Med Ctr Utrecht, Netherlands (author)
  • Pando, ElizabethVall Hebron Univ Hosp, Spain (author)
  • Pessaux, PatrickInst Hosp Univ Strasbourg, France (author)
  • Pietrabissa, AndreaFdn IRCCS Policlin San Matteo, Italy (author)
  • Soonawalla, ZahirOxford Univ Hosp, England; Humanitas Univ, Italy; IRCCS Humanitas Res Hosp, Italy (author)
  • Sutcliffe, Robert P.Queen Elizabeth Univ Hosp Birmingham, England (author)
  • Timmermann, LeaCharite, Germany (author)
  • White, StevenFreeman Rd Hosp, England (author)
  • Yip, Vincent S.Bartshealth NHS Trust, England (author)
  • Zerbi, Alessandro (author)
  • Abu Hilal, MohammadIst Osped Fdn Poliambulanza, Italy (author)
  • Besselink, Marc G.Amsterdam UMC, Netherlands; Canc Ctr Amsterdam, Netherlands (author)
  • Amsterdam UMC, Netherlands; Canc Ctr Amsterdam, NetherlandsAmsterdam UMC, Netherlands; Canc Ctr Amsterdam, Netherlands; Ist Osped Fdn Poliambulanza, Italy (creator_code:org_t)

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