当前位置： SCI文献检索 > JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS期刊下所有文献 > Robotic Pancreaticoduodenectomy Is the Future: Here and Now.

Robotic Pancreaticoduodenectomy Is the Future: Here and Now.

Abstract：

BACKGROUND:This study was undertaken to examine our outcomes after robotic pancreaticoduodenectomy and to compare our outcomes with predicted outcomes using the American College of Surgeons (ACS) NSQIP Surgical Risk Calculator and with outcomes reported through ACS NSQIP. METHODS:We prospectively followed 155 patients undergoing robotic pancreaticoduodenectomy. Outcomes were compared with predicted outcomes calculated using the ACS NSQIP Surgical Risk Calculator and with outcomes documented in ACS NSQIP for pancreaticoduodenectomy from 2012 to 2017. Median data are presented. RESULTS:Eighty-eight percent of our robotic pancreaticoduodenectomies were performed in 2015 to 2018. Predicted outcomes were like those reported in ACS NSQIP. Actual outcomes were superior to predicted outcomes and outcomes reported in ACS NSQIP for overall complications, serious complications, returned to operating room, surgical site infections, deep vein thrombosis, and length of stay. Seventeen percent had conversions to open operations, generally due to failure to progress or need for major vascular reconstruction; only 3 (3.5%) of the last 80 operations were converted to open. Robotic operations took 423 minutes; estimated blood loss was 200 mL. Biliary fistulas occurred in 5% and pancreatic fistulas occurred in 5%. Six percent of patients died perioperatively; 5 patients died due to cardiac deterioration and 4 (3.1%) patients died after pancreaticoduodenectomy completed robotically. CONCLUSIONS:Our patients were not a select group, they were like those reported in ACS NSQIP. Their outcomes after robotic pancreaticoduodenectomy were like or better than predicted outcomes or national data. Our mortality was high because of preoperative ill health (eg renal failure) and cardiac risk. Although we believe our results will continue to improve, our current data document the salutary benefits of minimally invasive robotic pancreaticoduodenectomy.

journal_name

J Am Coll Surg

journal_title

Journal of the American College of Surgeons

authors

Rosemurgy A,Ross S,Bourdeau T,Craigg D,Spence J,Alvior J,Sucandy I

doi

10.1016/j.jamcollsurg.2018.12.040

subject

Has Abstract

pub_date

2019-04-01 00:00:00

pages

613-624

issue

4

eissn

1072-7515

issn

1879-1190

pii

S1072-7515(19)30055-9

journal_volume

228

pub_type

临床试验,杂志文章

相关文献

JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS文献大全
  • Outcomes of endoscopic and percutaneous drainage of pancreatic fluid collections arising after pancreatic tail resection.

    abstract：BACKGROUND:Up to 15% to 30% of patients develop pancreatic fluid collections (PFCs) after pancreatic tail resection. Percutaneous and endoscopic methods have been used to drain these collections, though few data are available that compare outcomes of these modalities. STUDY DESIGN:From December 1998 to April 2011, we ...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2012.03.015

    authors： Azeem N,Baron TH,Topazian MD,Zhong N,Fleming CJ,Kendrick ML

    更新日期：2012-08-01 00:00:00

  • Outpatient Laparoscopic Appendectomy: Is It Time to End the Discussion?

    abstract：BACKGROUND:Laparoscopic appendectomy is typically associated with inpatient hospitalization averaging between 1 and 2 days. In July 2010, a prospective protocol for outpatient laparoscopic appendectomy was adopted at our institution. Patients were dismissed from the post-anesthesia recovery room or day surgery if they ...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2015.12.053

    authors： Frazee RC,Abernathy SW,Isbell CL,Isbell T,Regner JL,Smith RD

    更新日期：2016-04-01 00:00:00

  • Does hoarseness of voice from recurrent nerve paralysis after esophagectomy for carcinoma influence patient quality of life?

    abstract：BACKGROUND:Recurrent laryngeal nerve injury caused by esophageal cancer surgery is worrisome but often temporary; it is unclear when and how the paralysis is resolved. Hoarseness of voice from vocal cord paralysis (VCP) can have detrimental effects on postoperative patients. The aims of this study were to clarify the p...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/s1072-7515(98)00295-6

    authors： Baba M,Natsugoe S,Shimada M,Nakano S,Noguchi Y,Kawachi K,Kusano C,Aikou T

    更新日期：1999-03-01 00:00:00

  • Impact of conversion on surgical outcomes after laparoscopic operation for rectal carcinoma: a retrospective study of 1,073 patients.

    abstract：BACKGROUND:In laparoscopic operations for rectal carcinoma, only a few multicenter studies of a large number of patients have examined the impact of conversion on outcomes and determined risk factors for conversion. This study was designed to evaluate short-term outcomes and risk factors for conversion to open operatio...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章,多中心研究

    doi：10.1016/j.jamcollsurg.2008.12.002

    authors： Yamamoto S,Fukunaga M,Miyajima N,Okuda J,Konishi F,Watanabe M,Japan Society of Laparoscopic Colorectal Surgery.

    更新日期：2009-03-01 00:00:00

  • Timing of breast cancer treatments with oocyte retrieval and embryo cryopreservation.

    abstract：BACKGROUND:Protecting future childbearing motivates young women with breast cancer to seek oocyte or embryo cryopreservation. Concerns about delays in cancer treatment may influence patients and practitioners considering these procedures. In this study, we compared timing of chemotherapy in women who underwent ovarian ...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2009.08.006

    authors： Baynosa J,Westphal LM,Madrigrano A,Wapnir I

    更新日期：2009-11-01 00:00:00

  • Fibulin-5 promotes wound healing in vivo.

    abstract：BACKGROUND:Fibulin-5 is a recently discovered multifunctional extracellular matrix protein that mediates endothelial cell adhesion through integrin ligation, regulates cell growth and motility in a context-specific manner, and prevents elastinopathy in vivo. Because fibulin-5 expression is induced dramatically in endot...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2004.04.021

    authors： Lee MJ,Roy NK,Mogford JE,Schiemann WP,Mustoe TA

    更新日期：2004-09-01 00:00:00

  • Postinjury serum secretory phospholipase A2 correlates with hypoxemia and clinical status at 72 hours.

    abstract：BACKGROUND:Although trauma patients often suffer direct lung damage, an equally destructive mechanism of lung injury involves postinjury systemic inflammation. We postulate that secretory phospholipase A(2) (sPLA(2)) release induced by trauma relates to systemic inflammation that compromises both lung function and clin...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2004.10.010

    authors： Neidlinger NA,Hirvela ER,Skinner RA,Larkin SK,Harken AH,Kuypers FA

    更新日期：2005-02-01 00:00:00

  • Ultrasound-guided core biopsy: an effective method of detecting axillary nodal metastases.

    abstract：BACKGROUND:Axillary nodal status is an important prognostic predictor in patients with breast cancer. This study evaluated the sensitivity and specificity of ultrasound-guided core biopsy (Ax US-CB) at detecting axillary nodal metastases in patients with primary breast cancer, thereby determining how often sentinel lym...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2011.09.024

    authors： Solon JG,Power C,Al-Azawi D,Duke D,Hill AD

    更新日期：2012-01-01 00:00:00

  • In-hospital mortality after pancreatic resection for chronic pancreatitis: population-based estimates from the nationwide inpatient sample.

    abstract：BACKGROUND:Pancreatic resection can be performed to ameliorate the sequelae of chronic pancreatitis in selected patients. The perceived risk of pancreatectomy may limit its use. Using a national database, this study compared mortality after pancreatic resections for chronic pancreatitis with those performed for neoplas...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2009.05.030

    authors： Hill JS,McPhee JT,Whalen GF,Sullivan ME,Warshaw AL,Tseng JF

    更新日期：2009-10-01 00:00:00

  • The surgical risk of pancreas transplantation in the cyclosporine era: an overview.

    abstract：BACKGROUND:Pancreas transplants are still associated with the highest surgical complication rate of all routinely performed solid organ transplants. To date, the impact of serious surgical complications in the cyclosporine era on perioperative patient morbidity, graft and patient survival, and hospital costs has not be...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/s1072-7515(01)00895-x

    authors： Gruessner RW,Sutherland DE,Troppmann C,Benedetti E,Hakim N,Dunn DL,Gruessner AC

    更新日期：1997-08-01 00:00:00

  • Primary fascial closure with mesh reinforcement is superior to bridged mesh repair for abdominal wall reconstruction.

    abstract：BACKGROUND:Many surgeons believe that primary fascial closure with mesh reinforcement should be the goal of abdominal wall reconstruction (AWR), yet others have reported acceptable outcomes when mesh is used to bridge the fascial edges. It has not been clearly shown how the outcomes for these techniques differ. We hypo...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2013.08.015

    authors： Booth JH,Garvey PB,Baumann DP,Selber JC,Nguyen AT,Clemens MW,Liu J,Butler CE

    更新日期：2013-12-01 00:00:00

  • Venous Thromboembolism-Related Readmission in Emergency General Surgery Patients: A Role for Prophylaxis on Discharge?

    abstract：BACKGROUND:Patients undergoing emergency general surgery (EGS) operations experience high rates of venous thromboembolism (VTE). The rates at which thrombus formation occurs after discharge, and whether VTE prophylaxis at discharge might be warranted to prevent readmission, are unknown. This analysis aimed to determine...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2018.03.021

    authors： DeWane MP,Davis KA,Schuster KM,Maung AA,Becher RD

    更新日期：2018-06-01 00:00:00

  • Comprehensive Analysis of the Effect of Ketorolac Administration after Pancreaticoduodenectomy.

    abstract：BACKGROUND:Outcome improvement is a major goal of pancreatic surgery. Such efforts include decreasing perioperative narcotic use to optimize care and reduce potential contributions to the opioid crisis. Ketorolac, a frequent component of opioid-minimizing recovery pathways, has not been universally adopted over concern...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2020.02.024

    authors： Kunstman JW,Brandt WS,Azar SA,Jean RA,Salem RR

    更新日期：2020-06-01 00:00:00

  • Identifying variations in blood use based on hemoglobin transfusion trigger and target among hepatopancreaticobiliary surgeons.

    abstract：BACKGROUND:Transfusion practice among surgeons varies despite several trials supporting the restrictive use of blood products. We sought to define the variation in surgeon transfusion hemoglobin (Hb) triggers and targets among patients undergoing hepatopancreaticobiliary (HPB) procedures, as well as assess perioperativ...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2014.02.033

    authors： Ejaz A,Spolverato G,Kim Y,Frank SM,Pawlik TM

    更新日期：2014-08-01 00:00:00

  • Axillary lymph node dissection: is it required in T1a breast cancer?

    abstract：BACKGROUND:Several authors have questioned the need for axillary lymph node dissection in T1a breast cancer (primary tumors 5 mm or less in diameter), although current practice typically includes routine axillary lymph node dissection. STUDY DESIGN:We retrospectively reviewed the records of 2,242 breast cancers in our...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：

    authors： Chontos AJ,Maher DP,Ratzer ER,Fenoglio ME

    更新日期：1997-05-01 00:00:00

  • Determining benchmarks for evaluation and management coding in an academic division of general surgery.

    abstract：BACKGROUND:Academic divisions of general surgery are facing ever-increasing financial pressures. Cost-cutting is a common approach to maintaining profitability, but strategies to increase revenue should not be ignored. One specific avenue for enhanced revenue generation in general surgery is that of coding for evaluati...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2004.03.002

    authors： Kuo PC,Douglas AR,Oleski D,Jacobs DO,Schroeder RA

    更新日期：2004-07-01 00:00:00

  • Extracorporeal circulation as a blood conservation technique for extensive pelvic operations.

    abstract：:Difficult pelvic operations for malignancy or complex benign conditions can be associated with extensive blood loss. Religious beliefs that preclude transfusion and the known risks of homologous blood have prompted investigators to seek alternatives to transfusion. We used the Haemonetics-V50 Cell Separator (Haemoneti...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：

    authors： Kelley JL,Burke TW,Lichtiger B,Dupuis JF

    更新日期：1994-04-01 00:00:00

  • Are surgical trials with negative results being interpreted correctly?

    abstract：BACKGROUND:Many published accounts of clinical trials report no differences between the treatment arms, while being underpowered to find differences. This study determined how the authors of these reports interpreted their findings. STUDY DESIGN:We examined 54 reports of surgical trials chosen randomly from a database...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2012.09.015

    authors： Brody BA,Ashton CM,Liu D,Xiong Y,Yao X,Wray NP

    更新日期：2013-01-01 00:00:00

  • Clinical experience with the Greenfield filter in 193 patients and description of a new technique for operative insertion.

    abstract：:Transvenous inferior vena cava (IVC) interruption using the Greenfield filter was performed upon 193 patients from January 1982 to December 1988. Placement of a filter in the IVC was indicated for prophylaxis (23.8 percent), contraindication to anticoagulation (22.8 percent), pulmonary embolism despite anticoagulation...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：

    authors： Sullivan TM,Martinez BD,Lemmon G,Clark PM,Schwartz RA,Bondy B

    更新日期：1994-02-01 00:00:00

  • Postoperative antibiotics correlate with worse outcomes after appendectomy for nonperforated appendicitis.

    abstract：BACKGROUND:Acute appendicitis remains the most common cause of acute abdominal pain necessitating operative intervention. Although postoperative antibiotics are universally used for perforated appendicitis, no consensus exists on whether postoperative antibiotics are beneficial for preventing surgical site infections (...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2011.08.018

    authors： Coakley BA,Sussman ES,Wolfson TS,Bhagavath AS,Choi JJ,Ranasinghe NE,Lynn ET,Divino CM

    更新日期：2011-12-01 00:00:00

  • Locoregional recurrences are frequent after radiofrequency ablation for hepatocellular carcinoma.

    abstract：BACKGROUND:Enthusiasm for radiofrequency ablation (RFA) therapy for patients with unresectable hepatocellular carcinoma (HCC) has increased. The data for recurrence after RFA for patients with HCC is not well documented. The purpose of this study was to evaluate tumor recurrence patterns after RFA in patients with unre...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/S1072-7515(03)00750-6

    authors： Harrison LE,Koneru B,Baramipour P,Fisher A,Barone A,Wilson D,Dela Torre A,Cho KC,Contractor D,Korogodsky M

    更新日期：2003-11-01 00:00:00

  • Comparative Effectiveness of Initial Treatment at Trauma Center vs Neurosurgery-Capable Non-Trauma Center for Severe, Isolated Head Injury.

    abstract：BACKGROUND:Head injury is an increasing contributor to death and disability, particularly among the elderly. Older patients are less likely to be treated at trauma centers, and head injury is the most common severe injury treated at non-trauma centers. We hypothesized that patients initially triaged to trauma centers w...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章,多中心研究

    doi：10.1016/j.jamcollsurg.2018.01.055

    authors： Kaufman EJ,Ertefaie A,Small DS,Holena DN,Delgado MK

    更新日期：2018-05-01 00:00:00

  • A bariatric surgery center of excellence: operative trends and long-term outcomes.

    abstract：BACKGROUND:Surgery remains the most effective intervention for obesity and its comorbidities. However, the long-term efficacy of bariatric procedures is rarely reported. This study addresses operative trends, efficiency, and long-term outcomes from a large bariatric program. STUDY DESIGN:Data were prospectively collec...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2014.01.056

    authors： Kruger RS,Pricolo VE,Streeter TT,Colacchio DA,Andrade UA

    更新日期：2014-06-01 00:00:00

  • A simple one-handed method to secure drains and tubes.

    abstract：:A technically elegant, fast and reliable method to secure drains and tubes is presented herein. The method can be used with any type of drains and with any suture material. ...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：

    authors： Sachse RE

    更新日期：1994-06-01 00:00:00

  • Comparison of costs between laparoscopic and open Nissen fundoplication: a prospective randomized study with a 3-month followup.

    abstract：BACKGROUND:Laparoscopic antireflux surgery has replaced conventional operation despite the fact that currently no randomized trials have been published regarding its cost effectiveness. The objective of the present study was to compare costs and some short-term outcomes of laparoscopic and open Nissen fundoplication. ...

    journal_title：Journal of the American College of Surgeons

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1016/s1072-7515(98)00328-7

    authors： Heikkinen TJ,Haukipuro K,Koivukangas P,Sorasto A,Autio R,Södervik H,Mäkelä H,Hulkko A

    更新日期：1999-04-01 00:00:00

  • Insurance status and race represent independent predictors of undergoing laparoscopic surgery for appendicitis: secondary data analysis of 145,546 patients.

    abstract：BACKGROUND:Studies have shown that racial and socioeconomic differences lead to inequality in access to health care. It is unknown whether insurance status and race affect the choice of surgical treatment for patients presenting with appendicitis. STUDY DESIGN:Patients with primary ICD-9 procedure codes for laparoscop...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2004.06.023

    authors： Guller U,Jain N,Curtis LH,Oertli D,Heberer M,Pietrobon R

    更新日期：2004-10-01 00:00:00

  • Comparison of 30-Day Postoperative Outcomes after Laparoscopic vs Robotic Colectomy.

    abstract：BACKGROUND:The robotic platform has been used increasingly to perform colorectal surgery. The benefits of robotic colectomy when compared with laparoscopic colectomy have not been definitively established. STUDY DESIGN:A retrospective review of the NSQIP database was performed on patients undergoing elective laparosco...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2016.03.041

    authors： Miller PE,Dao H,Paluvoi N,Bailey M,Margolin D,Shah N,Vargas HD

    更新日期：2016-08-01 00:00:00

  • Validation of new readmission data in the American College of Surgeons National Surgical Quality Improvement Program.

    abstract：BACKGROUND:Hospital readmissions are gathering increasing attention as a measure of health care quality and as a cost-saving target. The American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) recently began collecting data related to 30-day postoperative readmissions. Our objectives were...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2012.11.013

    authors： Sellers MM,Merkow RP,Halverson A,Hinami K,Kelz RR,Bentrem DJ,Bilimoria KY

    更新日期：2013-03-01 00:00:00

  • Three- to six-year followup for 379 benign image-guided large-core needle biopsies of nonpalpable breast abnormalities.

    abstract：BACKGROUND:Determining the negative predictive value of benign large-core needle biopsy of nonpalpable mammographically detected breast abnormalities has been difficult because benign results generally preclude surgical excision. Longterm followup of these patients is important to ensure timely diagnosis of new abnorma...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/s1072-7515(02)01320-0

    authors： Acheson MB,Patton RG,Howisey RL,Lane RF,Morgan A,Rowbotham RK

    更新日期：2002-10-01 00:00:00

  • Surgical residency and attrition: defining the individual and programmatic factors predictive of trainee losses.

    abstract：BACKGROUND:Voluntary resident attrition remains problematic despite recent changes in postgraduate general surgery training, including reduction of work hours. STUDY DESIGN:We conducted a prospective study of all postgraduate year (PGY)-1 and -2 trainees on the 2008 American Board of Surgery resident roster (ABS-RR) w...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2012.11.005

    authors： Sullivan MC,Yeo H,Roman SA,Ciarleglio MM,Cong X,Bell RH Jr,Sosa JA

    更新日期：2013-03-01 00:00:00