Abstract：
BACKGROUND:Robotic surgery is the most advanced minimally invasive technique for the treatment of complicated solid pseudopapillary tumors (SPT). The aim of this study is to evaluate feasibility of robotic surgery for the treatment of SPTs in the pancreatic head. METHODS:A retrospective analysis of the clinical data of 83 SPTs in pancreatic head was conducted. Clinical characteristics were extracted and propensity score matching (PSM) was used to compare and evaluate mid-term outcomes of the two techniques. RESULTS:Pancreaticoduodenectomy (PD), duodenum-preserving partial pancreatic head resection (DPPHR-P) and tumor enucleation (En) were performed in 51, 24, and 8 patients, respectively. The robotic approach was associated with a significantly lower volume of blood loss, lower need for transfusion, and faster time to post-surgery recovery. Major complications and costs were comparable for both techniques. CONCLUSION:A robotic approach provides an alternative to open surgery for SPTs in the pancreatic head without increasing the incidence of clinically relevant pancreatic fistula (CRPF) or other major complications and with good patient outcomes.
journal_name
Asian J Surgjournal_title
Asian journal of surgeryauthors
Jin JB,Qin K,Yang Y,Shi YS,Wu ZC,Deng XX,Chen H,Cheng DF,Shen BY,Peng CHdoi
10.1016/j.asjsur.2019.05.016subject
Has Abstractpub_date
2020-01-01 00:00:00pages
354-361issue
1eissn
1015-9584issn
0219-3108pii
S1015-9584(19)30309-4journal_volume
43pub_type
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