Safety and feasibility of the robotic platform in the management of surgical sequelae of chronic pancreatitis View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2018-02

AUTHORS

Ahmad Hamad, Mazen S. Zenati, Trang K. Nguyen, Melissa E. Hogg, Herbert J. Zeh, Amer H. Zureikat

ABSTRACT

BACKGROUND/AIM: The application of minimally invasive surgery to chronic pancreatitis (CP) procedures is uncommon. Our objective was to report the safety and feasibility of the robotic approach in the treatment of surgical sequelae of CP, and provide insights into the technique, tricks, and pitfalls associated with the application of robotics to this challenging disease entity. METHODS: A retrospective review of a prospectively maintained database of patients undergoing robotic-assisted resections and/or drainage procedures for CP at the University of Pittsburgh between May 2009 and January 2017 was performed. A video of a robotic Frey procedure is also shown. RESULTS: Of 812 robotic pancreatic resections and reconstructions 39 were for CP indications. These included 11 total pancreatectomies [with and without auto islet transplantation], 8 Puestow procedures, 4 Frey procedures, 6 pancreaticoduodenectomies, and 10 distal pancreatectomies. Median age was 49, and 41% of the patients were female. The most common etiology for CP was idiopathic pancreatitis (n = 16, 46%). Median operative time was 324 min with a median estimated blood loss of 250 ml. None of the patients required conversion to laparotomy. A Clavien III-IV complication rate was experienced by 5 (13%) patients, including one reoperation. Excluding the eleven patients who underwent TP, rate of clinically relevant postoperative pancreatic fistula was 7% (Grade B = 2, Grade C = 0). No 30 or 90 day mortalities were recorded. The median length of hospital stay was 7 days. CONCLUSIONS: Use of the robotic platform is safe and feasible when tackling complex pancreatic resections for sequelae of chronic pancreatitis. More... »

PAGES

1056-1065

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00464-017-6010-2

DOI

http://dx.doi.org/10.1007/s00464-017-6010-2

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1099920400

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/29273874


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curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1007/s00464-017-6010-2'

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Turtle is a human-readable linked data format.

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RDF/XML is a standard XML format for linked data.

curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1007/s00464-017-6010-2'


 

This table displays all metadata directly associated to this object as RDF triples.

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