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Robotic-assisted organ-preserving or parenchymal-sparing pancreatectomy in pancreatic benign or low-grade malignant tumors: a single institute’s experience

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Abstract

Aim

Robotic-assisted pancreatectomy has been widely used. Organ-preserving pancreatectomy (OPP) and parenchymal-sparing pancreatectomy (PSP) has been gradually adopted for pancreatic benign or low-grade malignant tumors. This study aimed to evaluate the safety and efficacy of robotic-assisted OPP/PSP in our institute.

Methods

Patients undergoing robotic-assisted OPS/PSP at First Affiliated Hospital of Sun Yat-sen University between July 2015 and October 2021 were included in this study. The short-term and long-term outcomes of patients were retrospectively analyzed.

Results

Seventy-two patients were enrolled, including spleen-preserving distal pancreatectomy, central pancreatectomy, duodenum-preserving pancreatic head resection, and enucleation. Patients included were more likely to be young female (female: 46/72, median age: 47 years old). The median intraoperative blood loss and operation time was 50 ml and 255 min, respectively. Clinically relevant postoperative pancreatic fistula was 20.8% (grade B: 15/72, 20.8%; no grade C). The overall complication rate was 22.2% with the median postoperative length-of-stay of 8 days. At a median follow-up time of 28.5 months, the 5-year overall survival and recurrence-free survival rate were 100.0% and 100.0%, respectively.

Conclusion

The short-term and long-term outcomes of patients receiving robotic-assisted OPP/PSP were acceptable. Robotic-assisted OPP/PSP was a feasible and safe technique for pancreatic benign or low-grade malignant lesions.

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Fig. 1

Data availablity

All data generated or analyzed during this study are available from the corresponding author on reasonable request.

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Funding

This study was supported by the National Natural Science Foundation of China (No. 82203105) and Basic and Applied Basic Research Topics of Guangzhou (No. SL2022A04J01773).

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Author notes

  1. Xi-Tai Huang and Xiao-Fei Qu contributed equally to this work.

Authors and Affiliations

  1. Department of Pancreato-Biliary Surgery, The First Affiliated Hospital, Sun Yat-Sen University, 58 Zhongshan 2nd Rd, Guangzhou, 510080, Guangdong, People’s Republic of China

    Xi-Tai Huang, Xiao-Fei Qu, Jia-Wei Zhou, Jian-Peng Cai, Jin-Zhao Xie, Wei Chen, Liu-Hua Chen & Xiao-Yu Yin

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  1. Xi-Tai Huang
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  2. Xiao-Fei Qu
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  5. Jin-Zhao Xie
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  6. Wei Chen
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Contributions

Conception and design: XYY. Collection and assembly of data: XTH, XFQ, JWZ, JPC, JZX, WC, LHC. Data analysis and interpretation: XTH, XFQ, XYY. Manuscript writing and revision: XTH, XFQ, XYY. All authors read and approved the final manuscript.

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Correspondence to Xiao-Yu Yin.

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Huang, XT., Qu, XF., Zhou, JW. et al. Robotic-assisted organ-preserving or parenchymal-sparing pancreatectomy in pancreatic benign or low-grade malignant tumors: a single institute’s experience. J Robotic Surg 18, 1 (2024). https://doi.org/10.1007/s11701-023-01787-5

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  • DOI: https://doi.org/10.1007/s11701-023-01787-5

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