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200 Consecutive laparoscopic pancreatic resections performed with a robotically controlled laparoscope holder

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Abstract

Introduction

Because of the potential benefit of robotics in pancreatic surgery, we review our experience at two minimally invasive pancreatic surgery centers that utilize a robotically controlled laparoscope holder to see if smaller robots that enable the operating surgeon to maintain contact with the patient may have a role in the treatment of pancreatic disease.

Methods

From March 1994 to June 2011, a total of 200 laparoscopic pancreatic procedures utilizing a robotically controlled laparoscope holder were performed.

Results

A total of 72 duodenopancreatectomies, 67 distal pancreatectomies, 23 enucleations, 20 pancreatic cyst drainage procedures, 5 necrosectomies, 5 atypical pancreatic resections, 4 total pancreatectomies, and 4 central pancreatectomies were performed. Fourteen patients required conversion to an open approach and eight a hand-assisted one. A total of 24 patients suffered a major complication. Sixteen patients developed a pancreatic leak and 19 patients required reoperation. Major complications occurred in 14 patients and pancreatic leaks occurred in 13 patients. Ten patients required conversion to a lap-assisted or open approach and six patients required reoperation.

Conclusions

Currently, a robotically assisted approach using a camera holder seems the only way to incorporate some of the benefits of robotics in pancreatic surgery while maintaining haptics and contact with the patient.

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Disclosures

Professor Gayet is a consultant for Endocontrol. Drs. Gumbs, Croner, Rodriges, Zucker, and Perrakis have no conflict of interest or financial ties to disclose.

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Authors and Affiliations

  1. Department of Surgical Oncology, Summit Medical Group, Berkeley Heights, NJ, 07922, USA

    Andrew A. Gumbs

  2. Department of Surgery, University Hospital Erlangen, Erlangen, Germany

    Roland Croner & Aristoteles Perrakis

  3. Department of Surgical Oncology, McGill University, Montreal, QC, H3A0G4, Canada

    Angel Rodriguez

  4. Department of Digestive Diseases, Institut Mutualiste Montsouris, University Paris V, 42, Boulevard Jourdan, 75014, Paris, France

    Noah Zuker & Brice Gayet

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  1. Andrew A. Gumbs
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  2. Roland Croner
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  3. Angel Rodriguez
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  4. Noah Zuker
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  5. Aristoteles Perrakis
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  6. Brice Gayet
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Correspondence to Andrew A. Gumbs.

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Gumbs, A.A., Croner, R., Rodriguez, A. et al. 200 Consecutive laparoscopic pancreatic resections performed with a robotically controlled laparoscope holder. Surg Endosc 27, 3781–3791 (2013). https://doi.org/10.1007/s00464-013-2969-5

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