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Revisiting the potential advantage of robotic surgical system in spleen-preserving distal pancreatectomy over conventional laparoscopic approach
DC Field | Value | Language |
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dc.contributor.author | 강창무 | - |
dc.contributor.author | 양석정 | - |
dc.contributor.author | 이우정 | - |
dc.contributor.author | 황호경 | - |
dc.date.accessioned | 2020-04-13T16:55:50Z | - |
dc.date.available | 2020-04-13T16:55:50Z | - |
dc.date.issued | 2020 | - |
dc.identifier.issn | 2305-5847 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/175568 | - |
dc.description.abstract | Background: This study aimed to compare success rate of spleen preservation between robotic and laparoscopic distal pancreatectomy (DP). Methods: Between November 2007 and March 2018, forty-one patients underwent the conventional laparoscopic DP (Lap group) and the other 37 patients underwent robotic DP (Robot group). The perioperative clinicopathologic variables were compared. Results: The robotic procedure was chosen by younger patients compared to conventional laparoscopic surgery (42.9±14.0 vs. 51.3±14.6 years, P=0.016). The mean operation time was longer (313 vs. 246 min, P=0.000), but the mean tumor size was smaller in Robot group (2.7±1.2 vs. 4.2±3.3 cm, P=0.018). The overall spleen-preserving rate was higher in the Robot group (91.9% vs. 68.3%, P=0.012). However, with accumulating laparoscopic experiences (after 16th case), the statistical differences in spleen preservation rate between the Robot and Lap groups had diminished (P=0.428). Conclusions: The present results suggest a robot can be helpful to save the spleen during DP for benign and borderline malignancy. However, a surgeon highly experienced in the laparoscopic approach can also produce a high success rate of spleen preservation, similar to that shown with the robotic approach. | - |
dc.description.statementOfResponsibility | open | - |
dc.format | application/pdf | - |
dc.language | English | - |
dc.publisher | AME Publishing Company | - |
dc.relation.isPartOf | ANNALS OF TRANSLATIONAL MEDICINE | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.title | Revisiting the potential advantage of robotic surgical system in spleen-preserving distal pancreatectomy over conventional laparoscopic approach | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Surgery (외과학교실) | - |
dc.contributor.googleauthor | Seok Jeong Yang | - |
dc.contributor.googleauthor | Ho Kyoung Hwang | - |
dc.contributor.googleauthor | Chang Moo Kang | - |
dc.contributor.googleauthor | Woo Jung Lee | - |
dc.identifier.doi | 10.21037/atm.2020.01.80 | - |
dc.contributor.localId | A00088 | - |
dc.contributor.localId | A02290 | - |
dc.contributor.localId | A02993 | - |
dc.contributor.localId | A04497 | - |
dc.relation.journalcode | J02968 | - |
dc.identifier.eissn | 2305-5839 | - |
dc.subject.keyword | Robot | - |
dc.subject.keyword | laparoscopic | - |
dc.subject.keyword | spleen preservation | - |
dc.subject.keyword | distal pancreatectomy | - |
dc.contributor.alternativeName | Kang, Chang Moo | - |
dc.contributor.affiliatedAuthor | 강창무 | - |
dc.contributor.affiliatedAuthor | 양석정 | - |
dc.contributor.affiliatedAuthor | 이우정 | - |
dc.contributor.affiliatedAuthor | 황호경 | - |
dc.citation.volume | 8 | - |
dc.citation.number | 5 | - |
dc.citation.startPage | 188 | - |
dc.citation.endPage | 196 | - |
dc.identifier.bibliographicCitation | ANNALS OF TRANSLATIONAL MEDICINE, Vol.8(5) : 188-196, 2020 | - |
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