Cited 4 times in
Which one is better? Laparoscopic versus robotic reconstruction in the remnant soft pancreas with a small pancreatic duct following pancreaticoduodenectomy: a multicenter study with propensity score matching analysis
DC Field | Value | Language |
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dc.contributor.author | 강창무 | - |
dc.contributor.author | 최문석 | - |
dc.date.accessioned | 2023-07-12T03:05:00Z | - |
dc.date.available | 2023-07-12T03:05:00Z | - |
dc.date.issued | 2023-05 | - |
dc.identifier.issn | 0930-2794 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/195489 | - |
dc.description.abstract | Background: Evidence of the advantages of robotic pancreaticoduodenectomy (RPD) over laparoscopic pancreaticoduodenectomy (LPD) is limited. Thus, this study aimed to compare the surgical outcomes of laparoscopic reconstruction L-recon) versus robotic reconstruction (R-recon) in patients with soft pancreas and small pancreatic duct. Method: Among 429 patients treated with minimally invasive pancreaticoduodenectomy (MIPD) between October 2012 and June 2020 by three surgeons at three institutions, 201 patients with a soft pancreas and a small pancreatic duct (< 3 mm) were included in this study. Results: Sixty pairs of patients who underwent L-recon and R-recon were selected after propensity score matching. The perioperative outcomes were comparable between the reconstruction approaches, with comparable clinically relevant postoperative pancreatic fistula (CR-POPF) rates (15.0% [L-recon] vs. 13.3% [R-recon]). The sub-analysis according to the type of MIPD procedure also showed comparable outcomes, but only a significant difference in postoperative hospital stay was identified. During the learning curve analysis using the cumulative summation by operation time (CUSUMOT), two surgeons who performed both L-recon and R-recon procedures reached their first peak in the CUSUMOT graph earlier for the R-recon group than for the L-recon group (i.e., 20th L-recon case and third R-recon case of surgeon A and 43rd L-recon case and seventh R-recon case of surgeon B). Surgeon C, who only performed R-recon, demonstrated the first peak in the 22nd case. The multivariate regression analysis for risk factors of CR-POPF showed that the MIPD procedure type, as well as other factors, did not have any significant effect. Conclusion: Postoperative pancreatic fistula rates and the overall perioperative outcomes of L-recon and R-recon were comparable in patients with soft-textured pancreas and small pancreatic duct treated by experienced surgeons. | - |
dc.description.statementOfResponsibility | restriction | - |
dc.language | English | - |
dc.publisher | Springer | - |
dc.relation.isPartOf | SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Laparoscopy* / methods | - |
dc.subject.MESH | Pancreas / surgery | - |
dc.subject.MESH | Pancreatic Ducts / surgery | - |
dc.subject.MESH | Pancreatic Fistula / surgery | - |
dc.subject.MESH | Pancreaticoduodenectomy / adverse effects | - |
dc.subject.MESH | Pancreaticoduodenectomy / methods | - |
dc.subject.MESH | Postoperative Complications / epidemiology | - |
dc.subject.MESH | Postoperative Complications / etiology | - |
dc.subject.MESH | Postoperative Complications / surgery | - |
dc.subject.MESH | Propensity Score | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Robotic Surgical Procedures* / adverse effects | - |
dc.title | Which one is better? Laparoscopic versus robotic reconstruction in the remnant soft pancreas with a small pancreatic duct following pancreaticoduodenectomy: a multicenter study with propensity score matching analysis | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Surgery (외과학교실) | - |
dc.contributor.googleauthor | Jae Young Jang | - |
dc.contributor.googleauthor | Chang Moo Kang | - |
dc.contributor.googleauthor | Hyeyeon Kim | - |
dc.contributor.googleauthor | Munseok Choi | - |
dc.contributor.googleauthor | Jae Hoon Lee | - |
dc.contributor.googleauthor | Sung Hoon Choi | - |
dc.identifier.doi | 10.1007/s00464-022-09602-2 | - |
dc.contributor.localId | A00088 | - |
dc.contributor.localId | A05885 | - |
dc.relation.journalcode | J02703 | - |
dc.identifier.eissn | 1432-2218 | - |
dc.identifier.pmid | 36097095 | - |
dc.identifier.url | https://link.springer.com/article/10.1007/s00464-022-09602-2 | - |
dc.subject.keyword | Laparoscopic | - |
dc.subject.keyword | Pancreati fistula | - |
dc.subject.keyword | Pancreaticoduodenectomy | - |
dc.subject.keyword | Robotic | - |
dc.subject.keyword | Soft pancreas | - |
dc.contributor.alternativeName | Kang, Chang Moo | - |
dc.contributor.affiliatedAuthor | 강창무 | - |
dc.contributor.affiliatedAuthor | 최문석 | - |
dc.citation.volume | 37 | - |
dc.citation.number | 5 | - |
dc.citation.startPage | 4028 | - |
dc.citation.endPage | 4039 | - |
dc.identifier.bibliographicCitation | SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, Vol.37(5) : 4028-4039, 2023-05 | - |
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