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Correspondence to Author: Ho Dig, Mihal Kwka, Tamra M. H. Gal, Chrs Wadworth, Nagy Haib, David Nicol, Davd Cuningam, Log R. Jao  

University of North Carolina Health, Chapel Hill, NC

Abstract:

Compared to robotic distal pancreatectomy (RDP), laparoscopic distal pancreatectomy (LDP) has technical constraints that could result in high conversion rates and morbidity. LDP and RDP procedures carried out in our tertiary referral hepatobiliary center between December 2008 and January 2023 and pancreatic centers were examined and contrasted in terms of immediate results. There were 61 RDP cases and 62 consecutive LDP cases completed. The laparoscopic group had a higher conversion rate to open operations than the robotic group (21.0% vs. 1.6%, p = 0.001).Postoperative problems were considerably more common in the LDP group (43.5% vs. 23.0%, p = 0.005).However, in terms of serious complications or pancreatic fistular following procedures, there was no discernible difference between the two groups. (p = 0.20 and p = 0.71, respectively)The RDP group experienced a shorter mean operating time (147 min vs. 194 min, p = 0.015) and a shorter overall hospital stay (4 days vs. 7 days, p = 0.0002) for planned spleenpreserving surgeries than the LDP group. The spleen preservation failure rate was 20% (n = 5/25) in RDP and 0% in group with LDP (p = 0.009). Compared to LDP, RDP provided a superior approach to splenic preservation using Kimura’s technique, reducing the danger of gastric varices and splenic infarction associated with splenic pedicle ligation and division.the danger of gastric varices and splenic infarction associated with splenic pedicle ligation and division. The usual procedure for removing pancreatic tumors from the body and tail of the organ without using the celiac axis or common artery of the liver.

Keywords:robotic, laparoscopic, minimally invasive surgery, distal pancreatectomy, and pancreatic cancer.

Citation:

Dr.Ho Dig, Superior Results From Robotic Distal Pancreatectomy Over Laparoscopic Technique: A Single Surgeon’s Experience With 123 Consecutive Cases. Advances in Robotic Surgery 2025.