A comparison of robotic versus laparoscopic distal pancreatectomy: Propensity score matching analysis

Background The aim of this study was to assess the perioperative and pathologic outcomes of robotic distal pancreatectomy compared with a laparoscopic approach. Methods A total of 121 robotic distal pancreatectomies and 992 laparoscopic distal pancreatectomies were retrospectively evaluated, compari...

Full description

Saved in:
Bibliographic Details
Published in:The international journal of medical robotics + computer assisted surgery 2022-04, Vol.18 (2), p.e2347-n/a
Main Authors: Kwon, Jaewoo, Lee, Jae Hoon, Park, Seo Young, Park, Yejong, Lee, Woohyung, Song, Ki Byung, Hwang, Dae Wook, Kim, Song Cheol
Format: Article
Language:English
Subjects:
Demographic variables
Demographics
Hospital costs
Humans
Laparoscopy
Length of Stay
Matching
Operative Time
Pancreas
Pancreatectomy
Pancreatic Neoplasms - surgery
Propensity Score
propensity score matching
Retrospective Studies
robotic distal pancreatectomy
Robotic surgery
Robotic Surgical Procedures
Spleen
Treatment Outcome
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background The aim of this study was to assess the perioperative and pathologic outcomes of robotic distal pancreatectomy compared with a laparoscopic approach. Methods A total of 121 robotic distal pancreatectomies and 992 laparoscopic distal pancreatectomies were retrospectively evaluated, comparing the demographic, perioperative and pathologic outcomes. After 1:2 propensity score matching (PSM) with 11 demographic variables, the factors were analysed again. Results Following PSM, 104 robotic distal pancreatectomy patients were compared with 208 laparoscopic distal pancreatectomy patients. The operation time and proportion of spleen preservation were not different between the groups. The rates of open conversion were lower, whereas the hospital costs were higher in the robotic group. Other perioperative outcomes and pathologic factors did not differ between the groups. Conclusions Although robotic distal pancreatectomy is more expensive, this operation is feasible, with a higher probability of proceeding with the planned operation and with low open conversion rate.
ISSN:1478-5951
1478-596X
DOI:10.1002/rcs.2347