Robotic Pancreatoduodenectomy: Increasing Complexity and Decreasing Complications with Experience: Single-Center Results from 150 Consecutive Patients

Background This report describes the authors’ experience with 150 consecutive robotic pancreatoduodenectomies. Methods The study enrolled 150 consecutive patients who underwent robotic pancreatoduodenectomy between 2018 and 2023. Pre- and intraoperative variables such as age, gender, indication, ope...

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Bibliographic Details
Published in:Annals of surgical oncology 2024-10, Vol.31 (10), p.7012-7022
Main Authors: Machado, Marcel Autran C., Mattos, Bruno V., Lobo Filho, Murillo Macedo, Makdissi, Fabio
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Female
Follow-Up Studies
Humans
Lymph Node Excision - methods
Male
Medicine
Medicine & Public Health
Middle Aged
Oncology
Operative Time
Pancreatic Neoplasms - pathology
Pancreatic Neoplasms - surgery
Pancreatic Tumors
Pancreaticoduodenectomy - adverse effects
Pancreaticoduodenectomy - methods
Postoperative Complications
Prognosis
Retrospective Studies
Robotic Surgical Procedures - methods
Surgery
Surgical Oncology
Survival Rate
Citations: Items that this one cites
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Summary:Background This report describes the authors’ experience with 150 consecutive robotic pancreatoduodenectomies. Methods The study enrolled 150 consecutive patients who underwent robotic pancreatoduodenectomy between 2018 and 2023. Pre- and intraoperative variables such as age, gender, indication, operation time, diagnosis, and tumor size were analyzed. The patients were divided into two groups. Group 1 comprised the first 75 patients, and group 2 comprised the last 75 cases. The median age of the patients was 62.4 years and did not differ between the two groups. Results Morbidity was lower in group 2. The mortality rate was 0.7% at 30 days and 1.3% at 90 days, and there was no difference between the groups. There was a significant reduction ( p 
ISSN:1068-9265
1534-4681
1534-4681
DOI:10.1245/s10434-024-15645-7