FIGURE 1.
FIGURE 2.
FIGURE 3.
Perioperative outcomes
| RDP (n = 10) | RPD (n = 10) | |
|---|---|---|
| Conversion | 1(10%) | 0 |
| Mean operative time (min) | 211 (±49.4) | 365 (±69.6) |
| Intraoperative blood loss (ml) | 330 (100 – 1700) | 195 (100 - 500) |
| Pancreatic texture | ||
| Soft | 9 (90%) | 3(30%) |
| Hard | 1(10%) | 7(70%) |
| Spleen preserving (Kimura) | 3 (30%) | n/a |
| MPD diameter in mm(range) | n/a | 6 (2-8) |
| BD diameter in mm (range) | n/a | 9(5-14) |
| POPF | ||
| Leak | 2(20%) | 3 (30%) |
| B | 1 (10%) | 0 |
| C | 0 | 0 |
| DGE | 0 | 1(10%) |
| Blood transfusion | 3 (30%) | 2(20%) |
| 30-readmision rate | 1 (10%) | 1(10%) |
| 90-day mortality rate | 0 | 0 |
Baseline characteristics of the study population
| RDP (n = 10) | RPD (n = 10) | |
|---|---|---|
| Gender, males (%) | 20 | 60 |
| Mean age, years (±SD) | 61.8 (±7.6) | 70.5 (±8.6) |
| Mean BMI, kg/m2 (±SD) | 29.3 (±6.0) | 26.2 (±4.0) |
| ASA score, n (%) | ||
| I | 0 (0%) | 0 (0%) |
| II | 5 (50%) | 4 (40%) |
| III | 5 (50%) | 6 (60%) |
| IV | 0 (0%) | 0 (0%) |
| V | 0 (0%) | 0 (0%) |
| Histology | ||
| PDAC | 4 (40%) | 7 (70%) |
| IPMN | 3 (30%) | 1 (10%) |
| NEN | 2 (20%) | 1 (10%) |
| MCN | 1 (10%) | 0 (0%) |
| GIST | 0 (0%) | 1 (10%) |
Comparison of robotic and open pancreatoduodenectomy
| RPD | OPD | P-value | |
|---|---|---|---|
| male | 6 | 21 | P=0.50 |
| female | 4 | 14 | |
| AGE | 72 (59-83) | 71 | P =0.65 |
| BMI | 26 (20,5- 33,3) | 26 | P=0.48 |
| 1 | 0 | 0 | |
| 2 | 1 | 9 | |
| 3 | 9 | 26 | |
| 4 | 0 | 0 | |
| Time OFOP | 364 {300- 542) | 216 (163- 322) | P<0.0001 |
| Conversion to open | 0 | np | |
| Texture of pan | |||
| Soft | 3 (30%) | 18 (51,4) | P=0.12 |
| Hard | 7(70%) | 17 (48,6%) | |
| Blood loss in ml | 205 (100- 500) | 491 (200- 700) | P<0.0005 |
| HOU (0) | 2,7 (1-5) | 7(3- 92) | P =0.07 |
| Hospitalisation (0) | 7,9 (5-19) | 15,2(7-133) | P= 0.05 |
| CR -POPF | 0 | 9 (25%) | P=0.006 |
| OGE | 1 (10%) | 6 (17%) | P= 0.42 |
| 300 Rehospitalisation | 1 (10%) | 3 (8,6%) | P=0.17 |
| 900 Mortality | 0 | 0 | |
| Histology | |||
| Premalignant | 1 pts (10%) | 5 (14,3%) | |
| Malignant | 9 pts (90%) | 30(85,7%) | |
| Raoicality | |||
| RO | 7/10 (70%) | 30/35(85,7%) | P=0.13 |
| n | 15,5 (9-19) | 19 (2-48) | P=0.12 |