Robotic Parenchymal-Sparing Pancreatectomy: A Systematic Review
Background: Parenchymal-sparing approaches to pancreatectomy are technically challenging procedures but allow for preserving a normal pancreas and decreasing the rate of postoperative pancreatic insufficiency. The robotic platform is increasingly being used for these procedures. We sought to evaluat...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2023-09-01
|
| Series: | Cancers |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2072-6694/15/17/4369 |
| _version_ | 1797582715420147712 |
|---|---|
| author | Richard Zheng Elie Ghabi Jin He |
| author_facet | Richard Zheng Elie Ghabi Jin He |
| author_sort | Richard Zheng |
| collection | DOAJ |
| description | Background: Parenchymal-sparing approaches to pancreatectomy are technically challenging procedures but allow for preserving a normal pancreas and decreasing the rate of postoperative pancreatic insufficiency. The robotic platform is increasingly being used for these procedures. We sought to evaluate robotic parenchymal-sparing pancreatectomy and assess its complication profile and efficacy. Methods: This systematic review consisted of all studies on robotic parenchymal-sparing pancreatectomy (central pancreatectomy, duodenum-preserving partial pancreatic head resection, enucleation, and uncinate resection) published between January 2001 and December 2022 in PubMed and Embase. Results: A total of 23 studies were included in this review (<i>n</i> = 788). Robotic parenchymal-sparing pancreatectomy is being performed worldwide for benign or indolent pancreatic lesions. When compared to the open approach, robotic parenchymal-sparing pancreatectomies led to a longer average operative time, shorter length of stay, and higher estimated intraoperative blood loss. Postoperative pancreatic fistula is common, but severe complications requiring intervention are exceedingly rare. Long-term complications such as endocrine and exocrine insufficiency are nearly nonexistent. Conclusions: Robotic parenchymal-sparing pancreatectomy appears to have a higher risk of postoperative pancreatic fistula but is rarely associated with severe or long-term complications. Careful patient selection is required to maximize benefits and minimize morbidity. |
| first_indexed | 2024-03-10T23:26:27Z |
| format | Article |
| id | doaj.art-1998fd2fe5724b0e9619779362e173b0 |
| institution | Directory Open Access Journal |
| issn | 2072-6694 |
| language | English |
| last_indexed | 2024-03-10T23:26:27Z |
| publishDate | 2023-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Cancers |
| spelling | doaj.art-1998fd2fe5724b0e9619779362e173b02023-11-19T07:56:51ZengMDPI AGCancers2072-66942023-09-011517436910.3390/cancers15174369Robotic Parenchymal-Sparing Pancreatectomy: A Systematic ReviewRichard Zheng0Elie Ghabi1Jin He2Department of Surgery, Johns Hopkins Hospital, Johns Hopkins University, Baltimore, MD 21287, USADepartment of Surgery, Johns Hopkins Hospital, Johns Hopkins University, Baltimore, MD 21287, USADepartment of Surgery, Johns Hopkins Hospital, Johns Hopkins University, Baltimore, MD 21287, USABackground: Parenchymal-sparing approaches to pancreatectomy are technically challenging procedures but allow for preserving a normal pancreas and decreasing the rate of postoperative pancreatic insufficiency. The robotic platform is increasingly being used for these procedures. We sought to evaluate robotic parenchymal-sparing pancreatectomy and assess its complication profile and efficacy. Methods: This systematic review consisted of all studies on robotic parenchymal-sparing pancreatectomy (central pancreatectomy, duodenum-preserving partial pancreatic head resection, enucleation, and uncinate resection) published between January 2001 and December 2022 in PubMed and Embase. Results: A total of 23 studies were included in this review (<i>n</i> = 788). Robotic parenchymal-sparing pancreatectomy is being performed worldwide for benign or indolent pancreatic lesions. When compared to the open approach, robotic parenchymal-sparing pancreatectomies led to a longer average operative time, shorter length of stay, and higher estimated intraoperative blood loss. Postoperative pancreatic fistula is common, but severe complications requiring intervention are exceedingly rare. Long-term complications such as endocrine and exocrine insufficiency are nearly nonexistent. Conclusions: Robotic parenchymal-sparing pancreatectomy appears to have a higher risk of postoperative pancreatic fistula but is rarely associated with severe or long-term complications. Careful patient selection is required to maximize benefits and minimize morbidity.https://www.mdpi.com/2072-6694/15/17/4369roboticminimally invasivepancreatectomypancreas preservingparenchymal preservingparenchymal sparing |
| spellingShingle | Richard Zheng Elie Ghabi Jin He Robotic Parenchymal-Sparing Pancreatectomy: A Systematic Review Cancers robotic minimally invasive pancreatectomy pancreas preserving parenchymal preserving parenchymal sparing |
| title | Robotic Parenchymal-Sparing Pancreatectomy: A Systematic Review |
| title_full | Robotic Parenchymal-Sparing Pancreatectomy: A Systematic Review |
| title_fullStr | Robotic Parenchymal-Sparing Pancreatectomy: A Systematic Review |
| title_full_unstemmed | Robotic Parenchymal-Sparing Pancreatectomy: A Systematic Review |
| title_short | Robotic Parenchymal-Sparing Pancreatectomy: A Systematic Review |
| title_sort | robotic parenchymal sparing pancreatectomy a systematic review |
| topic | robotic minimally invasive pancreatectomy pancreas preserving parenchymal preserving parenchymal sparing |
| url | https://www.mdpi.com/2072-6694/15/17/4369 |
| work_keys_str_mv | AT richardzheng roboticparenchymalsparingpancreatectomyasystematicreview AT elieghabi roboticparenchymalsparingpancreatectomyasystematicreview AT jinhe roboticparenchymalsparingpancreatectomyasystematicreview |