Robotic Vascular Resection in Pancreatic Ductal Adenocarcinoma: A Systematic Review
(1) <b>Background:</b> This study comprehensively compared robotic pancreatic surgery with vascular resection (RPS-VR) to other surgical procedures in the treatment of pancreatic ductal adenocarcinoma (PDAC). (2) <b>Methods:</b> A systematic review of relevant literature was...
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| Format: | Article |
| Language: | English |
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MDPI AG
2024-03-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/13/7/2000 |
| _version_ | 1797212389076107264 |
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| author | Victoria Zecchin Ferrara Alessandro Martinino Francesco Toti Davide Schilirò Federico Pinto Francesco Giovinazzo on behalf of the SMAGEICS Group |
| author_facet | Victoria Zecchin Ferrara Alessandro Martinino Francesco Toti Davide Schilirò Federico Pinto Francesco Giovinazzo on behalf of the SMAGEICS Group |
| author_sort | Victoria Zecchin Ferrara |
| collection | DOAJ |
| description | (1) <b>Background:</b> This study comprehensively compared robotic pancreatic surgery with vascular resection (RPS-VR) to other surgical procedures in the treatment of pancreatic ductal adenocarcinoma (PDAC). (2) <b>Methods:</b> A systematic review of relevant literature was conducted to assess a range of crucial surgical and oncological outcomes. (3) <b>Results:</b> Findings indicate that robotic surgery with vascular resections (VRs) significantly prolongs the duration of surgery compared to other surgical procedures, and they notably demonstrate an equal hospital stay. While some studies reported a lower conversion rate and a higher rate of blood loss and blood transfusion in the RPS-VR group, others found no significant disparity. Furthermore, RPS-VR consistently correlated with comparable recurrence rates, free margins R0, postoperative mortality, and complication rates. Concerning the last one, certain reviews reported a higher rate of major complications. Overall survival and disease-free survival remained comparable between the RPS-VR and other surgical techniques in treating PDAC. (4) <b>Conclusions:</b> The analysis emphasizes how RPS-VR is a resembling approach in terms of surgical outcomes and aligns with existing literature findings in this field. |
| first_indexed | 2024-04-24T10:41:36Z |
| format | Article |
| id | doaj.art-cacf625874904b49ad4fad8c8baef07c |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-04-24T10:41:36Z |
| publishDate | 2024-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-cacf625874904b49ad4fad8c8baef07c2024-04-12T13:21:16ZengMDPI AGJournal of Clinical Medicine2077-03832024-03-01137200010.3390/jcm13072000Robotic Vascular Resection in Pancreatic Ductal Adenocarcinoma: A Systematic ReviewVictoria Zecchin Ferrara0Alessandro Martinino1Francesco Toti2Davide Schilirò3Federico Pinto4Francesco Giovinazzo5on behalf of the SMAGEICS GroupFaculty of Medicine and Surgery, University of Padua, 35122 Padua, ItalyDepartment of Surgery, Duke University, Durham, NC 27708, USADepartment of Surgery, ASST Santi Paolo e Carlo, 20100 Milan, ItalyDepartment of Surgery, Duke University, Durham, NC 27708, USADepartment of Surgery, University of Illinois at Chicago, Chicago, IL 60607, USADepartment of Surgery, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00131 Rome, Italy(1) <b>Background:</b> This study comprehensively compared robotic pancreatic surgery with vascular resection (RPS-VR) to other surgical procedures in the treatment of pancreatic ductal adenocarcinoma (PDAC). (2) <b>Methods:</b> A systematic review of relevant literature was conducted to assess a range of crucial surgical and oncological outcomes. (3) <b>Results:</b> Findings indicate that robotic surgery with vascular resections (VRs) significantly prolongs the duration of surgery compared to other surgical procedures, and they notably demonstrate an equal hospital stay. While some studies reported a lower conversion rate and a higher rate of blood loss and blood transfusion in the RPS-VR group, others found no significant disparity. Furthermore, RPS-VR consistently correlated with comparable recurrence rates, free margins R0, postoperative mortality, and complication rates. Concerning the last one, certain reviews reported a higher rate of major complications. Overall survival and disease-free survival remained comparable between the RPS-VR and other surgical techniques in treating PDAC. (4) <b>Conclusions:</b> The analysis emphasizes how RPS-VR is a resembling approach in terms of surgical outcomes and aligns with existing literature findings in this field.https://www.mdpi.com/2077-0383/13/7/2000pancreasrobotic surgeryresectionvascularductal adenocarcinoma |
| spellingShingle | Victoria Zecchin Ferrara Alessandro Martinino Francesco Toti Davide Schilirò Federico Pinto Francesco Giovinazzo on behalf of the SMAGEICS Group Robotic Vascular Resection in Pancreatic Ductal Adenocarcinoma: A Systematic Review Journal of Clinical Medicine pancreas robotic surgery resection vascular ductal adenocarcinoma |
| title | Robotic Vascular Resection in Pancreatic Ductal Adenocarcinoma: A Systematic Review |
| title_full | Robotic Vascular Resection in Pancreatic Ductal Adenocarcinoma: A Systematic Review |
| title_fullStr | Robotic Vascular Resection in Pancreatic Ductal Adenocarcinoma: A Systematic Review |
| title_full_unstemmed | Robotic Vascular Resection in Pancreatic Ductal Adenocarcinoma: A Systematic Review |
| title_short | Robotic Vascular Resection in Pancreatic Ductal Adenocarcinoma: A Systematic Review |
| title_sort | robotic vascular resection in pancreatic ductal adenocarcinoma a systematic review |
| topic | pancreas robotic surgery resection vascular ductal adenocarcinoma |
| url | https://www.mdpi.com/2077-0383/13/7/2000 |
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