Safety and effectiveness of the da Vinci robot with the "3+2" mode for distal pancreatectomy
Abstract Background Recently, no relevant research has focused on the relationship between the clinical efficacy of da Vinci robotic distal pancreatectomy (RDP) and the number of mechanical arms and assistants used for RDP. The aim of this study was to evaluate the safety, efficacy, and advantages o...
Main Authors: | , , , , , , , , , , |
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Language: | English |
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Wiley
2019-08-01
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Series: | Cancer Medicine |
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Online Access: | https://doi.org/10.1002/cam4.2353 |
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author | Weipeng Zhan Ming Hu Caiwen Han Hongwei Tian Wutang Jing Xiaofei Li Hao Shi Xiaojun Yang Tiankang Guo He Su Yuntao Ma |
author_facet | Weipeng Zhan Ming Hu Caiwen Han Hongwei Tian Wutang Jing Xiaofei Li Hao Shi Xiaojun Yang Tiankang Guo He Su Yuntao Ma |
author_sort | Weipeng Zhan |
collection | DOAJ |
description | Abstract Background Recently, no relevant research has focused on the relationship between the clinical efficacy of da Vinci robotic distal pancreatectomy (RDP) and the number of mechanical arms and assistants used for RDP. The aim of this study was to evaluate the safety, efficacy, and advantages of RDP with the “3 + 2” mode. Methods Clinical data from 53 patients (observation group) who received RDP using the “3 + 2” mode in our department, from March 2016 to September 2018, were reviewed. An additional 53 patients who received RDP using the classical mode were chosen at random for the control group. Short‐term outcomes for the two groups were compared. Results There were no statistically significant differences between the two groups for estimated blood loss, postoperative day of flatus passage, postoperative hospital stay, and postoperative complication (P > 0.05). Compared with the control group, the observation group had a significantly shorter operative time (166.9 ± 13.3 vs 192.6 ± 11.1 minutes, P < 0.001), lower surgical costs ($2827.79 ± $173.02 vs $3900.63 ± $317.29, P < 0.001). Conclusions The RDP using the “3 + 2” mode can increase the exposure of surgical field, improve cooperation between assistants, lower the surgical costs, and shorten the operative time and learning curve. Moreover, the clinical effect is equal to that of RDP using the classical mode. These findings indicate that RDP using the “3 + 2” mode is safe and feasible for institutions that are equipped for robot‐assisted surgery. |
first_indexed | 2024-04-13T16:14:26Z |
format | Article |
id | doaj.art-e4eebf38ec99428193493406aef69002 |
institution | Directory Open Access Journal |
issn | 2045-7634 |
language | English |
last_indexed | 2024-04-13T16:14:26Z |
publishDate | 2019-08-01 |
publisher | Wiley |
record_format | Article |
series | Cancer Medicine |
spelling | doaj.art-e4eebf38ec99428193493406aef690022022-12-22T02:40:06ZengWileyCancer Medicine2045-76342019-08-01894226423410.1002/cam4.2353Safety and effectiveness of the da Vinci robot with the "3+2" mode for distal pancreatectomyWeipeng Zhan0Ming Hu1Caiwen Han2Hongwei Tian3Wutang Jing4Xiaofei Li5Hao Shi6Xiaojun Yang7Tiankang Guo8He Su9Yuntao Ma10Department of General Surgery Gansu Provincial Hospital Lanzhou ChinaDepartment of General Surgery Gansu Provincial Hospital Lanzhou ChinaDepartment of General Surgery Gansu Provincial Hospital Lanzhou ChinaDepartment of General Surgery Gansu Provincial Hospital Lanzhou ChinaDepartment of General Surgery Gansu Provincial Hospital Lanzhou ChinaDepartment of General Surgery Gansu Provincial Hospital Lanzhou ChinaDepartment of General Surgery Gansu Provincial Hospital Lanzhou ChinaDepartment of General Surgery Gansu Provincial Hospital Lanzhou ChinaDepartment of General Surgery Gansu Provincial Hospital Lanzhou ChinaDepartment of General Surgery Gansu Provincial Hospital Lanzhou ChinaDepartment of General Surgery Gansu Provincial Hospital Lanzhou ChinaAbstract Background Recently, no relevant research has focused on the relationship between the clinical efficacy of da Vinci robotic distal pancreatectomy (RDP) and the number of mechanical arms and assistants used for RDP. The aim of this study was to evaluate the safety, efficacy, and advantages of RDP with the “3 + 2” mode. Methods Clinical data from 53 patients (observation group) who received RDP using the “3 + 2” mode in our department, from March 2016 to September 2018, were reviewed. An additional 53 patients who received RDP using the classical mode were chosen at random for the control group. Short‐term outcomes for the two groups were compared. Results There were no statistically significant differences between the two groups for estimated blood loss, postoperative day of flatus passage, postoperative hospital stay, and postoperative complication (P > 0.05). Compared with the control group, the observation group had a significantly shorter operative time (166.9 ± 13.3 vs 192.6 ± 11.1 minutes, P < 0.001), lower surgical costs ($2827.79 ± $173.02 vs $3900.63 ± $317.29, P < 0.001). Conclusions The RDP using the “3 + 2” mode can increase the exposure of surgical field, improve cooperation between assistants, lower the surgical costs, and shorten the operative time and learning curve. Moreover, the clinical effect is equal to that of RDP using the classical mode. These findings indicate that RDP using the “3 + 2” mode is safe and feasible for institutions that are equipped for robot‐assisted surgery.https://doi.org/10.1002/cam4.2353“3+2” modedistal pancreatectomypancreatic neoplasmrobotic surgical |
spellingShingle | Weipeng Zhan Ming Hu Caiwen Han Hongwei Tian Wutang Jing Xiaofei Li Hao Shi Xiaojun Yang Tiankang Guo He Su Yuntao Ma Safety and effectiveness of the da Vinci robot with the "3+2" mode for distal pancreatectomy Cancer Medicine “3+2” mode distal pancreatectomy pancreatic neoplasm robotic surgical |
title | Safety and effectiveness of the da Vinci robot with the "3+2" mode for distal pancreatectomy |
title_full | Safety and effectiveness of the da Vinci robot with the "3+2" mode for distal pancreatectomy |
title_fullStr | Safety and effectiveness of the da Vinci robot with the "3+2" mode for distal pancreatectomy |
title_full_unstemmed | Safety and effectiveness of the da Vinci robot with the "3+2" mode for distal pancreatectomy |
title_short | Safety and effectiveness of the da Vinci robot with the "3+2" mode for distal pancreatectomy |
title_sort | safety and effectiveness of the da vinci robot with the 3 2 mode for distal pancreatectomy |
topic | “3+2” mode distal pancreatectomy pancreatic neoplasm robotic surgical |
url | https://doi.org/10.1002/cam4.2353 |
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