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...

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Main Authors: Weipeng Zhan, Ming Hu, Caiwen Han, Hongwei Tian, Wutang Jing, Xiaofei Li, Hao Shi, Xiaojun Yang, Tiankang Guo, He Su, Yuntao Ma
Format: Article
Language:English
Published: Wiley 2019-08-01
Series:Cancer Medicine
Subjects:
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.
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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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