Robotic pancreatectomy for solid pseudopapillary tumors in the pancreatic head: A propensity score-matched comparison and analysis from a single center
Robotic pancreatectomy for solid pseudopapillary tumors in the pancreatic head: A propensity score-matched comparison and analysis from a single center
复制标题
机器人胰腺切除术治疗胰头实性假乳头状瘤：来自单中心的倾向评分匹配比较和分析
DOI：
10.1016/j.asjsur.2019.05.016
复制
发表时间：
2020-01-01
影响因子：
3.5
通讯作者：
Peng, Cheng-Hong
中科院分区：
文献类型：
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作者：
Jin, Jia-Bin;Qin, Kai;Peng, Cheng-Hong
背景：机器人手术是治疗复杂性实性假乳头状瘤（SPT）的最先进的微创技术。方法：回顾性分析83例胰头SPTs的临床资料，分析机器人手术治疗胰头SPTs的可行性。结果：胰头切除术（PD）51例，保留胰头部分切除术（DPPHR-P）24例，肿瘤摘除术（En）8例。机器人方法与失血量显著降低、输血需求降低和术后恢复时间更快相关。主要并发症和成本是可比的两种technology.Conclusion：机器人的方法提供了一种替代开放手术的SPT在胰头不增加临床相关的胰瘘（CRPF）或其他重大并发症的发生率，并与良好的患者预后。(C)2019年亚洲外科协会和台湾机器人外科协会。出版社：Elsevier B. V.
Background: Robotic surgery is the most advanced minimally invasive technique for the treatment of complicated solid pseudopapillary tumors (SPT). The aim of this study is to evaluate feasibility of robotic surgery for the treatment of SPTs in the pancreatic head.Methods: A retrospective analysis of the clinical data of 83 SPTs in pancreatic head was conducted. Clinical characteristics were extracted and propensity score matching (PSM) was used to compare and evaluate mid-term outcomes of the two techniques.Results: Pancreaticoduodenectomy (PD), duodenum-preserving partial pancreatic head resection (DPPHR-P) and tumor enucleation (En) were performed in 51, 24, and 8 patients, respectively. The robotic approach was associated with a significantly lower volume of blood loss, lower need for transfusion, and faster time to post-surgery recovery. Major complications and costs were comparable for both techniques.Conclusion: A robotic approach provides an alternative to open surgery for SPTs in the pancreatic head without increasing the incidence of clinically relevant pancreatic fistula (CRPF) or other major complications and with good patient outcomes. (C) 2019 Asian Surgical Association and Taiwan Robotic Surgery Association. Publishing services by Elsevier B.V.