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Early experience with robot-assisted Frey’s procedure surgical outcome and technique: Indian perspective
PURPOSE: Robotic surgery for pancreatic diseases is currently on the rise, feasible, well-accepted, and safe. Frequently performed procedures in relation to pancreatic diseases include distal pancreatectomy and pancreatoduodenectomy. The literature commonly describes robotic lateral pancreaticojejun...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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The Korean Society of Endo-Laparoscopic & Robotic Surgery
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9763489/ https://www.ncbi.nlm.nih.gov/pubmed/36601487 http://dx.doi.org/10.7602/jmis.2022.25.4.145 |
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author | Shukla, Ankit Gnanasekaran, Senthil Kalayarasan, Raja Pottakkat, Biju |
author_facet | Shukla, Ankit Gnanasekaran, Senthil Kalayarasan, Raja Pottakkat, Biju |
author_sort | Shukla, Ankit |
collection | PubMed |
description | PURPOSE: Robotic surgery for pancreatic diseases is currently on the rise, feasible, well-accepted, and safe. Frequently performed procedures in relation to pancreatic diseases include distal pancreatectomy and pancreatoduodenectomy. The literature commonly describes robotic lateral pancreaticojejunostomy; however, data on robot-assisted Frey’s is scarce. METHODS: We herein, describe our series and technique of robot-assisted Frey’s procedure at our tertiary care center between November 2019 and March 2022, and its short-term outcomes in comparison to the open Frey’s. Patients with chronic pancreatitis having intractable pain, dilated duct, and no evidence of inflammatory head mass or malignancy were included in the study for robot-assisted Frey’s. RESULTS: In our study, out of 32 patients, nine patients underwent robot assisted Frey’s procedure. The duration of surgery was significantly longer in robotic group (570 minutes vs. 360 minutes, p = 0.003). The medians of intraoperative blood loss and postoperative analgesic requirement were lower in robotic group, but the difference was not statistically significant (250 mL vs. 350 mL, p = 0.400 and 3 days vs. 4 days, p = 0.200, respectively). The median length of hospital stay was shorter in the robotic group, though not significant (6 days vs. 7 days, p = 0.540). At a median follow-up of 28 months, there was no significant difference in the postoperative complications and short-term outcomes between the two groups. CONCLUSION: Robotic surgery offers benefits of laparoscopic surgery in addition it has better visualization, magnification, dexterity, and ergonomics. Frey’s procedure is possible robotically with acceptable outcomes in selected patients. |
format | Online Article Text |
id | pubmed-9763489 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | The Korean Society of Endo-Laparoscopic & Robotic Surgery |
record_format | MEDLINE/PubMed |
spelling | pubmed-97634892023-01-03 Early experience with robot-assisted Frey’s procedure surgical outcome and technique: Indian perspective Shukla, Ankit Gnanasekaran, Senthil Kalayarasan, Raja Pottakkat, Biju J Minim Invasive Surg Original Article PURPOSE: Robotic surgery for pancreatic diseases is currently on the rise, feasible, well-accepted, and safe. Frequently performed procedures in relation to pancreatic diseases include distal pancreatectomy and pancreatoduodenectomy. The literature commonly describes robotic lateral pancreaticojejunostomy; however, data on robot-assisted Frey’s is scarce. METHODS: We herein, describe our series and technique of robot-assisted Frey’s procedure at our tertiary care center between November 2019 and March 2022, and its short-term outcomes in comparison to the open Frey’s. Patients with chronic pancreatitis having intractable pain, dilated duct, and no evidence of inflammatory head mass or malignancy were included in the study for robot-assisted Frey’s. RESULTS: In our study, out of 32 patients, nine patients underwent robot assisted Frey’s procedure. The duration of surgery was significantly longer in robotic group (570 minutes vs. 360 minutes, p = 0.003). The medians of intraoperative blood loss and postoperative analgesic requirement were lower in robotic group, but the difference was not statistically significant (250 mL vs. 350 mL, p = 0.400 and 3 days vs. 4 days, p = 0.200, respectively). The median length of hospital stay was shorter in the robotic group, though not significant (6 days vs. 7 days, p = 0.540). At a median follow-up of 28 months, there was no significant difference in the postoperative complications and short-term outcomes between the two groups. CONCLUSION: Robotic surgery offers benefits of laparoscopic surgery in addition it has better visualization, magnification, dexterity, and ergonomics. Frey’s procedure is possible robotically with acceptable outcomes in selected patients. The Korean Society of Endo-Laparoscopic & Robotic Surgery 2022-12-15 2022-12-15 /pmc/articles/PMC9763489/ /pubmed/36601487 http://dx.doi.org/10.7602/jmis.2022.25.4.145 Text en Copyright © The Korean Society of Endo-Laparoscopic & Robotic Surgery. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Shukla, Ankit Gnanasekaran, Senthil Kalayarasan, Raja Pottakkat, Biju Early experience with robot-assisted Frey’s procedure surgical outcome and technique: Indian perspective |
title | Early experience with robot-assisted Frey’s procedure surgical outcome and technique: Indian perspective |
title_full | Early experience with robot-assisted Frey’s procedure surgical outcome and technique: Indian perspective |
title_fullStr | Early experience with robot-assisted Frey’s procedure surgical outcome and technique: Indian perspective |
title_full_unstemmed | Early experience with robot-assisted Frey’s procedure surgical outcome and technique: Indian perspective |
title_short | Early experience with robot-assisted Frey’s procedure surgical outcome and technique: Indian perspective |
title_sort | early experience with robot-assisted frey’s procedure surgical outcome and technique: indian perspective |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9763489/ https://www.ncbi.nlm.nih.gov/pubmed/36601487 http://dx.doi.org/10.7602/jmis.2022.25.4.145 |
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