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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...

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Autores principales: Shukla, Ankit, Gnanasekaran, Senthil, Kalayarasan, Raja, Pottakkat, Biju
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society of Endo-Laparoscopic & Robotic Surgery 2022
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.
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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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