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Assessment of learning curve and oncologic feasibility of robotic pancreaticoduodenectomy: A propensity scoreābased comparison with open approach
- Source :
- Journal of Hepato-Biliary-Pancreatic Sciences. 29:649-658
- Publication Year :
- 2020
- Publisher :
- Wiley, 2020.
-
Abstract
- BACKGROUND Though robotic pancreaticoduodenectomy(R-PD) is gradually adopted, learning curve and its feasibility is still controversial. We analyzed our first 70 R-PD cases, comparing surgical outcomes and feasibility to those of open pancreaticoduodenectomy (O-PD). METHODS Medical records of 70 patients of R-PD and 269 patients of O-PD between 2015 and 2019 were retrospectively analyzed. Cumulative sum analysis was used to determine learning curve. Surgical outcomes were compared between early(1-35) and late cases(36-70). Additional analyses with O-PD using propensity score-matching were done. RESULTS Learning curve of R-PD completed after 30 cases. Shorter operative time, lower estimated blood loss, and shorter length of stay were noted in later cases. Complication rate tended to decrease over time. In comparison with O-PD after matching, R-PD showed longer operation time(414.5 minutes vs 244.7 minutes; P
- Subjects :
- medicine.medical_specialty
medicine.medical_treatment
Operative Time
030230 surgery
Pancreaticoduodenectomy
03 medical and health sciences
0302 clinical medicine
Robotic Surgical Procedures
Blood loss
medicine
Humans
Operation time
Major complication
Propensity Score
Retrospective Studies
Hepatology
business.industry
Medical record
Perioperative
Length of Stay
Surgery
030220 oncology & carcinogenesis
Propensity score matching
Feasibility Studies
Operative time
Laparoscopy
business
Learning Curve
Subjects
Details
- ISSN :
- 18686982 and 18686974
- Volume :
- 29
- Database :
- OpenAIRE
- Journal :
- Journal of Hepato-Biliary-Pancreatic Sciences
- Accession number :
- edsair.doi.dedup.....ecb0e0a3f6284e462b6e9efb54571bc0