title: 200 consecutive laparoscopic pancreatic resections performed with a robotically controlled laparoscope holder.
abstract: BACKGROUND
  Because of the potential benefit of robotics in pancreatic surgery, we review our experience at two minimally invasive pancreatic surgery centers that utilize a robotically controlled laparoscope holder to see if smaller robots that enable the operating surgeon to maintain contact with the patient may have a role in the treatment of pancreatic disease.
  
  
  METHODS
  From March 1994 to June 2011, a total of 200 laparoscopic pancreatic procedures utilizing a robotically controlled laparoscope holder were performed.
  
  
  RESULTS
  A total of 72 duodenopancreatectomies, 67 distal pancreatectomies, 23 enucleations, 20 pancreatic cyst drainage procedures, 5 necrosectomies, 5 atypical pancreatic resections, 4 total pancreatectomies, and 4 central pancreatectomies were performed. Fourteen patients required conversion to an open approach and eight a hand-assisted one. A total of 24 patients suffered a major complication. Sixteen patients developed a pancreatic leak and 19 patients required reoperation. Major complications occurred in 14 patients and pancreatic leaks occurred in 13 patients. Ten patients required conversion to a lap-assisted or open approach and six patients required reoperation.
  
  
  CONCLUSIONS
  Currently, a robotically assisted approach using a camera holder seems the only way to incorporate some of the benefits of robotics in pancreatic surgery while maintaining haptics and contact with the patient.
authors: Department of Surgical Oncology, Summit Medical Group, Berkeley Heights, NJ, 07922, USA, aagumbs@gmail.com.
authors: Andrew A
authors: AA
authors: Gumbs
authors: Roland
authors: R
authors: Croner
authors: Angel
authors: A
authors: Rodriguez
authors: Noah
authors: N
authors: Zuker
authors: Aristoteles
authors: A
authors: Perrakis
authors: Brice
authors: B
authors: Gayet
mesh_terms: D000368:Aged; D004322:Drainage / Q000295:instrumentation / Q000379:methods; D004867:Equipment Design; D005260:Female; D058733:Hand-Assisted Laparoscopy / Q000379:methods / Q000706:statistics & numerical data; D006801:Humans; D020706:Laparoscopes; D010535:Laparoscopy / Q000379:methods* / Q000706:statistics & numerical data; D007813:Laparotomy / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D010180:Pancreatectomy / Q000295:instrumentation / Q000379:methods* / Q000706:statistics & numerical data; D010181:Pancreatic Cyst / Q000601:surgery; D010190:Pancreatic Neoplasms / Q000601:surgery; D016577:Pancreaticoduodenectomy / Q000295:instrumentation / Q000379:methods*; D050500:Pancreatitis, Chronic / Q000601:surgery; D011183:Postoperative Complications / Q000453:epidemiology; D012086:Reoperation; D012189:Retrospective Studies; D012371:Robotics / Q000295:instrumentation*
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