title: Does robotic distal pancreatectomy surgery offer similar results as laparoscopic and open approach? A comparative study from a single medical center.
abstract: BACKGROUND
  In the field of pancreatic surgery, robotic surgery has yet to be evaluated against open and laparoscopic approaches. The outcomes of robotic surgery for distal pancreatectomy were analysed and the results compared with those of laparoscopic and open procedures.
  
  
  METHODS
  Retrospective reviews were made of 47 patients who underwent distal pancreatectomy at our institution between 2008 and 2013 with three different approaches: 16 robotic, 18 laparoscopic and 13 open surgeries.
  
  
  RESULTS
  A significant difference was observed in blood loss in the open group (mean 3.44 units) compared with the robotic (mean 0.5 units) and laparoscopic (0 units) technique (P  = 0.046). A shorter hospital stay was observed for the robotic group (8.87 days) compared with the laparoscopic (19.16 days) and open groups (20.44 days) (P = 0.035). Morbidity was lower in the robotic group (0%) compared with the Laparoscopic (44%) and Open groups (46%) (P = 0.014).
  
  
  CONCLUSIONS
  These findings support the proposition that robotic distal pancreatectomy is as safe as the laparoscopic approach.
authors.affiliation: Sanchinarro Hospital, San Pablo University, General Surgery Department, Calle Oña 10, 28050, Madrid, Spain.
authors.forename: Hipolito
authors.initials: H
authors.lastname: Duran
authors.forename: Benedetto
authors.initials: B
authors.lastname: Ielpo
authors.forename: Riccardo
authors.initials: R
authors.lastname: Caruso
authors.forename: Valentina
authors.initials: V
authors.lastname: Ferri
authors.forename: Yolanda
authors.initials: Y
authors.lastname: Quijano
authors.forename: Eduardo
authors.initials: E
authors.lastname: Diaz
authors.forename: Isabel
authors.initials: I
authors.lastname: Fabra
authors.forename: Catalina
authors.initials: C
authors.lastname: Oliva
authors.forename: Sergio
authors.initials: S
authors.lastname: Olivares
authors.forename: Emilio
authors.initials: E
authors.lastname: Vicente
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D010179:Pancreas / Q000601:surgery*; D010180:Pancreatectomy / Q000379:methods*; D010190:Pancreatic Neoplasms / Q000601:surgery; D012189:Retrospective Studies; D065287:Robotic Surgical Procedures
keywords: distal pancreatectomy; minimally invasive surgery; robotic surgery