title: [Comparative results of open robot-assisted and laparoscopic distal pancreatic resection].
abstract: It was performed a retrospective analysis of the results of distal pancreatic resections (DPR) in 89 patients with different tumors. Conventional open operations were performed in 60 patients, robot-assisted - in 19 patients, laparoscopic - in 10 cases. Absolute indication for open surgery was pancreatic cancer T3-4 stages. Mini-invasive distal resections (robot-assisted and laparoscopic) were performed in cases of pancreatic cancer T1-2 stages, benign tumors and tumors with low potential of malignancy and diameter up to 4-5 cm. Results of robot-assisted and laparoscopic interventions are similar but robot-assisted technique provides more precise surgery. It improves quality of lymphadenectomy, decreases probability of intraoperative bleeding. Duration of robot-assisted and open operation did not differ significantly. Blood loss was significantly lower in group of robot-assisted method (mean 470 ml) while in cases of open and laparoscopic techniques this parameter was 1013.8 and 833.3 ml respectively. Postoperative complications in open, laparoscopic and robot-assisted groups developed in 45.1, 52.6 and 50% of observations respectively. Pancreatic fistulas were revealed in 58.8, 80 and 58.3% of cases respectively. There were not deaths after laparoscopic and robot-assisted pancreatic resections. 2 patients died after open surgery.
authors.affiliation: Institut khirurgii im. A.V. Vishnevskogo Minzdrava RF, Moskva.
authors.forename: A G
authors.initials: AG
authors.lastname: Kriger
authors.affiliation: Institut khirurgii im. A.V. Vishnevskogo Minzdrava RF, Moskva.
authors.forename: S V
authors.initials: SV
authors.lastname: Berelavichus
authors.affiliation: Institut khirurgii im. A.V. Vishnevskogo Minzdrava RF, Moskva.
authors.forename: A V
authors.initials: AV
authors.lastname: Smirnov
authors.affiliation: Institut khirurgii im. A.V. Vishnevskogo Minzdrava RF, Moskva.
authors.forename: D S
authors.initials: DS
authors.lastname: Gorin
authors.affiliation: Institut khirurgii im. A.V. Vishnevskogo Minzdrava RF, Moskva.
authors.forename: E A
authors.initials: EA
authors.lastname: Akhtanin
mesh_terms: D000328:Adult; D057186:Comparative Effectiveness Research; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods; D007813:Laparotomy / Q000009:adverse effects / Q000379:methods; D008297:Male; D008875:Middle Aged; D009031:Moscow; D009367:Neoplasm Staging; D061646:Operative Time; D010180:Pancreatectomy / Q000009:adverse effects / Q000379:methods; D010185:Pancreatic Fistula / Q000209:etiology* / Q000517:prevention & control; D010190:Pancreatic Neoplasms / Q000473:pathology / Q000601:surgery*; D011183:Postoperative Complications / Q000517:prevention & control*; D012189:Retrospective Studies; D065287:Robotic Surgical Procedures / Q000009:adverse effects / Q000379:methods; D016896:Treatment Outcome