title: [Robot-assisted pancreatoduodenectomy].
abstract: OBJECTIVE
  To compare the results of robot-assisted and conventional techniques of pancreatoduodenectomy.
  
  
  METHODS
  It was performed the retrospective investigation of results of robot-assisted and conventional pylorus-preserving pancreatoduodenectomy in 7 and 7 patients respectively.
  
  
  RESULTS
  Duration of robot-assisted and conventional surgery was 460.71±119.77 and 288.57±62.2 minutes, volume of blood loss--414.28±285.36 and 400±163.30 ml respectively. Postoperative complications after robot-assisted technique were classified as Grade I according to Clavien-Dindo classification. Pancreatic fistulae were absent (ISGPF (2005)). Lower duration of abdominal drainage and opioid analgesia were observed. Also narcotic drugs were required by not all patients after robot-assisted surgery. Histological study revealed the large number of excised lymphatic nodes.
  
  
  CONCLUSIONS
  Obvious advantage of robot-assisted operation was precision of great vessels and lymphatic nodes dissection, performing anastomoses. Robot-assisted pancreatoduodenectomy corresponds to all requirements inherent to radical cancer surgery.
authors.affiliation: A.V. Vishnevskiy Institute for Surgery, Health Ministry of the Russian Federation, Moscow, Russia.
authors.forename: A G
authors.initials: AG
authors.lastname: Kriger
authors.affiliation: A.V. Vishnevskiy Institute for Surgery, Health Ministry of the Russian Federation, Moscow, Russia.
authors.forename: S V
authors.initials: SV
authors.lastname: Berelavichus
authors.affiliation: A.V. Vishnevskiy Institute for Surgery, Health Ministry of the Russian Federation, Moscow, Russia.
authors.forename: D S
authors.initials: DS
authors.lastname: Gorin
authors.affiliation: A.V. Vishnevskiy Institute for Surgery, Health Ministry of the Russian Federation, Moscow, Russia.
authors.forename: A R
authors.initials: AR
authors.lastname: Kaldarov
authors.affiliation: A.V. Vishnevskiy Institute for Surgery, Health Ministry of the Russian Federation, Moscow, Russia.
authors.forename: N A
authors.initials: NA
authors.lastname: Karel'skaya
authors.affiliation: A.V. Vishnevskiy Institute for Surgery, Health Ministry of the Russian Federation, Moscow, Russia.
authors.forename: E A
authors.initials: EA
authors.lastname: Akhtanin
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010190:Pancreatic Neoplasms / Q000601:surgery*; D016577:Pancreaticoduodenectomy / Q000379:methods*; D012189:Retrospective Studies; D012371:Robotics / Q000379:methods*; D016896:Treatment Outcome