title: Robotic Enucleation for Benign or Borderline Tumours of the Pancreas: A Retrospective Analysis and Comparison from a High-Volume Centre in Asia.
abstract: Enucleation is increasingly performed for benign or borderline tumours of the pancreas because it is a parenchyma-sparing and less invasive procedure compared to conventional pancreatectomy, which reduces the risk of exocrine and endocrine insufficiency. This study retrospectively evaluated and compared the pre-, intra-, and post-operative clinical characteristics after open and robotic approaches for pancreatic enucleation.
  
  
  
  Fifty-six cases of enucleation for benign or borderline tumours of the pancreas treated from March 2010 to July 2015 were identified by a retrospective search. These included 25 patients who underwent an open approach and 31 patients who underwent a robotic approach. The clinical characteristics were extracted and compared.
  
  
  
  The two groups had a similar location and pathology of the tumour. The robotic group had a significantly shorter operation time and significantly less blood loss than the open group. The rates of clinical pancreatic fistula (PF) formation and major complications were similar. The robotic approach could be applied for a tumour on the right side of the pancreas without increasing the incidence of clinical PF or other major complications. The patients with clinical PF had a significantly shorter distance between the lesion and the main pancreatic duct (MPD).
  
  
  
  Robotic enucleation appears to be a feasible and safe approach for benign or borderline tumours of the pancreas and was associated with similarly favourable surgical outcomes as the open approach. Identifying and avoiding the MPD is an important step during enucleation.
authors.affiliation: Pancreatic Disease Center, Department of General Surgery, Ruijin Hospital, Affiliated to Shanghai Jiaotong University School of Medicine, No. 197 Ruijin Er Road, Shanghai, 200025, People's Republic of China.
authors.forename: Jia-Bin
authors.initials: JB
authors.lastname: Jin
authors.affiliation: Pancreatic Disease Center, Department of General Surgery, Ruijin Hospital, Affiliated to Shanghai Jiaotong University School of Medicine, No. 197 Ruijin Er Road, Shanghai, 200025, People's Republic of China.
authors.forename: Kai
authors.initials: K
authors.lastname: Qin
authors.affiliation: Pancreatic Disease Center, Department of General Surgery, Ruijin Hospital, Affiliated to Shanghai Jiaotong University School of Medicine, No. 197 Ruijin Er Road, Shanghai, 200025, People's Republic of China.
authors.forename: Hua
authors.initials: H
authors.lastname: Li
authors.affiliation: Pancreatic Disease Center, Department of General Surgery, Ruijin Hospital, Affiliated to Shanghai Jiaotong University School of Medicine, No. 197 Ruijin Er Road, Shanghai, 200025, People's Republic of China.
authors.forename: Zhi-Chong
authors.initials: ZC
authors.lastname: Wu
authors.affiliation: Pancreatic Disease Center, Department of General Surgery, Ruijin Hospital, Affiliated to Shanghai Jiaotong University School of Medicine, No. 197 Ruijin Er Road, Shanghai, 200025, People's Republic of China.
authors.forename: Qian
authors.initials: Q
authors.lastname: Zhan
authors.affiliation: Pancreatic Disease Center, Department of General Surgery, Ruijin Hospital, Affiliated to Shanghai Jiaotong University School of Medicine, No. 197 Ruijin Er Road, Shanghai, 200025, People's Republic of China.
authors.forename: Xia-Xing
authors.initials: XX
authors.lastname: Deng
authors.affiliation: Pancreatic Disease Center, Department of General Surgery, Ruijin Hospital, Affiliated to Shanghai Jiaotong University School of Medicine, No. 197 Ruijin Er Road, Shanghai, 200025, People's Republic of China.
authors.forename: Hao
authors.initials: H
authors.lastname: Chen
authors.affiliation: Pancreatic Disease Center, Department of General Surgery, Ruijin Hospital, Affiliated to Shanghai Jiaotong University School of Medicine, No. 197 Ruijin Er Road, Shanghai, 200025, People's Republic of China.
authors.forename: Bai-Yong
authors.initials: BY
authors.lastname: Shen
authors.affiliation: Pancreatic Disease Center, Department of General Surgery, Ruijin Hospital, Affiliated to Shanghai Jiaotong University School of Medicine, No. 197 Ruijin Er Road, Shanghai, 200025, People's Republic of China. chhpeng@yeah.net.
authors.forename: Cheng-Hong
authors.initials: CH
authors.lastname: Peng
authors.affiliation: Pancreatic Disease Center, Department of General Surgery, Ruijin Hospital, Affiliated to Shanghai Jiaotong University School of Medicine, No. 197 Ruijin Er Road, Shanghai, 200025, People's Republic of China.
authors.forename: Hong-Wei
authors.initials: HW
authors.lastname: Li
mesh_terms: D000328:Adult; D001208:Asia; D016063:Blood Loss, Surgical; D005260:Female; D061847:Hospitals, High-Volume; D006801:Humans; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D010180:Pancreatectomy / Q000009:adverse effects / Q000379:methods*; D010183:Pancreatic Ducts / Q000473:pathology; D010185:Pancreatic Fistula / Q000209:etiology*; D010190:Pancreatic Neoplasms / Q000473:pathology* / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology*; D011184:Postoperative Period; D011230:Precancerous Conditions / Q000601:surgery*; D012189:Retrospective Studies; D065287:Robotic Surgical Procedures / Q000009:adverse effects