title: Short-term perioperative outcomes after robot-assisted and laparoscopic distal pancreatectomy.
abstract: Robotic surgery offers potential technical advantages that may facilitate pancreatic resection. The aim of this study was to evaluate the learning curve and short-term perioperative outcomes in patients who underwent laparoscopic and robot-assisted distal pancreatectomy. All perioperative variables were evaluated and compared retrospectively between laparoscopic (LDP) (n = 23) and robot-assisted (RDP) (n = 11) distal pancreatectomy. The mean total operative time was shorter in LDP (194 vs. 225 min; p = 0.017). All other perioperative criteria were similar between LDP and RDP patients (blood loss, transfusion rate, conversion, pancreatic fistula, postoperative morbidity, and duration of hospitalization). Non-adjusted CUSUM curve for composite events including operative time, conversion, postoperative morbidity and reoperation rates showed that the RDP learning curve corresponded to the first seven consecutive patients. During early experience, RDP was associated with longer operative time but similar short-term perioperative outcomes compared to conventional distal pancreatectomy.
authors.affiliation: Department of Hepatobiliary, Digestive and Endocrine Surgery, Université de Lorraine, CHU Nancy-Brabois (Adultes), Vandoeuvre-les-Nancy, France. benizri.e@chu-nice.fr.|Department of General Surgery and Digestive Cancerology, Centre Hospitalier Universitaire de Nice, Hôpital de l'Archet 2, 151 Route de Saint Antoine de Ginestière, B.P. 3079, 06000, Nice Cedex 3, France. benizri.e@chu-nice.fr.
authors.forename: Emmanuel I
authors.initials: EI
authors.lastname: Benizri
authors.affiliation: Department of Hepatobiliary, Digestive and Endocrine Surgery, Université de Lorraine, CHU Nancy-Brabois (Adultes), Vandoeuvre-les-Nancy, France.
authors.forename: Adeline
authors.initials: A
authors.lastname: Germain
authors.affiliation: Department of Hepatobiliary, Digestive and Endocrine Surgery, Université de Lorraine, CHU Nancy-Brabois (Adultes), Vandoeuvre-les-Nancy, France.
authors.forename: Ahmet
authors.initials: A
authors.lastname: Ayav
authors.affiliation: Department of General Surgery and Digestive Cancerology, Centre Hospitalier Universitaire de Nice, Hôpital de l'Archet 2, 151 Route de Saint Antoine de Ginestière, B.P. 3079, 06000, Nice Cedex 3, France.
authors.forename: Jean-Louis
authors.initials: JL
authors.lastname: Bernard
authors.affiliation: Department of Surgery, New York Presbyterian Hospital, Weill Cornell Medical College, New York, NY, USA.
authors.forename: Rasa
authors.initials: R
authors.lastname: Zarnegar
authors.affiliation: Department of General Surgery and Digestive Cancerology, Centre Hospitalier Universitaire de Nice, Hôpital de l'Archet 2, 151 Route de Saint Antoine de Ginestière, B.P. 3079, 06000, Nice Cedex 3, France.
authors.forename: Daniel
authors.initials: D
authors.lastname: Benchimol
authors.affiliation: Department of Hepatobiliary, Digestive and Endocrine Surgery, Université de Lorraine, CHU Nancy-Brabois (Adultes), Vandoeuvre-les-Nancy, France.
authors.forename: Laurent
authors.initials: L
authors.lastname: Bresler
authors.affiliation: Department of Hepatobiliary, Digestive and Endocrine Surgery, Université de Lorraine, CHU Nancy-Brabois (Adultes), Vandoeuvre-les-Nancy, France.|Université de Lorraine, Inserm, U954, Faculté de Médecine, University of Nancy, Vandoeuvre-les-Nancy, 54511, France.
authors.forename: Laurent
authors.initials: L
authors.lastname: Brunaud
keywords: Distal pancreatectomy; Laparoscopy; Learning curve; Morbidity; Robotics