title: Hepatobilio-pancreatic robotic surgery: initial experience from a single center institute.
abstract: The use of robotic surgery in the hepatobilio-pancreatic (HBP) field is still limited. Our aim is to present our early experience of robotic liver resection. A retrospective review of robotic pancreatic and liver resection was performed at Sanchinarro University hospital from October 2010 to April 2016. Since the beginning of the robotic program in our center, 22 hepatic procedures and 45 pancreatic robotic procedures have been performed. Of the 21 patients subjected to liver resection, 13 (65%) were for malignancy. There were two left hepatectomies, one right hepatectomy, one associated liver partition and portal vein ligation staged procedure (both steps by robotic approach), three bisegmentectomies and three segmentectomies, eight wedge resections, and three pericystectomies. The mean operating time was 282 min. The overall conversion rate and postoperative complication rate were 4.7 and 19%, respectively. The mean length of hospital stay was 13.4 days (range 4-64 days). Of the 45 patients subjected to pancreatic resection, 22 were male and 23 female. The average age of all patients was 62 years (range 31-82 years). The mean operating room (OR) time was 370 min (120-780 min). Among the procedures performed were 15 pancreatico-duodenectomies, 19 distal pancreatectomies, and 11 enucleations. All procedures in the HBP area were R0. Our early experience shows that robotic surgery is a safe and feasible procedure in the HBP area. The complication and mortality rates are comparable to those of open surgery, but with the advantages of minimally invasive surgery.
authors.affiliation: General Surgery Department, Sanchinarro University Hospital, San Pablo University, CEU, C/Oña nº 10, 28050, Madrid, Spain.
authors.forename: Yolanda
authors.initials: Y
authors.lastname: Quijano
authors.affiliation: General Surgery Department, Sanchinarro University Hospital, San Pablo University, CEU, C/Oña nº 10, 28050, Madrid, Spain.
authors.forename: Emilio
authors.initials: E
authors.lastname: Vicente
authors.affiliation: General Surgery Department, Sanchinarro University Hospital, San Pablo University, CEU, C/Oña nº 10, 28050, Madrid, Spain.
authors.forename: Benedetto
authors.initials: B
authors.lastname: Ielpo
authors.affiliation: General Surgery Department, Sanchinarro University Hospital, San Pablo University, CEU, C/Oña nº 10, 28050, Madrid, Spain.
authors.forename: Hipolito
authors.initials: H
authors.lastname: Duran
authors.affiliation: General Surgery Department, Sanchinarro University Hospital, San Pablo University, CEU, C/Oña nº 10, 28050, Madrid, Spain.
authors.forename: Eduardo
authors.initials: E
authors.lastname: Diaz
authors.affiliation: General Surgery Department, Sanchinarro University Hospital, San Pablo University, CEU, C/Oña nº 10, 28050, Madrid, Spain.
authors.forename: Isabel
authors.initials: I
authors.lastname: Fabra
authors.affiliation: General Surgery Department, Sanchinarro University Hospital, San Pablo University, CEU, C/Oña nº 10, 28050, Madrid, Spain.
authors.forename: Luis
authors.initials: L
authors.lastname: Malave
authors.affiliation: General Surgery Department, Sanchinarro University Hospital, San Pablo University, CEU, C/Oña nº 10, 28050, Madrid, Spain.
authors.forename: Valentina
authors.initials: V
authors.lastname: Ferri
authors.affiliation: General Surgery Department, Sanchinarro University Hospital, San Pablo University, CEU, C/Oña nº 10, 28050, Madrid, Spain.
authors.forename: Carlos
authors.initials: C
authors.lastname: Plaza
authors.affiliation: General Surgery Department, Sanchinarro University Hospital, San Pablo University, CEU, C/Oña nº 10, 28050, Madrid, Spain.
authors.forename: Jan Lammel
authors.initials: JL
authors.lastname: Lindemann
authors.affiliation: Department of General Surgery, La Sapienza University Hospital, Viale Regina Elena 105, Rome, Italy.
authors.forename: Vito
authors.initials: V
authors.lastname: D'Andrea
authors.affiliation: General Surgery Department, Sanchinarro University Hospital, San Pablo University, CEU, C/Oña nº 10, 28050, Madrid, Spain. ricaruso2@gmail.com.
authors.forename: Riccardo
authors.initials: R
authors.lastname: Caruso
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001660:Biliary Tract Diseases / Q000601:surgery; D004867:Equipment Design; D005260:Female; D006498:Hepatectomy / Q000295:instrumentation / Q000379:methods* / Q000706:statistics & numerical data; D006801:Humans; D010535:Laparoscopy / Q000295:instrumentation / Q000379:methods* / Q000706:statistics & numerical data; D007902:Length of Stay / Q000706:statistics & numerical data; D008107:Liver Diseases / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D059351:Organ Sparing Treatments / Q000379:methods; D010180:Pancreatectomy / Q000295:instrumentation / Q000379:methods* / Q000706:statistics & numerical data; D010182:Pancreatic Diseases / Q000601:surgery; D016577:Pancreaticoduodenectomy / Q000295:instrumentation / Q000379:methods; D010348:Patient Care Team; D056888:Patient Positioning; D011183:Postoperative Complications / Q000209:etiology; D012189:Retrospective Studies; D065287:Robotic Surgical Procedures / Q000295:instrumentation / Q000379:methods* / Q000706:statistics & numerical data; D055815:Young Adult
keywords: Hepatectomy; Minimally invasive surgery; Pancreatectomy; Robotic surgery