Operations on the pancreas using robotic complex

Abstract

Background: Aim: to create a conception of adequate usage of robotic complex in pancreatic surgery. Methods: A retrospective study of robotic-assisted (RA) operations in 84 patients was held. Ductal adenocarcinomas were in 20 cases (23.8%), NETs in 33 (39.3%), cystic tumors in 15 (17.9%), SPPNs in 9 (10.7%), nesidioblastosis in 2 (2.4%), metastasis of neuphrocellar carcinoma in pancreas in 1 (1.2%), benign tumors in 5 (5.9%) patients. Distal pancreatectomy was carried in 44 participants, tumor enucleation in 15, pancreaticoduodenectomy (PD) in 17, central resection in 6. Total duodenumpancreatectomy was made in 2 cases. Results: Duration of RA PD varied within 305 to 670 minutes and took 407 min. median time. Conversion was in 2 cases. Blood loss volume (blw) was 225 ml. Median length os stay (Los) was 15.5. Lymph nodes harvest was 18.5 correlate with the quantity of removed along the traditional PD. Duration of the distal pancreatectomy was 210 min, blw was 100 ml. Postoperative period in 18 patients was accompanied by pancreatic fistulas. Median enucleation and central resection time was 140 and 238 min. Conclusion: Indications to the RA surgery are: malignant pancreatic tumors Т1-T2, benign and low malignant tumors 4-5 cm without invasion into vessels. RA operations provide precise remove of the lymphatic nodes and anastomosis formation. Postoperative period passes more comfortable for the patients due to the minimal tissue trauma. It doesn’t prevent specific postoperative complications.