Treatment of intraductal papillary mucinous neoplasms, neuroendocrine and periampullary pancreatic tumors using robotic surgery: a safe and feasible technique.

Autor: de Vasconcellos Macedo AL; Department of General, Gastric and Minimally Invasive Surgery, Albert Einstein Hospital, Rua Monte Aprazível, 149/61A, São Paulo, SP, 04513-030, Brazil., Schraibman V; Department of General, Gastric and Minimally Invasive Surgery, Albert Einstein Hospital, Rua Monte Aprazível, 149/61A, São Paulo, SP, 04513-030, Brazil. vschraibman@hotmail.com.; Department of GI Surgery, Federal University of Sao Paulo (UNIFESP_EPM), São Paulo, SP, Brazil. vschraibman@hotmail.com., Okazaki S; Department of General, Gastric and Minimally Invasive Surgery, Albert Einstein Hospital, Rua Monte Aprazível, 149/61A, São Paulo, SP, 04513-030, Brazil.; Department of GI Surgery, Federal University of Sao Paulo (UNIFESP_EPM), São Paulo, SP, Brazil., Mauro FC; Department of General, Gastric and Minimally Invasive Surgery, Albert Einstein Hospital, Rua Monte Aprazível, 149/61A, São Paulo, SP, 04513-030, Brazil.; Department of GI Surgery, Federal University of Sao Paulo (UNIFESP_EPM), São Paulo, SP, Brazil., Epstein MG; Department of General, Gastric and Minimally Invasive Surgery, Albert Einstein Hospital, Rua Monte Aprazível, 149/61A, São Paulo, SP, 04513-030, Brazil., Goldman SM; Department of Diagnostic Imaging, Federal University of Sao Paulo (UNIFESP_EPM), São Paulo, SP, Brazil., Lustosa SA; Department of GI Surgery, Federal University of Sao Paulo (UNIFESP_EPM), São Paulo, SP, Brazil., Matos D; Department of GI Surgery, Federal University of Sao Paulo (UNIFESP_EPM), São Paulo, SP, Brazil.
Jazyk: angličtina
Zdroj: Journal of robotic surgery [J Robot Surg] 2011 Mar; Vol. 5 (1), pp. 35-41. Date of Electronic Publication: 2011 Jan 07.
DOI: 10.1007/s11701-010-0238-3
Abstrakt: In the last few years, robotic surgery has started to take its place in pancreatic surgery. Robotic surgery provides advantages such as enhanced visualisation and freedom of dissection within a confined space and also allows economical surgery. The aim of this study was to evaluate the feasibility, safety and short-term outcome of the robotic approach using the da Vinci robotic system in pancreatic/peripancreatic tumors other than pancreatic carcinomas. Fifteen patients with eight intraductal papillary mucinous neoplasms, four pancreatic neuroendocrine and three periampulary tumors were included in this initial series. Seven left pancreatectomies, five pancreatoduodenectomies and two total pancreatectomies were performed at Albert Einstein Hospital, São Paulo, Brazil. The mean operating room time for all the procedures was 503 min (315-775 min). Blood transfusion was necessary in one patient (3 units). The mean length of stay for all patients was 16 days (5-52 days). Large series of robotic pancreatic surgery should be described and the decision as to its routine use will come from cumulative experience. This surgical system allows difficult procedures to be performed more easily, effectively and precisely.
Databáze: MEDLINE
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