作者
Fabio Ausania,Filippo Landi,Carolina González‐Abós,John B. Martinie,Dionisios Vrochides,Marianne E. Walsh,S. M. Khaled Hossain,Steven A. White,Viswakumar Prabakaran,Laleh G. Melstrom,Yuman Fong,Valentina Valle,Yuntao Bing,Dianrong Xiu,Gregorio Di Franco,Nicola de’Angelis,Alexis Laurent,Giuseppe Giuliani,Graziano Pernazza,Riccardo Méméo,José Ríos,Andrea Coratti,Luca Morelli,Pier Cristoforo Giulianotti
摘要
Robotic distal pancreatectomy (RDP) is associated with a lower conversion rate and less blood loss than laparoscopic distal pancreatectomy (LDP). LDP has similar oncological outcomes as open surgery in PDAC. The aim of this study was to compare perioperative and oncological outcomes in obese patients with RDP versus LDP for PDAC.Retrospectively, all obese patients who underwent RDP or LDP for PDAC between 2012 and 2022 at 12 international expert centres were included.out of 372, 81 patients were included. All baseline features were comparable between the two groups. RDP was associated with decreased blood loss (495mlLDP vs. 188mlRDP; p = 0.003), lower conversion rate (13.5%RDP vs. 36.4%LDP; p = 0.019) and lower rate of Clavien-Dindo ≥3 complications (13.5%RDP vs. 36.4%LDP; p = 0.019). Overall and disease-free survival were comparable.In obese patients with left-sided PDAC, the robotic approach was associated with improved intraoperative outcomes and fewer severe complications.