Effectiveness and stability of robot-assisted anastomosis in minimally invasive pancreaticoduodenectomy

Abstract

PURPOSE: Reconstruction using robotic assistance in pancreaticoduodenectomy (PD) was expected to be an effective means to overcome the limitations of laparoscopic surgery. To our knowledge, few comparative reports exist on the outcomes of totally laparoscopic PD (TLPD) and robot-assisted laparoscopic PD (RLPD). This retrospective study aimed to analyze the surgical results of TLPD and RLPD in a high-volume pancreatic center. METHODS: We analyzed the surgical results of consecutive patients who underwent a minimally invasive PD for malignant or benign periampullary lesions between January 2016 and May 2020. Forty-three TLPD patients and 49 RLPD patients were enrolled. RESULTS: 9.3%, P = 0.038). CONCLUSION: RLPD showed the advantage of reducing the operation time compared to TLPD as well as technical feasibility and safety.