Learning curves of resection and reconstruction procedures in robotic-assisted pancreatoduodenectomy by a single surgeon:a retrospective cohort study of 160 consecutive cases
Xi-Tai Huang
Xi-Yu Wang
Jin-Zhao Xie
Jian-Peng Cai
Wei Chen
Liu-Hua Chen
Xiao-Yu Yin
Department of Pancreato-Biliary Surgery,The First Affiliated Hospital,Sun Yat-sen University,Guangzhou,Guangdong,P.R.China
摘要：Background:Robotic-assisted pancreatoduodenectomy(RPD)has been routinely performed in a few of centers worldwide.This study aimed to evaluate the perioperative outcomes and the learning curves of resection and reconstruction procedures in RPD by one single surgeon.
Methods:Consecutive patients undergoing RPD by a single surgeon at the First Affiliated Hospital of Sun Yat-sen University(Guangzhou,China)between July 2016 and October 2022 were included.The perioperative outcomes and learning curves were retro-spectively analysed by using cumulative sum(CUSUM)analyses.
Results:One-hundred and sixty patients were included.According to the CUSUM curve,the times of resection and reconstruction procedures were shortened significantly after 30 cases(median,284 vs 195 min;P<0.001)and 45 cases(median,138 vs 120 min;P<0.001),respectively.The estimated intraoperative blood loss(median,100 vs 50 mL;P<0.001)and the incidence of clinically relevant post-operative pancreatic fistula(29.2%vs 12.5%;P=0.035)decreased significantly after 20 and 120 cases,respectively.There were no significant differences in the total number of lymph nodes examined,post-operative major complications,or post-operative length-of-stay between the two groups.
Conclusions:Optimization of the resection procedure and the acquisition of visual feedback facilitated the performance of RPD.RPD was a safe and feasible procedure in the selected patients.
机标关键词：learningsinglestudynectassistedcasescohortconsecutive
论文发表日期：2024-08-30
在线出版日期：2026-07-17（本平台首次上网日期，不代表文献的发表时间）
页数：9( 311-319 )
英文信息