Robotic central pancreatectomy: a systematic review and meta-analysis

Central pancreatectomy is usually performed to excise lesions of the neck or proximal body of the pancreas. In the last decade, thanks to the advent of novel technologies, surgeons have started to perform this procedure robotically. This review aims to appraise the results and outcomes of robotic ce...

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Published inHPB (Oxford, England) Vol. 24; no. 2; pp. 143 - 151
Main Authors Rompianesi, Gianluca, Montalti, Roberto, Giglio, Mariano C., Caruso, Emanuele, Ceresa, Carlo DL, Troisi, Roberto I.
Format Journal Article
LanguageEnglish
Published England Elsevier Ltd 01.02.2022
Subjects
Humans
Pancreas - surgery
Pancreatectomy - adverse effects
Pancreatectomy - methods
Pancreatic Fistula - epidemiology
Pancreatic Fistula - etiology
Pancreatic Fistula - surgery
Pancreatic Neoplasms - complications
Pancreatic Neoplasms - surgery
Postoperative Complications - epidemiology
Robotic Surgical Procedures - adverse effects
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Abstract Central pancreatectomy is usually performed to excise lesions of the neck or proximal body of the pancreas. In the last decade, thanks to the advent of novel technologies, surgeons have started to perform this procedure robotically. This review aims to appraise the results and outcomes of robotic central pancreatectomies (RCP) through a systematic review and meta-analysis. A systematic search of MEDLINE, Embase, and Web Of Science identified studies reporting outcomes of RCP. Pooled prevalence rates of postoperative complications and mortality were computed using random-effect modelling. Thirteen series involving 265 patients were included. In all cases but one, RCP was performed to excise benign or low-grade tumours. Clinically relevant post-operative pancreatic fistula (POPF) occurred in 42.3% of patients. While overall complications were reported in 57.5% of patients, only 9.4% had a Clavien-Dindo score ≥ III. Re-operation was necessary in 0.7% of the patients. New-onset diabetes occurred postoperatively in 0.3% of patients and negligible mortality and open conversion rates were observed. RCP is safe and associated with low perioperative mortality and well preserved postoperative pancreatic function, although burdened by high overall morbidity and POPF rates.
AbstractList BACKGROUNDCentral pancreatectomy is usually performed to excise lesions of the neck or proximal body of the pancreas. In the last decade, thanks to the advent of novel technologies, surgeons have started to perform this procedure robotically. This review aims to appraise the results and outcomes of robotic central pancreatectomies (RCP) through a systematic review and meta-analysis. METHODSA systematic search of MEDLINE, Embase, and Web Of Science identified studies reporting outcomes of RCP. Pooled prevalence rates of postoperative complications and mortality were computed using random-effect modelling. RESULTSThirteen series involving 265 patients were included. In all cases but one, RCP was performed to excise benign or low-grade tumours. Clinically relevant post-operative pancreatic fistula (POPF) occurred in 42.3% of patients. While overall complications were reported in 57.5% of patients, only 9.4% had a Clavien-Dindo score ≥ III. Re-operation was necessary in 0.7% of the patients. New-onset diabetes occurred postoperatively in 0.3% of patients and negligible mortality and open conversion rates were observed. CONCLUSIONRCP is safe and associated with low perioperative mortality and well preserved postoperative pancreatic function, although burdened by high overall morbidity and POPF rates.
Central pancreatectomy is usually performed to excise lesions of the neck or proximal body of the pancreas. In the last decade, thanks to the advent of novel technologies, surgeons have started to perform this procedure robotically. This review aims to appraise the results and outcomes of robotic central pancreatectomies (RCP) through a systematic review and meta-analysis. A systematic search of MEDLINE, Embase, and Web Of Science identified studies reporting outcomes of RCP. Pooled prevalence rates of postoperative complications and mortality were computed using random-effect modelling. Thirteen series involving 265 patients were included. In all cases but one, RCP was performed to excise benign or low-grade tumours. Clinically relevant post-operative pancreatic fistula (POPF) occurred in 42.3% of patients. While overall complications were reported in 57.5% of patients, only 9.4% had a Clavien-Dindo score ≥ III. Re-operation was necessary in 0.7% of the patients. New-onset diabetes occurred postoperatively in 0.3% of patients and negligible mortality and open conversion rates were observed. RCP is safe and associated with low perioperative mortality and well preserved postoperative pancreatic function, although burdened by high overall morbidity and POPF rates.
Author Caruso, Emanuele
Montalti, Roberto
Rompianesi, Gianluca
Giglio, Mariano C.
Troisi, Roberto I.
Ceresa, Carlo DL
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Snippet Central pancreatectomy is usually performed to excise lesions of the neck or proximal body of the pancreas. In the last decade, thanks to the advent of novel...
BACKGROUNDCentral pancreatectomy is usually performed to excise lesions of the neck or proximal body of the pancreas. In the last decade, thanks to the advent...
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SubjectTerms Humans
Pancreas - surgery
Pancreatectomy - adverse effects
Pancreatectomy - methods
Pancreatic Fistula - epidemiology
Pancreatic Fistula - etiology
Pancreatic Fistula - surgery
Pancreatic Neoplasms - complications
Pancreatic Neoplasms - surgery
Postoperative Complications - epidemiology
Robotic Surgical Procedures - adverse effects
Title Robotic central pancreatectomy: a systematic review and meta-analysis
URI https://dx.doi.org/10.1016/j.hpb.2021.09.014
https://www.ncbi.nlm.nih.gov/pubmed/34625342
https://search.proquest.com/docview/2580701448
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