Robotic Dual-Console Distal Pancreatectomy: Could it be Considered a Safe Approach and Surgical Teaching even in Pancreatic Surgery? A Retrospective Observational Study Cohort

• Published in: World journal of surgery Vol. 45; no. 10; pp. 3191 - 3197
• Main Authors: De Pastena, M., Salvia, R., Paiella, S., Deiro, G., Bannone, E., Balduzzi, A., Giuliani, T., Casetti, L., Ramera, M., Filippini, C., Montagnini, G., Landoni, L., Esposito, A.
• Format: Journal Article
• Language: English
• Published: Cham Springer International Publishing 01.10.2021; Springer Nature B.V
• Subjects: Abdominal Surgery; Cardiac Surgery; Feasibility; General Surgery; Humans; Laparoscopy; Medicine; Medicine & Public Health; Morbidity; Observational studies; Operative Time; Original Scientific Report; Pancreas; Pancreatectomy; Pancreatic Fistula - epidemiology; Pancreatic Fistula - etiology; Pancreatic Neoplasms - surgery; Patients; Retrospective Studies; Robotic surgery; Robotic Surgical Procedures - adverse effects; Robotics; Surgery; Thoracic Surgery; Vascular Surgery
• ISSN: 0364-2313; 1432-2323
• DOI: 10.1007/s00268-021-06216-y

Background The study aims to assess the safety and feasibility of the robotic dual-console during a robotic distal pancreatectomy Methods The data of the consecutive patients submitted to RDP from 2012 to 2019 at the Verona University were retrieved from a prospectively maintained database. The patients submitted to RDP were divided into the dual-console platform group (DG) and compared to the standard robotic procedure group (SG). Results In the study period, 102 robotic distal pancreatectomies were performed, of whom 42 patients (41%) belonged to the DG and 60 patients (59%) to the SG. Higher operation time was recorded in the DG compared to the SG (410 vs. 265 min, p  < 0.001). The overall conversion rate of the series was 7% (n 7 patients). All the conversions were observed in the SG ( p  = 0.021). No differences in morbidity or pancreatic fistula rate were recorded ( p  > 0.05). No mortality events in the 90th postoperative days were reported in this series. Conclusions The robotic dual-console approach for distal pancreatectomy is safe, feasible, and reproducible. The postoperative surgical outcomes are comparable to the standard RDP with the single-console da Vinci Surgical System®. This surgical technique can widely and safely improve the robotic surgical training program.