Lai Hon-Fan, Shyr Yi-Ming, Shyr Bor-Shiuan, Chen Shih-Chin, Wang Shin-E, Shyr Bor-Uei
Division of General Surgery, Department of Surgery Taipei Veterans General Hospital and National Yang Ming Chiao Tung University Taipei Taiwan, ROC.
Health Sci Rep. 2022 Jul 4;5(4):e712. doi: 10.1002/hsr2.712. eCollection 2022 Jul.
There is no consensus on the superiority of robotic distal pancreatectomy (RDP) over laparoscopic distal pancreatectomy (LDP).
Data of patients undergoing RDP and LDP were prospectively collected and compared.
There were 65 RDP and 112 LDP. RDP took a shorter operation time than LDP. Overall, DP with splenectomy took a longer operation time than that with spleen preservation. This difference was only significant in LDP group. In both RDP and LDP groups, splenectomy was associated with increased blood loss, as compared with spleen preservation. No significant differences were observed in surgical morbidity between RDP and LDP. The hospital cost in RDP was almost double that of LDP, with a median of 13,404 versus 7765 USD.
LDP is comparable to RDP in regard to surgical outcomes. LDP with spleen preservation is highly recommended whenever possible and feasible for benign or low malignant lesions in terms of lower costs and less blood loss.
机器人辅助远端胰腺切除术（RDP）相对于腹腔镜远端胰腺切除术（LDP）的优势尚无定论。
前瞻性收集并比较接受RDP和LDP患者的数据。
RDP组65例，LDP组112例。RDP的手术时间比LDP短。总体而言，行脾切除术的远端胰腺切除术（DP）比保留脾脏的手术时间长。这种差异仅在LDP组中显著。在RDP和LDP组中，与保留脾脏相比，脾切除术均与失血量增加有关。RDP和LDP之间的手术并发症无显著差异。RDP的住院费用几乎是LDP的两倍，中位数分别为13404美元和7765美元。
LDP在手术结果方面与RDP相当。就成本较低和失血量较少而言，对于良性或低恶性病变，只要可能且可行，强烈建议尽可能保留脾脏进行LDP。
