人口稀少地区一家医院机器人辅助远端胰腺切除术与腹腔镜远端胰腺切除术的手术结果
Surgical Outcomes of Robotic Distal Pancreatectomy Versus Laparoscopic Distal Pancreatectomy at a Hospital in a Sparsely Populated Area.
作者信息
Sakamoto Teruhisa, Kishino Mikiya, Murakami Yuki, Miyatani Kozo, Shishido Yuji, Hanaki Takehiko, Matsunaga Tomoyuki, Yamamoto Manabu, Tokuyasu Naruo, Fujiwara Yoshiyuki
机构信息
Division of Gastrointestinal and Pediatric Surgery, Department of Surgery, School of Medicine, Faculty of Medicine, Tottori University, Yonago 683-8504, Japan.
出版信息
Yonago Acta Med. 2023 Aug 12;66(3):375-379. doi: 10.33160/yam.2023.08.010. eCollection 2023 Aug.
BACKGROUND
Robotic distal pancreatectomy (RDP) has a better or comparable surgical outcome when compared with laparoscopic distal pancreatectomy (LDP). However, whether the surgical outcome for these procedures in local, low-volume hospitals are comparable with those of the typically larger centers described in published reports remains unclear.
METHODS
This study enrolled 48 patients who underwent either RDP or LDP between August 2012 and April 2023. Data were retrospectively analyzed to evaluate the short-term surgical outcomes of RDP versus LDP in our hospital, which is a low-volume center.
RESULTS
The use of stapling with reinforcement in RDP was significantly higher than in LDP, and the postoperative hospital stay for RDP was significantly shorter than for LDP. Except for these two variables, there were no statistically significant differences between RDP and LDP in preoperative, intraoperative, or postoperative patient characteristics.
CONCLUSION
RDP can be performed as safely and effectively as LDP in a low-volume hospital located in a sparsely populated area.
背景
与腹腔镜远端胰腺切除术（LDP）相比，机器人远端胰腺切除术（RDP）具有更好或相当的手术效果。然而，在当地的小容量医院进行这些手术的结果是否与已发表报告中描述的典型大型中心的结果相当仍不清楚。
方法
本研究纳入了2012年8月至2023年4月期间接受RDP或LDP手术的48例患者。对数据进行回顾性分析，以评估在我们这家小容量中心医院中RDP与LDP的短期手术结果。
结果
RDP中使用带加强的吻合器的比例显著高于LDP，且RDP的术后住院时间显著短于LDP。除这两个变量外，RDP和LDP在术前、术中和术后患者特征方面无统计学显著差异。
结论
在人口稀少地区的小容量医院中，RDP可以像LDP一样安全有效地进行。
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