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Robotic distal pancreatectomy: a valid option?

Published in Minerva chirurgica. 2013, vol. 68, no. 5, p. 489-97
Abstract Although reported in the literature, conventional laparoscopic approach for distal pancreatectomy is still lacking widespread acceptance. This might be due to two-dimensional vision and decreased range of motion to reach and safely dissect this highly vascularized retroperitoneal organ by laparoscopy. However, interest in minimally invasive access is growing ever since and the robotic system could certainly help overcome limitations of the laparoscopic approach in the challenging domain of pancreatic resection, notably in distal pancreatectomy. Robotic distal pancreatectomy with and without spleen preservation has been reported with encouraging outcomes for benign and borderline malignant disease. As a result of upgraded endowristed manipulation and three-dimensional visualization, improved outcome might be expected with the launch of the robotic system in the procedure of distal pancreatectomy. Our aim was thus to extensively review the current literature of robot-assisted surgery for distal pancreatectomy and to evaluate advantages and possible limitations of the robotic approach.
Keywords Carcinoma/surgeryClinical Trials as TopicCosts and Cost AnalysisHumansLaparoscopy/economics/methodsLength of StayLiving DonorsMulticenter Studies as TopicOrgan Sparing TreatmentsPancreas TransplantationPancreatectomy/economics/instrumentation/methodsPancreatic Diseases/surgeryPancreatic Fistula/epidemiology/etiologyPancreatic Neoplasms/surgeryPostoperative Complications/epidemiologyRobotics/economics/instrumentation/methodsSpleenSplenectomy/methodsTime Factors
PMID: 24101006
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Research group Chirurgie viscérale (104)
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JUNG, Minoa et al. Robotic distal pancreatectomy: a valid option?. In: Minerva chirurgica, 2013, vol. 68, n° 5, p. 489-97. https://archive-ouverte.unige.ch/unige:35723

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Deposited on : 2014-04-15

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