دورية أكاديمية
Do pre-operative endoscopic procedures, impact the surgical outcomes of robotic pancreaticoduodenectomy?
| العنوان: | Do pre-operative endoscopic procedures, impact the surgical outcomes of robotic pancreaticoduodenectomy? |
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| المؤلفون: | Gratsianskiy D; Foregut and HPB Division, Digestive Health Institute AdventHealth Tampa, 3000 Medical Park Drive, Suite #500, Tampa, FL, 33613, USA., Ross SB; Foregut and HPB Division, Digestive Health Institute AdventHealth Tampa, 3000 Medical Park Drive, Suite #500, Tampa, FL, 33613, USA. mysharonaross@gmail.com., Sucandy I; Foregut and HPB Division, Digestive Health Institute AdventHealth Tampa, 3000 Medical Park Drive, Suite #500, Tampa, FL, 33613, USA., Christodoulou M; Foregut and HPB Division, Digestive Health Institute AdventHealth Tampa, 3000 Medical Park Drive, Suite #500, Tampa, FL, 33613, USA., Pattilachan T; Foregut and HPB Division, Digestive Health Institute AdventHealth Tampa, 3000 Medical Park Drive, Suite #500, Tampa, FL, 33613, USA., Harris N; Foregut and HPB Division, Digestive Health Institute AdventHealth Tampa, 3000 Medical Park Drive, Suite #500, Tampa, FL, 33613, USA., Rosemurgy A; Foregut and HPB Division, Digestive Health Institute AdventHealth Tampa, 3000 Medical Park Drive, Suite #500, Tampa, FL, 33613, USA. |
| المصدر: | Journal of robotic surgery [J Robot Surg] 2024 Jul 05; Vol. 18 (1), pp. 279. Date of Electronic Publication: 2024 Jul 05. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Springer Country of Publication: England NLM ID: 101300401 Publication Model: Electronic Cited Medium: Internet ISSN: 1863-2491 (Electronic) Linking ISSN: 18632483 NLM ISO Abbreviation: J Robot Surg Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: London : Springer |
| مواضيع طبية MeSH: | Pancreaticoduodenectomy*/methods , Robotic Surgical Procedures*/methods , Preoperative Care*/methods , Cholangiopancreatography, Endoscopic Retrograde*/methods, Humans ; Male ; Female ; Middle Aged ; Aged ; Retrospective Studies ; Treatment Outcome ; Endoscopic Ultrasound-Guided Fine Needle Aspiration/methods ; Pancreatic Neoplasms/surgery |
| مستخلص: | The role and risks of pre-operative endoscopic procedures, such as endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic ultrasound with fine needle aspiration (EUS/FNA), in patients undergoing robotic pancreaticoduodenectomy are not well-defined despite a broad consensus on the utility of these interventions for diagnostic and therapeutic purposes prior to major pancreatic operations. This study investigates the impact of such preoperative endoscopic interventions on perioperative outcomes in robotic pancreaticoduodenectomy. With Institutional Review Board (IRB) approval we retrospectively analyzed 772 patients who underwent robotic pancreatectomies between 2012 and 2023. Specifically, 430 of these patients underwent a robotic pancreaticoduodenectomy were prospectively evaluated: 93 (22%) patients underwent ERCP with EUS and FNA, 45 (10%) ERCP only, and 31 (7%) EUS and FNA, while 261 (61%) did not. Statistical analyses were performed using chi-square tests and Student's t-tests to compare perioperative outcomes between the two cohorts. Statistically significant differences were observed in patients who underwent a pre-operative endoscopic intervention and were more likely to have converted to an open operation (p = 0.04). The average number of harvested lymph nodes for patients who underwent preoperative endoscopic intervention was statistically significant compared to those who did not (p = 0.0001). All other perioperative variables were consistent across all cohorts. Patients who underwent endoscopic intervention before robotic pancreaticoduodenectomy were more likely to have an unplanned open operation. This study demonstrates the increased operative difficulties introduced by preoperative endoscopic interventions. Although there was no impact on overall patient outcomes, surgeons' experience can minimize the associated risks. (© 2024. The Author(s), under exclusive licence to Springer-Verlag London Ltd., part of Springer Nature.) |
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| فهرسة مساهمة: | Keywords: Endoscopic retrograde cholangiopancreatography (ERCP); Endoscopic ultrasound with fine needle aspiration (EUS/FNA); Perioperative complications; Pre-operative endoscopic interventions; Robotic pancreaticoduodenectomy; Surgical outcomes |
| تواريخ الأحداث: | Date Created: 20240705 Date Completed: 20240705 Latest Revision: 20240705 |
| رمز التحديث: | 20240705 |
| DOI: | 10.1007/s11701-024-02036-z |
| PMID: | 38967695 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1863-2491 |
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| DOI: | 10.1007/s11701-024-02036-z |