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Deng Xiaxing, Li Jingfeng. Application and prospects of robot-assisted pancreatic surgery[J]. Chinese Journal of Digestive Surgery, 2024, 23(4): 566-572. DOI: 10.3760/cma.j.cn115610-20240301-00140
Citation: Deng Xiaxing, Li Jingfeng. Application and prospects of robot-assisted pancreatic surgery[J]. Chinese Journal of Digestive Surgery, 2024, 23(4): 566-572. DOI: 10.3760/cma.j.cn115610-20240301-00140
shu

Application and prospects of robot-assisted pancreatic surgery

  • Department of General Surgery, Pancreatic Disease Center, Shanghai Key Laboratory of Translational Research for Pancreatic Neoplasms, Research Institute of Pancreatic Diseases, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, State Key Laboratory of Oncogenes and Related Genes, Institute of Translational Medicine, Shanghai Jiaotong University, Shanghai200025, China

Funds: 

National Natural Science Foundation of China 82372865

International Scien-tific and Technological Cooperation Project of 2021-year Shanghai Science and Technology Innovation Action Plan 214307119000

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  • Corresponding author:

    Deng Xiaxing, Email: kejiadxx@hotmail.com

  • Received Date: February 29, 2024
  • Available Online: June 24, 2024
    Graphical Abstract
    • Abstract

  • Pancreatic surgery is a high-risk and highly complex procedure, and there are a series of challenges and limitations associated with minimally invasive pancreatic surgery. With the development of robotic technology, robot-assisted pancreatic surgery has gradually become an effec-tive means, and has become an important approach in pancreatic surgeries. The authors summarize the technical characteristics, clinical applications, operation outcomes, and advantages and limita-tions of robot-assisted pancreatic surgery, aiming to explore the application of robot-assisted pan-creatic surgery in modern medicine and to provide an outlook on its future development.

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  • [1]
    LillemoeKD, KaushalS, CameronJL, et al. Distal pancrea-tectomy: indications and outcomes in 235 patients[J]. Ann Surg,1999,229(5):693‑700. DOI:10.1097/00000658-199 905000-00012.
    [2]
    StrasbergSM, DrebinJA, LinehanD. Radical antegrade modular pancreatosplenectomy[J]. Surgery,2003,133(5):521‑527. DOI: 10.1067/msy.2003.146.
    [3]
    CodivillaA. Rendiconto statistico della sezione chirurgica dell′ospedale di Imola [M]. Imola: Italy,1898.
    [4]
    WhippleAO, ParsonsWB, MullinsCR. Treatment of carcinoma of the ampulla of vater[J]. Ann Surg,1935,102(4):763‑779. DOI: 10.1097/00000658-193510000-00023.
    [5]
    WhippleAO. A reminiscence: pancreaticduodenectomy[J]. Rev Surg,1963,20:221‑225.
    [6]
    MouretP. How I developed laparoscopic cholecystectomy[J]. Ann Acad Med Singap,1996,25(5):744‑747.
    [7]
    GagnerM, PompA. Laparoscopic pylorus‑preserving pancreatoduodenectomy[J]. Surg Endosc,1994,8(5):408‑410. DOI: 10.1007/BF00642443.
    [8]
    CuschieriA. Laparoscopic surgery of the pancreas[J]. J R Coll Surg Edinb,1994,39(3):178‑184.
    [9]
    JacobsenG, ElliF, HorganS. Robotic surgery update[J]. Surg Endosc,2004,18(8):1186‑1191. DOI: 10.1007/s00464-003-8281-z.
    [10]
    MelvinWS, NeedlemanBJ, KrauseKR, et al. Computer-enhanced robotic telesurgery. Initial experience in foregut surgery[J]. Surg Endosc,2002,16(12):1790‑1792. DOI:10. 1007/s00464-001-8192-9.
    [11]
    ZureikatAH, MoserAJ, BooneBA, et al. 250 robotic pancreatic resections: safety and feasibility[J]. Ann Surg,2013,258(4):554‑562. DOI: 10.1097/SLA.0b013e3182a4e87c.
    [12]
    BarkunJS, AronsonJK, FeldmanLS, et al. Evaluation and stages of surgical innovations[J]. Lancet,2009,374(9695):1089‑1096. DOI: 10.1016/S0140-6736(09)61083-7.
    [13]
    GagnerM, PalermoM. Laparoscopic Whipple procedure: review of the literature[J]. J Hepatobiliary Pancreat Surg,2009,16(6):726‑730. DOI: 10.1007/s00534-009-0142-2.
    [14]
    SohnW, LeeHJ, AhleringTE. Robotic surgery: review of pro-state and bladder cancer[J]. Cancer J,2013,19(2):133‑139. DOI: 10.1097/PPO.0b013e318289dbd5.
    [15]
    OradyM, HrynewychA, NawfalAK, et al. Comparison of robotic‑assisted hysterectomy to other minimally invasive approaches[J]. JSLS,2012,16(4):542‑548. DOI:10.4293/10 8680812X13462882736899.
    [16]
    MemeoR, SangiuoloF, de BlasiV, et al. Robotic pancreaticoduodenectomy and distal pancreatectomy: state of the art[J]. J Visc Surg,2016,153(5):353‑359. DOI:10.1016/j.jvi scsurg.2016.04.001.
    [17]
    van HilstJ, de RooijT, BosschaK, et al. Laparoscopic versus open pancreatoduodenectomy for pancreatic or periampullary tumours (LEOPARD‑2): a multicentre, patient-blinded, randomised controlled phase 2/3 trial[J]. Lancet Gastroenterol Hepatol,2019,4(3):199‑207. DOI: 10.1016/S2468-1253(19)30004-4.
    [18]
    GiulianottiPC, CorattiA, AngeliniM, et al. Robotics in general surgery: personal experience in a large community hospital[J]. Arch Surg,2003,138(7):777‑784. DOI: 10.1001/archsurg.138.7.777.
    [19]
    周宁新.达芬奇机器人胰十二指肠切除手术要点[J/CD].中华普外科手术学杂志:电子版,2010,4(3):240‑245. DOI:10. 3969/cma.j.issn.1674-3946.2010.03.003.
    [20]
    ShiY, WangW, QiuW, et al. Learning curve from 450 cases of robot‑assisted pancreaticoduocectomy in a high-volume pancreatic center: optimization of operative procedure and a retrospective study[J]. Ann Surg,2021,274(6):e1277-e1283. DOI: 10.1097/SLA.0000000000003664.
    [21]
    ShiY, JinJ, QiuW, et al. Short‑term outcomes after robot-assisted vs open pancreaticoduodenectomy after the lear-ning curve[J]. JAMA Surg,2020,155(5):389‑394. DOI:10. 1001/jamasurg.2020.0021.
    [22]
    YanQ, XuLB, RenZF, et al. Robotic versus open pancreaticoduodenectomy: a meta‑analysis of short‑term outcomes[J]. Surg Endosc,2020,34(2):501‑509. DOI:10.1007/s004 64-019-07084-3.
    [23]
    KamarajahSK, BundredJ, MarcOS, et al. Robotic versus conventional laparoscopic pancreaticoduodenectomy a sys-tematic review and meta‑analysis[J]. Eur J Surg Oncol,2020,46(1):6‑14. DOI: 10.1016/j.ejso.2019.08.007.
    [24]
    LiuR, WakabayashiG, PalaniveluC, et al. International consensus statement on robotic pancreatic surgery[J]. Hepatobiliary Surg Nutr,2019,8(4):345‑360. DOI:10.210 37/hbsn.2019.07.08.
    [25]
    NassourI, WintersSB, HoehnR, et al. Long‑term oncologic outcomes of robotic and open pancreatectomy in a national cohort of pancreatic adenocarcinoma[J]. J Surg Oncol,2020,122(2):234‑242. DOI: 10.1002/jso.25958.
    [26]
    ChalikondaS, Aguilar‑SaavedraJR, WalshRM. Laparosco-pic robotic‑assisted pancreaticoduodenectomy: a case-mat-ched comparison with open resection[J]. Surg Endosc,2012,26(9):2397‑2402. DOI: 10.1007/s00464-012-2207-6.
    [27]
    ZehHJ, ZureikatAH, SecrestA, et al. Outcomes after robot-assisted pancreaticoduodenectomy for periampullary lesions[J]. Ann Surg Oncol,2012,19(3):864‑870. DOI: 10.1245/s10434-011-2045-0.
    [28]
    赵诗葳,金佳斌,施昱晟,等.机器人辅助胰十二指肠切除术手术流程[J].机器人外科学杂志:中英文,2020,(1):61‑69. DOI: 10.12180/j.issn.2096-7721.2020.01.009.
    [29]
    KangCM, KimDH, LeeWJ, et al. Conventional laparosco-pic and robot‑assisted spleen‑preserving pancreatectomy: does da Vinci have clinical advantages?[J]. Surg Endosc,2011,25(6):2004‑2009. DOI: 10.1007/s00464-010-1504-1.
    [30]
    DaouadiM, ZureikatAH, ZenatiMS, et al. Robot‑assisted minimally invasive distal pancreatectomy is superior to the laparoscopic technique[J]. Ann Surg,2013,257(1):128-132. DOI: 10.1097/SLA.0b013e31825fff08.
    [31]
    GavriilidisP, LimC, MenahemB, et al. Robotic versus laparoscopic distal pancreatectomy-the first meta‑analysis[J]. HPB (Oxford),2016,18(7):567‑574. DOI:10.1016/j.hpb. 2016.04.008.
    [32]
    HuYH, QinYF, YuDD, et al. Meta‑analysis of short‑term outcomes comparing robot‑assisted and laparoscopic distal pancreatectomy[J]. J Comp Eff Res,2020,9(3):201‑218. DOI: 10.2217/cer-2019-0124.
    [33]
    ButturiniG, DamoliI, CrepazL, et al. A prospective non-randomised single‑center study comparing laparoscopic and robotic distal pancreatectomy[J]. Surg Endosc,2015,29(11):3163‑3170. DOI: 10.1007/s00464-014-4043-3.
    [34]
    WatersJA, CanalDF, WiebkeEA, et al. Robotic distal pancreatectomy: cost effective?[J]. Surgery,2010,148(4):814-823. DOI: 10.1016/j.surg.2010.07.027.
    [35]
    ZhanQ, DengXX, HanB, et al. Robotic‑assisted pancreatic resection: a report of 47 cases[J]. Int J Med Robot,2013,9(1):44‑51. DOI: 10.1002/rcs.1475.
    [36]
    LimongelliP, BelliA, RussoG, et al. Laparoscopic and open surgical treatment of left‑sided pancreatic lesions: clinical outcomes and cost‑effectiveness analysis[J]. Surg Endosc,2012,26(7):1830‑1836. DOI: 10.1007/s00464-011-2141-z.
    [37]
    Abu HilalM, HamdanM, Di FabioF, et al. Laparoscopic versus open distal pancreatectomy: a clinical and cost-effectiveness study[J]. Surg Endosc,2012,26(6):1670‑1674. DOI:10. 1007/s00464-011-2090-6.
    [38]
    KoobyDA, HawkinsWG, SchmidtCM, et al. A multicenter analysis of distal pancreatectomy for adenocarcinoma: is laparoscopic resection appropriate?[J]. J Am Coll Surg,2010,210(5):779‑787. DOI: 10.1016/j.jamcollsurg.2009.12.033.
    [39]
    DiNorciaJ, SchropeBA, LeeMK, et al. Laparoscopic distal pancreatectomy offers shorter hospital stays with fewer complications[J]. J Gastrointest Surg,2010,14(11):1804-1812. DOI: 10.1007/s11605-010-1264-1.
    [40]
    BassiC, DervenisC, ButturiniG, et al. Postoperative pancreatic fistula: an international study group (ISGPF) definition[J]. Surgery,2005,138(1):8‑13. DOI:10.1016/j.surg. 2005.05.001.
    [41]
    JayaramanS, GonenM, BrennanMF, et al. Laparoscopic dis-tal pancreatectomy: evolution of a technique at a single institution[J]. J Am Coll Surg,2010,211(4):503‑509. DOI: 10.1016/j.jamcollsurg.2010.06.010.
    [42]
    GiulianottiPC, AddeoP, BuchsNC, et al. Early experience with robotic total pancreatectomy[J]. Pancreas,2011,40(2):311‑313. DOI: 10.1097/MPA.0b013e3181f7e303.
    [43]
    ZureikatAH, MoserAJ, BooneBA, et al. 250 robotic pancreatic resections: safety and feasibility[J]. Ann Surg,2013,258(4):554‑562. DOI: 10.1097/SLA.0b013e3182a4e87c.
    [44]
    BoggiU, PalladinoS, MassimettiG, et al. Laparoscopic robot-assisted versus open total pancreatectomy: a case-matched study[J]. Surg Endosc,2015,29(6):1425‑1432. DOI: 10.1007/s00464-014-3819-9.
    [45]
    WengY, ChenM, GemenetzisG, et al. Robotic‑assisted versus open total pancreatectomy: a propensity score-matched study[J]. Hepatobiliary Surg Nutr,2020,9(6):759‑770. DOI: 10.21037/hbsn.2020.03.19.
    [46]
    GuilleminP, BessotM. Chronic calcifying pancreatitis in renal tuberculosis: pancreatojejunostomy using an original technic[J]. Mem Acad Chir (Paris),1957,83(27/28):869‑871.
    [47]
    BacaI, BokanI. [Laparoscopic segmental pancreas resection and pancreatic cystadenoma][J]. Chirurg,2003,74(10):961‑965. DOI: 10.1007/s00104-003-0690-y.
    [48]
    GiulianottiPC, SbranaF, BiancoFM, et al. Robot‑assisted laparoscopic middle pancreatectomy[J]. J Laparoendosc Adv Surg Tech A,2010,20(2):135‑139. DOI:10.1089/lap.2009. 0296.
    [49]
    ZhangT, WangX, HuoZ, et al. Robot‑assisted middle pancreatectomy for elderly patients: our initial experience[J]. Med Sci Monit,2015,21:2851‑2860. DOI:10.12659/MSM. 895477.
    [50]
    ChenS, ZhanQ, JinJB, et al. Robot‑assisted laparoscopic versus open middle pancreatectomy: short‑term results of a randomized controlled trial[J]. Surg Endosc,2017,31(2):962‑971. DOI: 10.1007/s00464-016-5046-z.
    [51]
    ShiY, WangY, WangJ, et al. Learning curve of robot-assis-ted middle pancreatectomy (RMP): experience of the first 100 cases from a high‑volume pancreatic center in China[J]. Surg Endosc,2020,34(8):3513‑3520. DOI:10.1007/s0 0464-019-07133-x.
    [52]
    ShiY, JinJ, HuoZ, et al. An 8‑year single‑center study: 170 cases of middle pancreatectomy, including 110 cases of robot-assisted middle pancreatectomy[J]. Surgery,2020,167(2):436‑441. DOI: 10.1016/j.surg.2019.09.002.
    [53]
    刘荣,王子政,高元兴,等.机器人"荣氏"胰腺中段切除术一例报道[J/CD].中华腔镜外科杂志:电子版,2017,10(5):319-320. DOI: 10.3877/cma.j.issn.1674-6899.2017.05.023.
    [54]
    TianF, HongXF, WuWM, et al. Propensity score‑matched analysis of robotic versus open surgical enucleation for small pancreatic neuroendocrine tumours[J]. Br J Surg,2016,103(10):1358‑1364. DOI: 10.1002/bjs.10220.
    [55]
    JinJB, QinK, LiH, et al. Robotic enucleation for benign or borderline tumours of the pancreas: a retrospective analysis and comparison from a high‑volume centre in Asia[J]. World J Surg,2016,40(12):3009‑3020. DOI:10.1007/s002 68-016-3655-2.
    [56]
    KwonJ, LeeS, LeeW, et al. Robot‑assisted duodenum-preserving pancreatic head resection for non‑invasive or mini-mally invasive intraductal papillary mucinous neoplasm: a prospective study[J]. Surg Endosc,2020,34(8):3450-3459.
    [57]
    QinC, HuJ, YuanH, et al. Robot‑assisted duodenum-preserving pancreatic head resection versus pancreaticoduodenectomy for the treatment of pancreatic head tumors: a propensity score‑matched study[J]. Surg Endosc,2022,36(1):145‑154.
    [58]
    PengCH, ShenBY, DengXX, et al. Early experience for the robotic duodenum‑preserving pancreatic head resection[J]. World J Surg,2012,36(5):1136‑1141. DOI:10.1007/s0 0268-012-1503-6.
    [59]
    JiangY, JinJB, ZhanQ, et al. Robot‑assisted duodenum-preserving pancreatic head resection with pancreaticogastrostomy for benign or premalignant pancreatic head lesions: a single‑centre experience[J]. Int J Med Robot,2018,14(4):e1903. DOI: 10.1002/rcs.1903.
    [60]
    GiulianottiPC, AddeoP, BuchsNC, et al. Robotic extended pancreatectomy with vascular resection for locally advan-ced pancreatic tumors[J]. Pancreas,2011,40(8):1264-1270. DOI: 10.1097/MPA.0b013e318220e3a4.
    [61]
    赵舒霖,沈柏用,邓侠兴,等.联合血管切除重建的机器人胰腺切除术治疗局部进展期胰腺癌[J].外科理论与实践,2018,23(4):352‑357. DOI: 10.16139/j.1007-9610.2018.04.016.
    [62]
    BeaneJD, ZenatiM, HamadA, et al. Robotic pancreatoduodenectomy with vascular resection: outcomes and learning curve[J]. Surgery,2019,166(1):8‑14. DOI: 10.1016/j.surg.2019.01.037.
    [63]
    杨丽晓,侯正松,唐伟,等.近年手术机器人的发展[J].中国医疗器械杂志,2023,47(1):1‑12. DOI: 10.3969/j.issn.1671-7104.2023.01.001
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