Delayed gastric emptying after pylorus-preserving pancreatoduodenectomy: Comparison between traditional open surgery and full-robotic approach with da Vinci Xi

Luca Morelli, Gregorio Di Franco, Niccolò Furbetta (Lead / Corresponding author), Matteo Palmeri, Simone Guadagni, Desirée Gianardi, Cristina Carpenito, Annalisa Comandatore, Elisa Giovannetti, Giulio Di Candio, Alfred Cuschieri

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction: Delayed gastric emptying (DGE) is a frequent complication after pancreatoduodenectomy, especially after pylorus preservation (Pp). We evaluated the effect of a fully robotic approach with da Vinci Xi on DGE after PpPD.

Methods: Open and robotic PDs were performed in 353 and 50 cases, respectively, from January 2009 to March 2022. We compared the clinical outcomes and incidence of clinically relevant DGE between robotic PpPD (R-PpPD) and open PpPD after one-to-one case-control matching.

Results: Each group consisted of 30 patients. Clinically relevant DGE was less common after R-PpPD (3/30 [10%] vs. 10/30 cases [33.3%], p = 0.028). The median length of hospital stay (LoS) was significantly lower in the R-PpPD group (10 vs. 15 days, p = 0.013).

Conclusion: The reduced tissue trauma by the minimally invasive robotic approach is associated with a lower incidence of DGE, reducing the LoS and encouraging PpPD performed using the fully robotic approach.

Original languageEnglish
Article numbere2571
Number of pages10
JournalInternational Journal of Medical Robotics and Computer Assisted Surgery
Early online date1 Sept 2023
DOIs
Publication statusE-pub ahead of print - 1 Sept 2023

Keywords

  • delayed gastric emptying
  • pylorus-preserving pancreatoduodenectomy
  • robotic pancreatoduodenectomy

ASJC Scopus subject areas

  • Biophysics
  • Surgery
  • Computer Science Applications

Fingerprint

Dive into the research topics of 'Delayed gastric emptying after pylorus-preserving pancreatoduodenectomy: Comparison between traditional open surgery and full-robotic approach with da Vinci Xi'. Together they form a unique fingerprint.

Cite this