Dual-Console Robotic Surgery: a Safe Approach for Pancreaticoduodenectomy. A Retrospective Observational Study of 95 cases
EAES Academy. Tribuzi A. 07/05/22; 363139; P184
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Abstract
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Introduction
Pancreaticoduodenectomy (PD) is one of the most challenging abdominal procedures in surgical oncology. Due to the relatively new introduction in clinical practice together with its technical difficulty, the specific learning curve required to reach proficiency is still uncertain.
The availability of a second consolle in robotic surgery has a crucial role in enhancing training programs. However, there is still little to no data regarding the impact of a progressive introduction of junior surgeons in a dedicated program of robotic pancreaticoduodenectomy. We aimed to investigate the relative results of patients receiving robotic PD with a two-surgeon approach.
Methods:
The perioperative details of all consecutive PDs performed by the same surgical along a 10-year time frame were retrospectively analyzed. A group of patients who underwent PD with a two-surgeon approach was compared to a group of patients who received PD by a conventional, single-surgeon procedure.
Results:
A total of 95 patients receiving PD were collected. Some 33 patients received surgery with a dual-concolle technique, while 62 patients received surgery via a conventional, single surgeon PD. Baseline characteristics were well-balanced between the two groups. With the progressive introduction of junior surgeons during PD, no statistically significant difference was disclosed between the groups of patients treated by a single surgeon and those treated with a two-surgeon approach. In particular, no significant differences were found in terms of postoperative morbidity, unplanned conversion, length of hospital stay, and amount of lymph nodes harvested.
Conclusion:
A dual-console approach for robotic PD is a safe, feasible, and reproducible platform of training. It does not impair the surgical and oncological standards of resection and allows a progressive technical growth of young surgeons.
Pancreaticoduodenectomy (PD) is one of the most challenging abdominal procedures in surgical oncology. Due to the relatively new introduction in clinical practice together with its technical difficulty, the specific learning curve required to reach proficiency is still uncertain.
The availability of a second consolle in robotic surgery has a crucial role in enhancing training programs. However, there is still little to no data regarding the impact of a progressive introduction of junior surgeons in a dedicated program of robotic pancreaticoduodenectomy. We aimed to investigate the relative results of patients receiving robotic PD with a two-surgeon approach.
Methods:
The perioperative details of all consecutive PDs performed by the same surgical along a 10-year time frame were retrospectively analyzed. A group of patients who underwent PD with a two-surgeon approach was compared to a group of patients who received PD by a conventional, single-surgeon procedure.
Results:
A total of 95 patients receiving PD were collected. Some 33 patients received surgery with a dual-concolle technique, while 62 patients received surgery via a conventional, single surgeon PD. Baseline characteristics were well-balanced between the two groups. With the progressive introduction of junior surgeons during PD, no statistically significant difference was disclosed between the groups of patients treated by a single surgeon and those treated with a two-surgeon approach. In particular, no significant differences were found in terms of postoperative morbidity, unplanned conversion, length of hospital stay, and amount of lymph nodes harvested.
Conclusion:
A dual-console approach for robotic PD is a safe, feasible, and reproducible platform of training. It does not impair the surgical and oncological standards of resection and allows a progressive technical growth of young surgeons.
Introduction
Pancreaticoduodenectomy (PD) is one of the most challenging abdominal procedures in surgical oncology. Due to the relatively new introduction in clinical practice together with its technical difficulty, the specific learning curve required to reach proficiency is still uncertain.
The availability of a second consolle in robotic surgery has a crucial role in enhancing training programs. However, there is still little to no data regarding the impact of a progressive introduction of junior surgeons in a dedicated program of robotic pancreaticoduodenectomy. We aimed to investigate the relative results of patients receiving robotic PD with a two-surgeon approach.
Methods:
The perioperative details of all consecutive PDs performed by the same surgical along a 10-year time frame were retrospectively analyzed. A group of patients who underwent PD with a two-surgeon approach was compared to a group of patients who received PD by a conventional, single-surgeon procedure.
Results:
A total of 95 patients receiving PD were collected. Some 33 patients received surgery with a dual-concolle technique, while 62 patients received surgery via a conventional, single surgeon PD. Baseline characteristics were well-balanced between the two groups. With the progressive introduction of junior surgeons during PD, no statistically significant difference was disclosed between the groups of patients treated by a single surgeon and those treated with a two-surgeon approach. In particular, no significant differences were found in terms of postoperative morbidity, unplanned conversion, length of hospital stay, and amount of lymph nodes harvested.
Conclusion:
A dual-console approach for robotic PD is a safe, feasible, and reproducible platform of training. It does not impair the surgical and oncological standards of resection and allows a progressive technical growth of young surgeons.
Pancreaticoduodenectomy (PD) is one of the most challenging abdominal procedures in surgical oncology. Due to the relatively new introduction in clinical practice together with its technical difficulty, the specific learning curve required to reach proficiency is still uncertain.
The availability of a second consolle in robotic surgery has a crucial role in enhancing training programs. However, there is still little to no data regarding the impact of a progressive introduction of junior surgeons in a dedicated program of robotic pancreaticoduodenectomy. We aimed to investigate the relative results of patients receiving robotic PD with a two-surgeon approach.
Methods:
The perioperative details of all consecutive PDs performed by the same surgical along a 10-year time frame were retrospectively analyzed. A group of patients who underwent PD with a two-surgeon approach was compared to a group of patients who received PD by a conventional, single-surgeon procedure.
Results:
A total of 95 patients receiving PD were collected. Some 33 patients received surgery with a dual-concolle technique, while 62 patients received surgery via a conventional, single surgeon PD. Baseline characteristics were well-balanced between the two groups. With the progressive introduction of junior surgeons during PD, no statistically significant difference was disclosed between the groups of patients treated by a single surgeon and those treated with a two-surgeon approach. In particular, no significant differences were found in terms of postoperative morbidity, unplanned conversion, length of hospital stay, and amount of lymph nodes harvested.
Conclusion:
A dual-console approach for robotic PD is a safe, feasible, and reproducible platform of training. It does not impair the surgical and oncological standards of resection and allows a progressive technical growth of young surgeons.
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