Short-term and long-term outcomes after robot-assisted versus laparoscopic distal pancreatectomy for pancreatic neuroendocrine tumors (pNETs): a multicenter comparative study.

摘要: Minimally invasive surgery has increasingly gained popularity as a treatment of choice for pancreatectomy with encouraging initial results in robotic distal (RDP). However, few data are available on the comparison between RDP and laparoscopic (LDP) pancreatic neuroendocrine tumors (pNETs). Our aim, thus, is to compare perioperative long-term outcomes well total costs LDP pNETs. All RDPs LDPs pNETs performed four referral centers from 2008 2016 were included. Perioperative outcomes, histopathological results, overall (OS) disease-free survival (DFS), evaluated. Ninety-six 85 Demographic clinical characteristics comparable two cohorts. Operative time was 36.5 min longer group (p = 0.009) but after removing docking (247.9 vs 233.7 min; p = 0.6). related lower spleen preservation rate (44.7% 65.3%; p < 0.0001) higher blood loss (239.7 ± 112 162.5 ± 98 cc; p < 0.0001). Advantages operative documented case procedures (265 ± 41.52 291 ± 23 min; p = 0.04). Conversion rate, postoperative morbidity, fistula similar groups, data, OS, DFS. Significant advantages evidenced regarding mean (9235 (± 1935) € 11,226 (± 2365) €; Both safe efficacious treatment. offers loss. Costs still remain main limitation approach.