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ISSN 2594-1518 (Electronic)
ISSN 1405-0099 (Print)

2024, Number 2

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Cir Gen 2024; 46 (2)

Surgical management of Da Vinci robot assisted by pancreatic pseudocyst initial experience in a Third Level Center

Jiménez CE, Fernández AIF, Pimentel MSA

Language: Spanish
References: 48
Page: 87-96
PDF size: 364.15 Kb.


ABSTRACT

Introduction: the incidence of pancreatitis has increased worldwide, but despite improvements in diagnosis and treatment it is still associated with high morbidity and mortality. Objective: to present the surgical experience in the treatment of minimally invasive pancreatic pseudocyst assisted by Da Vinci robot. Material and methods: a retrospective, descriptive study was carried out, analyzing the records of 28 patients who were candidates to receive surgical management assisted by a Da Vinci robot, from November 2014 to October 2018. The statistical analysis was carried out with the SPSS and GraphPad Prism programs. Results: in our series, 28 patients with pseudocystepancreatic and pancreatic necrosis, 15 patients (54%) underwent a cystogastro-anastomosis plus cholecystectomy, in six patients (39%) a cystogastro-anastomosis plus necrosectomy and cholecystectomy were performed, in seven patients ( 25%), only cystogastro-anastomosis was performed, all surgeries assisted with a Da Vinci Xi robot. Docking of the robot (Docking) with an average of 5.8 minutes, average surgical time of 210 minutes, with an average bleeding of 99 ml, hospital stay of 72 hours, morbidity of 7%, without conversions and no patient required reintervention. Conclusions: there is little evidence in the literature on a robot-assisted approach for the treatment of pancreatic pseudocyst and pancreatic necrosis. In the experience acquired at the Central Military Hospital in the robotic-assisted surgical management of pancreatic pseudocyst and pancreatic necrosis, good results were obtained, prompt recovery, short hospital stay and lower rate of complications.


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