KMID : 1035920220250040145
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Journal of Minimally Invasive Surgery 2022 Volume.25 No. 4 p.145 ~ p.151
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Early experience with robot-assisted Frey¡¯s procedure surgical outcome and technique: Indian perspective
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Shukla Ankit
Gnanasekaran Senthil Kalayarasan Raja Pottakkat Biju
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Abstract
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Purpose: Robotic surgery for pancreatic diseases is currently on the rise, feasible, well-accepted, and safe. Frequently performed procedures in relation to pancreatic diseases include distal pancreatectomy and pancreatoduodenectomy. The literature commonly describes robotic lateral pancreaticojejunostomy; however, data on robot-assisted Frey¡¯s is scarce.
Methods: We herein, describe our series and technique of robot-assisted Frey¡¯s procedure at our tertiary care center between November 2019 and March 2022, and its short-term outcomes in comparison to the open Frey¡¯s. Patients with chronic pancreatitis having intractable pain, dilated duct, and no evidence of inflammatory head mass or malignancy were included in the study for robot-assisted Frey¡¯s.
Results: In our study, out of 32 patients, nine patients underwent robot assisted Frey¡¯s procedure. The duration of surgery was significantly longer in robotic group (570 minutes vs. 360 minutes, p = 0.003). The medians of intraoperative blood loss and postoperative analgesic requirement were lower in robotic group, but the difference was not statistically significant (250 mL vs. 350 mL, p = 0.400 and 3 days vs. 4 days, p = 0.200, respectively). The median length of hospital stay was shorter in the robotic group, though not significant (6 days vs. 7 days, p = 0.540). At a median follow-up of 28 months, there was no significant difference in the postoperative complications and short-term outcomes between the two groups.
Conclusion: Robotic surgery offers benefits of laparoscopic surgery in addition it has better visualization, magnification, dexterity, and ergonomics. Frey¡¯s procedure is possible robotically with acceptable outcomes in selected patients.
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KEYWORD
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Robotic surgery, Frey¡¯s procedure, Minimally invasive procedures, Robotic-assisted surgery
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