Featured Research

from universities, journals, and other organizations

Robotic-assisted surgery appears safe for complicated pancreatic procedures

Date:
November 16, 2010
Source:
JAMA and Archives Journals
Summary:
A study involving 30 patients suggests that robotic-assisted surgery involving complex pancreatic procedures can be performed safely in a high-volume facility, according to a new report.

A study involving 30 patients suggests that robotic-assisted surgery involving complex pancreatic procedures can be performed safely in a high-volume facility, according to a report posted online that will be published in the March print issue of Archives of Surgery, one of the JAMA/Archives journals.

Related Articles


Complex pancreatic surgery "remains the final frontier" for use of minimally invasive procedures, the authors write as background information in the article. These operations present two technical challenges: controlling bleeding from major blood vessels and reconstructing ducts in the liver and pancreas.

"Despite recent data suggesting that complex pancreatic operations can be performed laparoscopically at high-volume centers, the use of traditional laparoscopic instruments has required that critical technical principles of open pancreatic surgery be modified to overcome the limitations of current technology," they continue. "Examples include limited range of instrument motion, poor surgeon ergonomics, reliance on two-dimensional imaging and reduced dexterity," the authors note.

Robotic-assisted surgery may help to overcome some of these difficulties, allowing difficult pancreatic surgeries to be performed with the safety and efficacy of open surgery but with the potential benefits of laparoscopic procedures, note Amer H. Zureikat, M.D., and colleagues at the University of Pittsburgh School of Medicine and Cancer Institute. The authors report their experience with 30 patients who underwent robotic-assisted pancreatic resection (removal of part of the organ) between October 2008 and February 2010.

The surgeries took between 327 and 848 minutes, with a median (midpoint) of 512 minutes, and patients lost a median of 320 milliliters of blood. The median hospital stay was nine days. In the 90 days following the procedure, there was one postoperative death. Eight cases of pancreatic fistula, an opening between the pancreas and other organs, occurred, only three of which were clinically significant. This rate is consistent with that observed in large groups of patients undergoing open procedures, the authors note.

Severe 90-day complications developed in seven patients (23 percent), while less severe complications occurred in eight patients (27 percent). Two patients (7 percent) underwent reoperation. According to the authors, these rates are similar to those reported among patients undergoing open procedures and compare favorably to those of minimally invasive procedures.

"Robotic-assisted pancreatic surgery continues to evolve, and newer technologies may reduce operative times by minimizing the time associated with docking the robot as well as loading and extracting needles from the abdomen," the authors write. "Although no specific complications (pneumonia or prolonged ventilator dependence) were attributed to long operative times in this cohort of patients, larger series of patients and shorter operative times may demonstrate the underlying benefits of robotic-assisted surgery more convincingly." These include shorter hospital stays, fewer wound- and lung-related complications and decreased recovery time in the short term and reduced rates of hernia and bowel complications in the longer term.


Story Source:

The above story is based on materials provided by JAMA and Archives Journals. Note: Materials may be edited for content and length.


Journal Reference:

  1. Amer H. Zureikat; Kevin T. Nguyen; David L. Bartlett; Herbert J. Zeh; A. James Moser. Robotic-Assisted Major Pancreatic Resection and Reconstruction. Archives of Surgery, 2010; 0 (2010): archsurg. 2010. 246 DOI: 10.1001/archsurg.2010.246

Cite This Page:

JAMA and Archives Journals. "Robotic-assisted surgery appears safe for complicated pancreatic procedures." ScienceDaily. ScienceDaily, 16 November 2010. <www.sciencedaily.com/releases/2010/11/101115174009.htm>.
JAMA and Archives Journals. (2010, November 16). Robotic-assisted surgery appears safe for complicated pancreatic procedures. ScienceDaily. Retrieved March 31, 2015 from www.sciencedaily.com/releases/2010/11/101115174009.htm
JAMA and Archives Journals. "Robotic-assisted surgery appears safe for complicated pancreatic procedures." ScienceDaily. www.sciencedaily.com/releases/2010/11/101115174009.htm (accessed March 31, 2015).

Share This


More From ScienceDaily



More Health & Medicine News

Tuesday, March 31, 2015

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Soda, Salt and Sugar: The Next Generation of Taxes

Soda, Salt and Sugar: The Next Generation of Taxes

Washington Post (Mar. 30, 2015) — Denisa Livingston, a health advocate for the Dinι Community Advocacy Alliance, and the Post&apos;s Abby Phillip discuss efforts around the country to make unhealthy food choices hurt your wallet as much as your waistline. Video provided by Washington Post
Powered by NewsLook.com
UnitedHealth Buys Catamaran

UnitedHealth Buys Catamaran

Reuters - Business Video Online (Mar. 30, 2015) — The $12.8 billion merger will combine the U.S.&apos; third and fourth largest pharmacy benefit managers. Analysts say smaller PBMs could also merge. Fred Katayama reports. Video provided by Reuters
Powered by NewsLook.com
S. Leone in New Anti-Ebola Lockdown

S. Leone in New Anti-Ebola Lockdown

AFP (Mar. 28, 2015) — Sierra Leone imposed a three-day nationwide lockdown Friday for the second time in six months in a bid to prevent a resurgence of the deadly Ebola virus. Duration: 01:17 Video provided by AFP
Powered by NewsLook.com
These Popular Antibiotics Can Cause Permanent Nerve Damage

These Popular Antibiotics Can Cause Permanent Nerve Damage

Newsy (Mar. 27, 2015) — A popular class of antibiotic can leave patients in severe pain and even result in permanent nerve damage. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
 
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:  

Breaking News:

Strange & Offbeat Stories

 

Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:  

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile iPhone Android Web
Follow Facebook Twitter Google+
Subscribe RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins