Clinical application of domestic multi-port robot-assisted surgery system in distal pancreatectomy: a prospective, single-center, single-arm exploratory study
10.3760/cma.j.cn113884-20240414-00105
- VernacularTitle:国产多孔机器人手术系统在胰体尾切除术中应用的前瞻性、单中心、单臂探索性研究
- Author:
Jingfeng LI
1
;
Zhiwei XU
;
Xiaxing DENG
;
Chenghong PENG
;
Baiyong SHEN
;
Yusheng SHI
Author Information
1. 上海交通大学医学院附属瑞金医院普外科 胰腺疾病诊疗中心 上海市胰腺肿瘤转化研究重点实验室-瑞金医院 上海交通大学医学院胰腺疾病研究所 癌基因与相关基因国家重点实验室 上海交通大学转化医学研究院，200025 上海
- Keywords:
Robotic surgical procedures;
Pancreatic neoplasms;
Postoperative complications;
Efficacy
- From:
Chinese Journal of Hepatobiliary Surgery
2024;30(5):325-329
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the safety and efficacy of Tumai domestic multi-port robot-assisted surgery system in the clinical application of distal pancreatectomy in pancreatic tumor patients.Methods:A prospective, single-center, single-arm exploratory study was conducted. A total of 20 patients who underwent robot-assisted pancreatic body-tail resection in Ruijin Hospital, Shanghai Jiao Tong University School of Medicine from March 2023 to November 2023 were enrolled, including 13 males and 7 females, aged (57.9±11.2) years. All the patients underwent robot-assisted distal pancreatectomy with Tumai multi-port surgical robot. Clinical data of complications, intraoperative blood loss, operative time, postoperative drainage tube retention time, and postoperative pathology were collected and statistically analyzed.Results:All the 20 patients underwent surgery successfully. Only 1 patient (5.0%) was diagnosed with pancreatic neuroendocrine tumor (G1 stage), and the rest were benign pancreatic tumors, including serous cystadenoma and mucinous cystadenoma. No instrument-related organ or blood vessel injury occurred, no intraoperative complications occurred. Of 7 patients (35.0%) had postoperative complications, including 3 infections, 3 abdominal effusion, and 1 hypokalemia. According to the Clavien-Dindo grading, all the cases were grade Ⅰ except 1 case with grade Ⅱ abdominal effusion. No serious complications above grade Ⅲ occurred. The intraoperative blood loss of the 20 patients was 100(20, 200) ml, the operative time was (125.7±76.9) min, and the postoperative retention time of drainage tube was (7.9±3.4) d.Conclusion:Tumai domestic multi-port robot-assisted surgery system has acceptable safety and efficacy in the clinical application of distal pancreatectomy.
