The PD-ROBOSCORE: A difficulty score for robotic pancreatoduodenectomy.

Male Female Humans Pancreaticoduodenectomy / adverse effects Robotic Surgical Procedures / adverse effects Pancreas / surgery Robotics Pancreatic Fistula / etiology Retrospective Studies Postoperative Complications / epidemiology

Journal

Surgery

ISSN: 1532-7361

Titre abrégé: Surgery

Pays: United States

ID NLM: 0417347

Informations de publication

Date de publication:
06 2023

Historique:

received: 21 10 2022

revised: 12 02 2023

accepted: 22 02 2023

medline: 22 5 2023

pubmed: 28 3 2023

entrez: 27 3 2023

Statut: ppublish

Résumé

Difficulty scoring systems are important for the safe, stepwise implementation of new procedures. We designed a retrospective observational study for building a difficulty score for robotic pancreatoduodenectomy. The difficulty score (PD-ROBOSCORE) aims at predicting severe postoperative complications after robotic pancreatoduodenectomy. The PD-ROBOSCORE was developed in a training cohort of 198 robotic pancreatoduodenectomies and was validated in an international multicenter cohort of 686 robotic pancreatoduodenectomies. Finally, all centers tested the model during the early learning curve (n = 300). Growing difficulty levels (low, intermediate, high) were defined using cut-off values set at the 33rd and 66th percentile (NCT04662346). Factors included in the final multivariate model were a body mass index of ≥25 kg/m The PD-ROBOSCORE predicts severe postoperative complications after robotic pancreatoduodenectomy. The score is readily available via www.pancreascalculator.com.

Sections du résumé

BACKGROUND

METHODS

The difficulty score (PD-ROBOSCORE) aims at predicting severe postoperative complications after robotic pancreatoduodenectomy. The PD-ROBOSCORE was developed in a training cohort of 198 robotic pancreatoduodenectomies and was validated in an international multicenter cohort of 686 robotic pancreatoduodenectomies. Finally, all centers tested the model during the early learning curve (n = 300). Growing difficulty levels (low, intermediate, high) were defined using cut-off values set at the 33rd and 66th percentile (NCT04662346).

RESULTS

Factors included in the final multivariate model were a body mass index of ≥25 kg/m

CONCLUSION

The PD-ROBOSCORE predicts severe postoperative complications after robotic pancreatoduodenectomy. The score is readily available via www.pancreascalculator.com.

Identifiants

DOI: 10.1016/j.surg.2023.02.020 PMID: 36973127

pubmed: 36973127

pii: S0039-6060(23)00109-5

doi: 10.1016/j.surg.2023.02.020

pii:

doi:

Banques de données

ClinicalTrials.gov

['NCT04662346']

Types de publication

Observational Study Multicenter Study Journal Article

Langues

eng

Sous-ensembles de citation

Pagination

1438-1446