Delayed gastric emptying after pylorus-preserving pancreatoduodenectomy: Comparison between traditional open surgery and full-robotic approach with da Vinci Xi.
delayed gastric emptying
pylorus-preserving pancreatoduodenectomy
robotic pancreatoduodenectomy
Journal
The international journal of medical robotics + computer assisted surgery : MRCAS
ISSN: 1478-596X
Titre abrégé: Int J Med Robot
Pays: England
ID NLM: 101250764
Informations de publication
Date de publication:
01 Sep 2023
01 Sep 2023
Historique:
revised:
22
07
2023
received:
22
04
2023
accepted:
20
08
2023
medline:
1
9
2023
pubmed:
1
9
2023
entrez:
1
9
2023
Statut:
aheadofprint
Résumé
Delayed gastric emptying (DGE) is a frequent complication after pancreatoduodenectomy, especially after pylorus preservation (Pp). We evaluated the effect of a fully robotic approach with da Vinci Xi on DGE after PpPD. Open and robotic PDs were performed in 353 and 50 cases, respectively, from January 2009 to March 2022. We compared the clinical outcomes and incidence of clinically relevant DGE between robotic PpPD (R-PpPD) and open PpPD after one-to-one case-control matching. Each group consisted of 30 patients. Clinically relevant DGE was less common after R-PpPD (3/30 [10%] vs. 10/30 cases [33.3%], p = 0.028). The median length of hospital stay (LoS) was significantly lower in the R-PpPD group (10 vs. 15 days, p = 0.013). The reduced tissue trauma by the minimally invasive robotic approach is associated with a lower incidence of DGE, reducing the LoS and encouraging PpPD performed using the fully robotic approach.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e2571Informations de copyright
© 2023 John Wiley & Sons Ltd.
Références
Wang M, Li D, Chen R, et al. Laparoscopic versus open pancreatoduodenectomy for pancreatic or periampullary tumours: a multicentre, open-label, randomised controlled trial. Lancet Gastroenterol Hepatol. 2021;6(6):438-447. https://doi.org/10.1016/S2468-1253(21)00054-6
Klompmaker S, Van Hilst J, Wellner UF, et al. Outcomes after minimally-invasive versus open pancreatoduodenectomy: a pan-european propensity score matched study. Ann Surg. 2020;271(2):356-363. https://doi.org/10.1097/SLA.0000000000002850
Akizuki E, Kimura Y, Nobuoka T, et al. Reconsideration of postoperative oral intake tolerance after pancreaticoduodenectomy: prospective consecutive analysis of delayed gastric emptying according to the ISGPS definition and the amount of dietary intake. Ann Surg. 2009;249(6):986-994. https://doi.org/10.1097/SLA.0B013E3181A63C4C
Ramanathan R, Mason T, Wolfe LG, Kaplan BJ. Predictors of short-term readmission after pancreaticoduodenectomy. J Gastrointest Surg. 2018;22(6):998-1006. https://doi.org/10.1007/S11605-018-3700-6
Eisenberg JD, Rosato EL, Lavu H, Yeo CJ, Winter JM. Delayed gastric emptying after pancreaticoduodenectomy: an analysis of risk factors and cost. J Gastrointest Surg. 2015;19(9):1572-1580. https://doi.org/10.1007/S11605-015-2865-5
Snyder RA, Ewing JA, Parikh AA. Delayed gastric emptying after pancreaticoduodenectomy: a study of the national surgical quality improvement program. Pancreatology. 2020;20(2):205-210. https://doi.org/10.1016/J.PAN.2019.12.003
Klaiber U, Probst P, Büchler MW, Hackert T. Pylorus preservation pancreatectomy or not. Transl Gastroenterol Hepatol. 2017;2(DEC):100. https://doi.org/10.21037/TGH.2017.11.15
Pflüger MJ, Felsenstein M, Schmocker R, et al. Gastric cancer following pancreaticoduodenectomy: experience from a high-volume center and review of existing literature. Surg Open Sci. 2020;2(4):32-40. https://doi.org/10.1016/j.sopen.2020.06.003
Kurahara H, Takao S, Shinchi H, et al. Subtotal stomach-preserving pancreaticoduodenectomy (SSPPD) prevents postoperative delayed gastric emptying. J Surg Oncol. 2010;102(6):615-619. https://doi.org/10.1002/JSO.21687
Kawai M, Tani M, Hirono S, et al. Pylorus ring resection reduces delayed gastric emptying in patients undergoing pancreatoduodenectomy: a prospective, randomized, controlled trial of pylorus-resecting versus pylorus-preserving pancreatoduodenectomy. Ann Surg. 2011;253(3):495-501. https://doi.org/10.1097/SLA.0B013E31820D98F1
Fernández-Del Castillo C, Morales-Oyarvide V, McGrath D, et al. Evolution of the Whipple procedure at the Massachusetts general hospital. Surgery. 2012;152(3 0 1):S56-S63. https://doi.org/10.1016/J.SURG.2012.05.022
Matsumoto I, Shinzeki M, Asari S, et al. A prospective randomized comparison between pylorus- and subtotal stomach-preserving pancreatoduodenectomy on postoperative delayed gastric emptying occurrence and long-term nutritional status. J Surg Oncol. 2014;109(7):690-696. https://doi.org/10.1002/JSO.23566
Paraskevas KI, Avgerinos C, Manes C, Lytras D, Dervenis C. Delayed gastric emptying is associated with pylorus-preserving but not classical Whipple pancreaticoduodenectomy: a review of the literature and critical reappraisal of the implicated pathomechanism. World J Gastroenterol. 2006;12(37):5951-5958. https://doi.org/10.3748/WJG.V12.I37.5951
Hackert T, Probst P, Knebel P, et al. Pylorus resection does not reduce delayed gastric emptying after partial pancreatoduodenectomy A blinded randomized controlled trial (PROPP study, DRKS00004191). Ann Surg. 2018;267(6):1021-1027. https://doi.org/10.1097/SLA.0000000000002480
Yang C, Wu HS, Chen XL, et al. Pylorus-preserving versus pylorus-resecting pancreaticoduodenectomy for periampullary and pancreatic Carcinoma: a meta-analysis. PLoS One. 2014;9(3):e90316. https://doi.org/10.1371/JOURNAL.PONE.0090316
Wente MN, Bassi C, Dervenis C, et al. Delayed gastric emptying (DGE) after pancreatic surgery: a suggested definition by the International Study Group of Pancreatic Surgery (ISGPS). Surgery. 2007;142(5):761-768. https://doi.org/10.1016/j.surg.2007.05.005
Dindo D, Demartines N, Clavien P.-A. Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg. 2004;240(2):205-213. https://doi.org/10.1097/01.sla.0000133083.54934.ae
Wente MN, Veit JA, Bassi C, et al. Postpancreatectomy hemorrhage (PPH)-An international study group of pancreatic surgery (ISGPS) definition. Surgery. 2007;142(1):20-25. https://doi.org/10.1016/j.surg.2007.02.001
Koch M, Garden OJ, Padbury R, et al. Bile leakage after hepatobiliary and pancreatic surgery: a definition and grading of severity by the International Study Group of Liver Surgery. Surgery. 2011;149(5):680-688. https://doi.org/10.1016/j.surg.2010.12.002
Bassi C, Marchegiani G, Dervenis C, et al. The 2016 update of the International Study Group (ISGPS) definition and grading of postoperative pancreatic fistula: 11 Years after. Surgery. 2017;161(3):584-591. https://doi.org/10.1016/j.surg.2016.11.014
Courvoisier T, Donatini G, Faure JP, Danion J, Carretier M, Richer JP. Primary versus secondary delayed gastric emptying (DGE) grades B and C of the International Study Group of Pancreatic Surgery after pancreatoduodenectomy: a retrospective analysis on a group of 132 patients. Updates Surg. 2015;67(3):305-309. https://doi.org/10.1007/S13304-015-0296-1
Callery MP, Pratt WB, Kent TS, Chaikof EL, Vollmer CM. A prospectively validated clinical risk score accurately predicts pancreatic fistula after pancreatoduodenectomy. J Am Coll Surg. 2013;216(1):1-14. https://doi.org/10.1016/J.JAMCOLLSURG.2012.09.002
Morelli L, Furbetta N, Gianardi D, et al. Use of barbed suture without fashioning the “classical” Wirsung-jejunostomy in a modified end-to-side robotic pancreatojejunostomy. Surg Endosc. 2021;35(3):955-961. https://doi.org/10.1007/s00464-020-07991-w
Di Franco G, Lorenzoni V, Palmeri M, et al. Robot-assisted pancreatoduodenectomy with the da Vinci Xi: can the costs of advanced technology be offset by clinical advantages? A case-matched cost analysis versus open approach. Surg Endosc. 2022;36(6):4417-4428. https://doi.org/10.1007/S00464-021-08793-4
Morelli L, Di Franco G, Guadagni S, et al. Technical details and results of a modified end-to-side technique of pancreatojejunostomy: a personal series of 100 patients. J Gastrointest Surg. 2017;21(12):2090-2099. https://doi.org/10.1007/s11605-017-3587-7
Eshuis WJ, Van Eijck CHJ, Gerhards MF, et al. Antecolic versus retrocolic route of the gastroenteric anastomosis after pancreatoduodenectomy: a randomized controlled trial. Ann Surg. 2014;259(1):45-51. https://doi.org/10.1097/SLA.0B013E3182A6F529
Shi Y, Jin J, Qiu W, et al. Short-term outcomes after robot-assisted vs open pancreaticoduodenectomy after the learning curve. JAMA Surg. 2020;155(5):389-394. https://doi.org/10.1001/jamasurg.2020.0021
Torphy RJ, Friedman C, Halpern A, et al. Comparing short-term and oncologic outcomes of minimally invasive versus open pancreaticoduodenectomy across low and high volume centers. Ann Surg. 2019;270(6):1147-1155. https://doi.org/10.1097/SLA.0000000000002810
de Rooij T, Lu MZ, Steen MW, et al. Minimally invasive versus open pancreatoduodenectomy. Ann Surg. 2016;264(2):257-267. https://doi.org/10.1097/SLA.0000000000001660
Sun R, Yu J, Zhang Y, Liang Z, Han X. Perioperative and oncological outcomes following minimally invasive versus open pancreaticoduodenectomy for pancreatic duct adenocarcinoma. Surg Endosc. 2020;35(5):2273-2285. Published online. https://doi.org/10.1007/s00464-020-07641-1
Baimas-George M, Watson M, Murphy KJ, et al. Robotic pancreaticoduodenectomy may offer improved oncologic outcomes over open surgery: a propensity-matched single-institution study. Surg Endosc. 2020;34(8):3644-3649. https://doi.org/10.1007/S00464-020-07564-X
Zwart MJW, Jones LR, Hogg ME, et al. Robotic pancreatoduodenectomy for pancreatic head cancer: a case report of a standardized technique. J Vis Exp. 2022;2022(184). https://doi.org/10.3791/62863
Wang SE, Shyr BU, Chen SC, Shyr YM. Comparison between robotic and open pancreaticoduodenectomy with modified Blumgart pancreaticojejunostomy: a propensity score-matched study. Surgery. 2018;164(6):1162-1167. https://doi.org/10.1016/J.SURG.2018.06.031
van Oosten AF, Ding D, Habib JR, et al. Perioperative outcomes of robotic pancreaticoduodenectomy: a propensity-matched analysis to open and laparoscopic pancreaticoduodenectomy. J Gastrointest Surg. 2021;25(7):1795-1804. https://doi.org/10.1007/S11605-020-04869-Z
Kim H, Kim JR, Han Y, Kwon W, Kim SW, Jang JY. Early experience of laparoscopic and robotic hybrid pancreaticoduodenectomy. Int J Med Robot Comput Assist Surg. 2017;13(3):e1814. https://doi.org/10.1002/RCS.1814
Lee YH, Hur YH, Kim HJ, Kim CY, Kim JW. Is delayed gastric emptying associated with pylorus ring preservation in patients undergoing pancreaticoduodenectomy? Asian J Surg. 2021;44(1):137-142. https://doi.org/10.1016/j.asjsur.2020.08.012
Varghese C, Bhat S, Wang THH, O’Grady G, Pandanaboyana S. Impact of gastric resection and enteric anastomotic configuration on delayed gastric emptying after pancreaticoduodenectomy: a network meta-analysis of randomized trials. BJS Open. 2021;5(3):zrab035. https://doi.org/10.1093/bjsopen/zrab035
Riediger H, Makowiec F, Schareck WD, Hopt UT, Adam U. Delayed gastric emptying after pylorus-preserving pancreatoduodenectomy is strongly related to other postoperative complications. J Gastrointest Surg. 2003;7(6):758-765. https://doi.org/10.1016/S1091-255X(03)00109-4
Addeo P, Delpero JR, Paye F, et al. Pancreatic fistula after a pancreaticoduodenectomy for ductal adenocarcinoma and its association with morbidity: a multicentre study of the French Surgical Association. HPB Oxf. 2014;16(1):46-55. https://doi.org/10.1111/HPB.12063
Robinson JR, Marincola P, Shelton J, Merchant NB, Idrees K, Parikh AA. Peri-operative risk factors for delayed gastric emptying after a pancreaticoduodenectomy. HPB. 2015;17(6):495-501. https://doi.org/10.1111/HPB.12385
Mungroop TH, Klompmaker S, Wellner UF, et al. Updated alternative fistula risk score (ua-FRS) to include minimally invasive pancreatoduodenectomy: pan-European validation. Ann Surg. 2021;273(2):334-340. https://doi.org/10.1097/SLA.0000000000003234
Hagen ME, Jung MK, Ris F, et al. Early clinical experience with the da Vinci Xi Surgical System in general surgery. J Robot Surg. 2017;11(3):347-353. https://doi.org/10.1007/S11701-016-0662-0/FIGURES/5