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Robot-assisted and laparoscopic extended left pancreatectomy: a pan-European multicenter propensity-score matched analysis

Title: Robot-assisted and laparoscopic extended left pancreatectomy: a pan-European multicenter propensity-score matched analysis
Authors: Bruna C. L.; van Ramshorst T.; van Hilst J.; Balduzzi A.; Koerkamp B. G.; Dokmak S.; Busch O. R.; Berrevoet F.; Ramera M.; Edwin B.; Boggi U.; Festen S.; Wittel U. A.; Balsells J.; Sergeant G.; Ferrari G.; Biesel E. A.; Luyer M. D. P.; van den Boezem P. B.; Lopez-Ben S.; Petric M.; Soonawalla Z.; de Wilde R.; Aussilhou B.; Besselink M. G.; Hilal M. A.; Rotellar F.; Sutcliffe R. P.; Ausania F.; Coratti A.; Bonsing B.; Souche R.; Lips D.; Ricci C.; Keck T.; Salvia R.; Kokkola A.; Sousa F.; Molenaar I. Q.; Daams F.; van der Schelling G.; Bjornsson B.; Giuliani G.; Marino M. V.; van Santvoort H.; de Kleine R. H.; Pozo C. D. -D.; Hammoda M.; Roeyen G.; D'Hondt M.; Jorba R.; Fristrup C. W.; Saint-Marc O.; Navez J.; Montorsi M.; Pessaux P.; Fusai G. K.; Butturini G.; Pernazza G.; Bahra M.; Sparrelid E.; Riauka R.; Ivanecz A.; Burgdorf S. K.; Bratlie S. O.; White S.; Yip V. S.; Rosso E.; Piardi T.; Bozkurt E.; Khathov I.; Pauletti B.; Mittermair C.; Martino M. D.; Hackert T.; Pittau G.; Burdio F.
Contributors: Bruna C. L.; Van Ramshorst T.; Van Hilst J.; Balduzzi A.; Koerkamp B. G.; Dokmak S.; Busch O. R.; Berrevoet F.; Ramera M.; Edwin B.; Boggi U.; Festen S.; Wittel U. A.; Balsells J.; Sergeant G.; Ferrari G.; Biesel E. A.; Luyer M. D. P.; Van Den Boezem P. B.; Lopez-Ben S.; Petric M.; Soonawalla Z.; De Wilde R.; Aussilhou B.; Besselink M. G.; Hilal M. A.; Rotellar F.; Sutcliffe R. P.; Ausania F.; Coratti A.; Bonsing B.; Souche R.; Lips D.; Ricci C.; Keck T.; Salvia R.; Kokkola A.; Sousa F.; Molenaar I. Q.; Daams F.; Van Der Schelling G.; Bjornsson B.; Giuliani G.; Marino M. V.; Van Santvoort H.; De Kleine R. H.; Pozo C. D. -D.; Hammoda M.; Roeyen G.; D'Hondt M.; Jorba R.; Fristrup C. W.; Saint-Marc O.; Navez J.; Montorsi M.; Pessaux P.; Fusai G. K.; Butturini G.; Pernazza G.; Bahra M.; Sparrelid E.; Riauka R.; Ivanecz A.; Burgdorf S. K.; Bratlie S. O.; White S.; Yip V. S.; Rosso E.; Piardi T.; Bozkurt E.; Khathov I.; Pauletti B.; Mittermair C.; Martino M. D.; Hackert T.; Pittau G.; Burdio F.
Publication Year: 2025
Collection: Università degli Studi di Brescia: OPENBS - Open Archive UniBS
Subject Terms: distal pancreatectomy; extended resection; Left pancreatectomy; minimally invasive distal pancreatectomy; Minimally Invasive surgery; postoperative pancreatic fistula
Description: Objective: To compare postoperative outcomes after extended robot-assisted left pancreatectomy (e-RLP) and extended laparoscopic left pancreatectomy (e-LLP). Summary background data: The implementation of RLP is increasing worldwide with expanding indications, resulting in more extended resections. However, the use of e-RLP has not been investigated before. Methods: International study including consecutive patients after e-RLP and e-LLP for all indications in 19 European countries (2012-2022). Extended resection was defined according to the ISGPS definition. Propensity score matching (PSM) was performed in a 1:1 ratio with a caliper width of 0.1. Primary endpoint was major morbidity (Clavien-Dindo grade ≥ III complications). Results: Overall, 514 patients were included from 72 centers (152 e-RLPs; 362 e-LLPs). Before PSM, e-RLP patients had more tail tumors (69.4% vs 50.0%, p=0.001), vascular involvement (30.3% vs 16.3%, p2 additional organ resections (28.5% vs 10.7%, p
Document Type: article in journal/newspaper
Language: English
Relation: info:eu-repo/semantics/altIdentifier/pmid/40548584; journal:ANNALS OF SURGERY; https://hdl.handle.net/11379/640608
DOI: 10.1097/SLA.0000000000006812
Availability: https://hdl.handle.net/11379/640608; https://doi.org/10.1097/SLA.0000000000006812
Rights: info:eu-repo/semantics/openAccess ; license:PUBBLICO - Creative Commons 4.0 ; license uri:iris.PUB15
Accession Number: edsbas.494FB17C
Database: BASE