Hepato-pancreato-biliary surgeries using robotic surgical system in a single institute: One thousand cases

doi:10.19538/j.cjps.issn1005-2208.2017.03.19

Abstract：Objective To summarize the clinical experience of 1000 cases of hepato-pancreato-biliary surgeries using robotic surgical system. Methods The clinical results of a consecutive series of patients who underwent robotic hepato-pancreato-biliary operations between Nov 15, 2016 and Feb 92017 were reviewed. Results A total of 1000 robotic assisted operations were performed, including 260 case of robotic assisted hepatectomy, 600 case of robotic assisted pancreatectomy, 83 case of robotic assisted biliary surgery and 57 case of other robotic assisted operations. The convert rate, mortality rate and postoperative hospital stay was 4.6%, 0.3%and 9.71 ± 7.93d respectively. Additionally, complicated hepato-pancreato-biliary operations accounted for 65.9%, including robotic assisted hemihepatectomy, robotic assisted distal pancreatectomy, robotic assisted segmental pancreatectomy, robotic assisted pancreaticoduodenectomy, robotic assisted radical resection of gallbladder cancer, and robotic assisted radical resection for hilar cholangiocarcinoma. Conclusions The robotic operative system appears to be more suitable for complex procedures involving hepato-pancreato-biliary resection and reconstruction. None of robotic assisted laparoscopic, traditional laparoscopic or open approach can replace others, and the exact surgical approach for a patient should be chosen carefully to maximize the clinical benefits.