98%
921
2 minutes
20
Background: Central pancreatectomy (CP) is an ideal parenchyma-sparing procedure. The experience of r robotic central pancreatectomy (RCP) is very limited.
Materials And Methods: Patients undergoing CP were included. Comparisons were made between RCP and open central pancreatectomy (OCP) groups.
Results: The most common lesion in patients undergoing CP was serous cystadenoma (35.5%). The median operation time was 4.2 h for RCP versus 5.5 h for OCP. The median blood loss was significantly lower in RCP, 20 c.c. versus 170 c.c., p = 0.001. Postoperative pancreatic fistula occurred in 19.4% of all patients, with 22.1% in RCP and 15.4% in OCP. There was no significant difference regarding other surgical complications between the RCP and OCP groups. Only one patient in the OCP group developed de novo diabetes mellitus (DM), and no steatorrhoea/diarrhoea occurred after either RCP or OCP.
Conclusions: RCP is feasible and safe without compromising surgical outcomes and pancreatic functions.
Download full-text PDF |
Source |
---|---|
http://dx.doi.org/10.1002/rcs.2562 | DOI Listing |
World J Methodol
September 2025
Department of Surgical Gastroenterology, All India Institute of Medical Sciences, Patna 801507, Bihar, India.
Background: Historically intraoperative drains were employed after pancreatic surgery but over the last decade, there has been debate over the routine usage of drains.
Aim: To assess the necessity of intra-abdominal drain placement, identify the most effective drain type, and determine the optimal timing for drain removal.
Methods: A systematic review of electronic databases, including PubMed, MEDLINE, PubMed Central, and Google Scholar, was conducted using Medical Subject Headings and keywords until December 2023.
Langenbecks Arch Surg
August 2025
Department of Medical Sciences, Federal Fluminense University, Rio de Janeiro, Brazil.
Background: Prophylactic abdominal drainage has been widely used in pancreatic surgery to mitigate postoperative morbidity. Nonetheless, recent evidence suggests that a no-drain policy presents similar results to routine drainage. Therefore, we conducted an updated meta-analysis on this topic to provide up to date clinical recommendations.
View Article and Find Full Text PDFNihon Shokakibyo Gakkai Zasshi
August 2025
Department of Hepatobiliary Pancreatic Surgery and Transplantation, Kyoto University Hospital.
An octogenarian male patient who had experienced 2 bleeding episodes in 1 year was hospitalized for melena. During the examination for the obscure gastrointestinal bleeding, a mixed-type intraductal papillary mucinous neoplasm (IPMN) was found, and an endoscopic ultrasound examination revealed a 4-mm splenic artery aneurysm protruding from the same lesion in the pancreatic tail. Distal pancreatectomy was performed, and the pathological diagnosis revealed ruptured blood vessels and blood components within the IPMN.
View Article and Find Full Text PDFPancreas
August 2025
California Northstate University College of Medicine, Department of Surgery.
Objectives: Chronic pancreatitis (CP) is a painful disease that can be refractory to multiple medical, endoscopic, and surgical interventions. Total pancreatectomy with islet autotransplantation (TPIAT) is a procedure that may be used to manage CP while potentially preserving endocrine pancreatic function. This study aims to ascertain quality of life (QoL) and pain outcomes among CP patients after TPIAT through a systematic review of published literature.
View Article and Find Full Text PDFCir Esp (Engl Ed)
August 2025
Servicio de Cirugía General y del Aparato Digestivo, Hospital General Universitario Dr. Balmis, Alicante, Spain; Instituto de Investigación ISABIAL, Alicante, Spain; Universidad Miguel Hernández, Alicante, Spain.
Introduction: Left pancreatectomy (LP) is a surgical technique with low mortality but high morbidity (30%), particularly pancreatic fistula (PF). Its minimally invasive (MI) approach has become popular, but its implementation in Spain remains unknown. We present a national multicentre study on LP to determine morbidity-mortality, PF incidence, and the percentage of MI approach.
View Article and Find Full Text PDF