Role of robotic surgery as an element of Enhanced Recovery After Surgery protocol in patients undergoing pancreatoduodenectomy

• DOI: 10.1016/j.gassur.2023.12.017
• Publication Date: 2024-01-23T22:03:27Z
• Authors: Kosei Takagi; Yuzo Umeda; Tomokazu Fuji; Kazuya Yasui; Motohiko Yamada; Jiro Kimura; Toshiyoshi Fujiwara
• Keywords: Invasive surgery

Although the current trend in pancreatoduodenectomy (PD) has shifted from open surgery to minimally invasive (MIS), evidence on role of MIS as an element Enhanced Recovery After Surgery (ERAS) PD is limited. This study aimed investigate effect robotic using ERAS protocol outcomes patients undergoing PD. retrospective included 252 who underwent (OPD) or (RPD) managed between January 2017 and March 2023. Outcomes stratified by surgical approach were compared. Multivariable analyses performed evaluate items, including surgery, after Of patients, 202 (80.2%) OPD, 50 (19.2%) RPD. demonstrated that perioperative management center support (odds ratio [OR], 2.85; 95% CI, 1.14-7.72; P = .025), (OR, 6.40; 1.94-26.1; .002), early solid intake 2.84; 1.46-5.63; drain removal 3.77; 2.04-7.06; < .001) significant items related discharge Our employing for OPD RPD feasible safe. Moreover, our results suggested A combination protocols may be safe accelerating postoperative recovery