Robotic palliation for unresectable pancreatic cancer and distal cholangiocarcinoma

Nicolas C. Buchs, Pietro Addeo, Francesco M. Bianco, Enrique F. Elli, Subhashini Ayloo, Pier C. Giulianotti

Research output: Contribution to journalArticlepeer-review

17 Scopus citations

Abstract

Background: Optimizing quality of life is a major goal for patients with unresectable pancreatic cancer and distal cholangiocarcinoma. The aim of this study was to assess the value of robotic surgery for palliation in these patients. +Methods: Between May 2007 and January 2010, nine patients who presented with unresectable pancreatic cancer or distal cholangiocarcinoma at exploratory laparoscopy were included in this retrospective study. +Results: Eight hepaticojejunostomies, one choledochoduodenostomy and five gastrojejunostomies were performed robotically. Mean operative time was 236 ± 25 min. Median length of stay was 6 (range 4-10) days. There was no perioperative mortality. The morbidity rate was 22.2%. After a median follow-up of 265 days, there were no other readmissions for problems related to the operation. +Conclusions: Robotic palliation in cases of unresectable pancreatic cancer or distal cholangiocarcinoma is feasible and effective. The use of robotics in palliative surgery offers low morbidity, short hospital stay and minimal readmissions.

Original languageEnglish (US)
Pages (from-to)60-65
Number of pages6
JournalInternational Journal of Medical Robotics and Computer Assisted Surgery
Volume7
Issue number1
DOIs
StatePublished - Mar 2011
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Surgery
  • Biophysics
  • Computer Science Applications

Keywords

  • Bypass
  • Laparoscopy
  • Palliative
  • Pancreatic cancer
  • Robot
  • Surgery
  • Unresectable

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