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Heckman JT, Martinez AE, Keim RL, Mazzaferro SE, Mir KS, Gorman MA, Shah US. Implementation of robotic pancreaticoduodenectomy at a community tertiary care hospital utilizing a comprehensive curriculum. Am J Surg 2024; 228:83-87. [PMID: 37620215 DOI: 10.1016/j.amjsurg.2023.08.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2023] [Revised: 08/09/2023] [Accepted: 08/16/2023] [Indexed: 08/26/2023]
Abstract
BACKGROUND We evaluated the outcomes of a robotic pancreaticoduodenectomy (RPD) program implemented at a community tertiary care hospital. METHODS A retrospective review of 65 RPD cases compared surgical outcomes and performance to benchmark data. RESULTS Postoperative complications occurred in 31% (20) of patients vs. ≤73% (variance -42), with grade IV complications in 3% (2) vs. ≤5% (variance -2). Postoperative pancreatic fistula type B frequency was 12% (8) vs. ≤15% (variance -3). One 90-day mortality occurred (1.5% vs. 1.6%). Failure to rescue rate was 7% vs. ≤9% (variance -2), and R1 resection rate was 2% vs. ≤39% (variance -37). There was a downward trend of operative time (rho = -0.600, P < 0.001), with a learning curve of 27 cases. Median hospital length of stay was 6 days vs. ≤15 days (variance -9). CONCLUSION Our comprehensive RPD training program resulted in improved operative performance and outcomes commensurate with benchmark thresholds.
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Affiliation(s)
- Jason T Heckman
- Department of Hepatobiliary, Pancreatic, and General Surgery, St. Peter's Health Partners, 319 S Manning Blvd, Ste 304, Albany, NY, 12208, United States
| | - Ashley E Martinez
- Albany Medical College, 43 New Scotland Ave, Albany, NY, 12208, United States.
| | - Rebecca L Keim
- Department of Hepatobiliary, Pancreatic, and General Surgery, St. Peter's Health Partners, 319 S Manning Blvd, Ste 304, Albany, NY, 12208, United States
| | - Sarah E Mazzaferro
- Department of Hepatobiliary, Pancreatic, and General Surgery, St. Peter's Health Partners, 319 S Manning Blvd, Ste 304, Albany, NY, 12208, United States
| | - Kristin S Mir
- Department of Hepatobiliary, Pancreatic, and General Surgery, St. Peter's Health Partners, 319 S Manning Blvd, Ste 304, Albany, NY, 12208, United States
| | - Michael A Gorman
- Department of Hepatobiliary, Pancreatic, and General Surgery, St. Peter's Health Partners, 319 S Manning Blvd, Ste 304, Albany, NY, 12208, United States
| | - Ujas S Shah
- Department of Hepatobiliary, Pancreatic, and General Surgery, St. Peter's Health Partners, 319 S Manning Blvd, Ste 304, Albany, NY, 12208, United States
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