Erschienen in:
30.05.2019 | How I do it
How I Do It: Robotic Pancreaticoduodenectomy
verfasst von:
Gregory C. Wilson, Herbert J. Zeh III, Amer H. Zureikat
Erschienen in:
Journal of Gastrointestinal Surgery
|
Ausgabe 8/2019
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Excerpt
Beginning in 2008, our group embarked on a systematic approach to develop and modify the robotic pancreaticoduodenectomy (RPD). Since that time, over 600 RPDs have been performed at the University of Pittsburgh. Early studies (2008–2012) focused on safety and feasibility.
1‐3 This was followed by identification of the learning curve which is estimated at 80 cases for novice adopters (2012–2014). Once we established benchmarks of excellence, we proceeded with multi-institutional comparative effectiveness studies of RPD versus standard open pancreaticoduodenectomy (2014–2016); some of which have demonstrated beneficial outcomes to the robotic approach, such as reductions in blood loss and morbidity.
4, 5 Finally, over the past few years (2016–present), we focused on implementing a dedicated training program to facilitate safe dissemination.
6 …
