Evidence map›Paper›PMID 39711213›Full record

ArticleJournal of hepato-biliary-pancreatic sciences2025

The safety and feasibility of robotic pancreaticoduodenectomy: A multicenter retrospective assessment of 425 patients in Japan.

So Nakamura, Kohei Nakata, Yuichi Nagakawa, Shingo Kozono, Go Wakabayashi, Taiga Wakabayashi, Ichiro Uyama, Takeshi Takahara, Yutaka Takeda, Yoshiaki Ohmura and 11 more

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of hepato-biliary-pancreatic sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors.

So NakamuraDepartment of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Kohei NakataDepartment of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Yuichi NagakawaDepartment of Gastrointestinal and Pediatric Surgery, Tokyo Medical University, Tokyo, Japan.
Shingo KozonoDepartment of Gastrointestinal and Pediatric Surgery, Tokyo Medical University, Tokyo, Japan.
Go WakabayashiCenter for Advanced Treatment of Hepatobiliary and Pancreatic Disease, Ageo Central General Hospital, Saitama, Japan.
Taiga WakabayashiCenter for Advanced Treatment of Hepatobiliary and Pancreatic Disease, Ageo Central General Hospital, Saitama, Japan.ORCID https://orcid.org/0000-0002-5074-0205
Ichiro UyamaDepartment of Advanced Robotic and Endoscopic Surgery, Fujita Health University, Aichi, Japan.
Takeshi TakaharaDepartment of Surgery, Fujita Health University, Aichi, Japan.
Yutaka TakedaDepartment of Surgery, Kansai Rosai Hospital, Hyogo, Japan.
Yoshiaki OhmuraDepartment of Surgery, Kansai Rosai Hospital, Hyogo, Japan.ORCID https://orcid.org/0000-0003-1989-3307
Saiho KoDepartment of Surgery, Nara Prefecture General Medical Center, Nara, Japan.
Ayumi NishiokaDepartment of Surgery, Nara Prefecture General Medical Center, Nara, Japan.
Sho KiritaniDivision of Hepato-Biliary-Pancreatic Surgery, Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo, Japan.
Yosuke InoueDivision of Hepato-Biliary-Pancreatic Surgery, Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo, Japan.ORCID https://orcid.org/0000-0001-5812-6608
Tomohiko AdachiDepartment of Surgery, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.ORCID https://orcid.org/0000-0001-7025-6173
Susumu EguchiDepartment of Surgery, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.ORCID https://orcid.org/0000-0002-7876-0152
Mamoru MorimotoDepartment of Gastroenterological Surgery, Graduate School of Medical Sciences, Nagoya City University, Nagoya, Japan.
Yoichi MatsuoDepartment of Gastroenterological Surgery, Graduate School of Medical Sciences, Nagoya City University, Nagoya, Japan.
Hiroshi KuraharaDepartment of Digestive Surgery, Graduate School of Medical Sciences, Kagoshima University, Kagoshima, Japan.
Takao OhtsukaDepartment of Digestive Surgery, Graduate School of Medical Sciences, Kagoshima University, Kagoshima, Japan.
Masafumi NakamuraDepartment of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.ORCID https://orcid.org/0000-0002-5584-8311

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background/purposeThe Japanese public health insurance system has recently covered robotic pancreaticoduodenectomy (RPD). This study aimed to review the results of RPD during the introductory period and elucidate its safety and feasibility in Japan.

methodsConsecutive data of 425 patients who underwent RPD were retrospectively collected from 10 high-volume centers in Japan between April 2020 and September 2022. The primary endpoints were the rates of conversion to open surgery and completion of minimally invasive surgery (MIS), defined as the use of a totally robotic operation or combined robotic and laparoscopic procedures. Secondary endpoints were operative time, blood loss, complication rate, and 30- and 90-day mortality rates.

resultsStudy comprised 222 males and 203 females, with a median age of 70 (p10-p90; 50-81) years. The conversion to open surgery and completion rates of MIS were 3.8% (16 patients) and 91.1% (387 patients), respectively. The median operative time was 617 min (p10-p90; 456-834 min), and the median volume of blood loss was 160 g (p10-p90; 30-558 g). The complication rate (Clavien-Dindo classification grade ≥ IIIa) was 20.5%. The 30- and 90-day mortality rates were 0.2% and 0.5%, respectively.

conclusionsOur results indicate that RPD can be introduced successfully and is a promising approach for pancreaticoduodenectomy.

Indexed as

PancreaticoduodenectomyRobotic Surgical ProceduresAgedAged, 80 and overFeasibility StudiesFemaleHumansJapanLaparoscopyMaleMiddle AgedOperative TimePostoperative ComplicationsRetrospective StudiesTreatment Outcomeminimally invasive pancreaticoduodenectomyminimally invasive surgeryrobot‐assisted pancreaticoduodenectomyrobot‐assisted surgeryrobotic pancreaticoduodenectomy

Identifiers

PMID39711213
PMCPMC11849582

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.