ArticleAnnals of surgery open : perspectives of surgical history, education, and clinical approaches2026
Short-Term Outcomes and Cost of Robotic Versus Open Distal Pancreatectomy During the Initial Phase of a Robotic Pancreatectomy Program.
Article in Annals of surgery open : perspectives of surgical history, education, and clinical approaches, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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13 authors.
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Abstract
Background: This retrospective study evaluates the safety and cost-effectiveness of robotic distal pancreatectomy (RDP) during surgeons' early experience, a period for which data remain limited. We compared outcomes and costs of RDP versus open distal pancreatectomy (ODP) during the initial phase of our robotic program. Methods: RDP and ODP cases from January 2018 to May 2024 were analyzed using a prospective database to obtain clinicopathologic and 90-day outcomes. Costs were expressed as ratios to ODP operative cost. 1:1 propensity-matched cohorts were compared. Results: One hundred nineteen RDP and 164 ODP cases were identified; matching yielded 101 per group. Major complications (Accordion grade ≥3: 10% vs 17%; Conclusions: RDP was safe, with comparable 90-day outcomes and lower 30-day costs compared to ODP during RDP program implementation.
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