Robotic versus laparoscopic surgery for sporadic benign insulinoma:Short-and long-term outcomes  

作　　者：Zhu-Zeng Yin Yuan-Xing Gao Zhi-Ming Zhao Ming-Gen Hu Wen-Bo Tang Rong Liu 

机构地区：[1]Faculty of Hepato-Pancreato-Biliary Surgery,The First Medical Center,Chinese PLA General Hospital,Beijing 100853,China [2]Institute of Hepatobiliary Surgery of Chinese PLA,Beijing 100853,China [3]Key Laboratory of Digital Hepatobiliary Surgery of Chinese PLA,Beijing 100853,China

出　　处：《Hepatobiliary & Pancreatic Diseases International》2024年第4期399-405,共7页国际肝胆胰疾病杂志（英文版）

摘　　要：Background:Minimally invasive surgery is the optimal treatment for insulinoma.The present study aimed to compare short-and long-term outcomes of laparoscopic and robotic surgery for sporadic benign insulinoma.Methods:A retrospective analysis of patients who underwent laparoscopic or robotic surgery for insulinoma at our center between September 2007 and December 2019 was conducted.The demographic,perioperative and postoperative follow-up results were compared between the laparoscopic and robotic groups.Results:A total of 85 patients were enrolled,including 36 with laparoscopic approach and 49 with robotic approach.Enucleation was the preferred surgical procedure.Fifty-nine patients(69.4%)underwent enucleation;among them,26 and 33 patients underwent laparoscopic and robotic surgery,respectively.Robotic enucleation had a lower conversion rate to laparotomy(0 vs.19.2%,P=0.013),shorter operative time(102.0 vs.145.5 min,P=0.008)and shorter postoperative hospital stay(6.0 vs.8.5 d,P=0.002)than laparoscopic enucleation.There were no differences between the groups in terms of intraoperative blood loss,the rates of postoperative pancreatic fistula and complications.After a median follow-up of 65 months,two patients in the laparoscopic group developed a functional recurrence and none of the patients in the robotic group had a recurrence.Conclusions:Robotic enucleation can reduce the conversion rate to laparotomy and shorten operative time,which might lead to a reduction in postoperative hospital stay.

关 键 词：Robotic surgical procedures Laparoscopy INSULINOMA ENUCLEATION PANCREATECTOMY 

分 类 号：R736.7[医药卫生—肿瘤]