Copyright
©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Jan 27, 2023; 15(1): 60-71
Published online Jan 27, 2023. doi: 10.4240/wjgs.v15.i1.60
Published online Jan 27, 2023. doi: 10.4240/wjgs.v15.i1.60
New perspectives on robotic pancreaticoduodenectomy: An analysis of the National Cancer Database
Aleksandr Kalabin, Robin L Kruse, Chase Schlesselman, Kai Yu Li, Kevin F Staveley-O'Carroll, Eric T Kimchi, Department of Surgery, University of Missouri, Columbia, MO 65212, United States
Vishnu R Mani, Department of Surgery, The Johns Hopkins Hospital, Baltimore, MD 21287, United States
Author contributions: Kalabin A and Mani VR contributed to formulation of research goals and aims, development of study design, data accrual/interpretation, data analysis, original draft preparation, manuscript review and editing; Kruse RL contributed to data analysis, implementation of the statistical software/supportive algorithms, study validation/visualization, original draft preparation and editing; Schlesselman C contributed to data analysis, implementation of the statistical software/supporting algorithms, original draft preparation, manuscript review and editing; Li KY contributed to implementation of the statistical software/supporting algorithms, original draft preparation, manuscript review and editing; Staveley-O'Carroll KF contributed to management and coordination of the project, supervision of the research activity and execution, manuscript review and editing, critical review; Kimchi ET contributed to management and coordination of the project, supervision of the research activity and execution, manuscript review and editing, critical review; All authors have read and approve the final manuscript.
Institutional review board statement: As we used only publicly available, anonymized data that precludes reidentification of participants, our study was exempt from Institutional Review Board review.
Informed consent statement: Not applicable, as we used only publicly available, anonymized data that precludes reidentification of participants.
Conflict-of-interest statement: The authors declare that they have no competing interests as well as no financial relationship to disclose.
Data sharing statement: The datasets and/or analyzed data during the current study is available from the corresponding author on reasonable request.
STROBE statement: The authors have read the STROBE Statement - checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Aleksandr Kalabin, MD, Surgeon, Department of Surgery, University of Missouri, No. 1 Hospital Drive, Columbia, MO 65212, United States. kalabin.al@gmail.com
Received: July 11, 2022
Peer-review started: July 11, 2022
First decision: November 18, 2022
Revised: November 23, 2022
Accepted: December 23, 2022
Article in press: December 23, 2022
Published online: January 27, 2023
Processing time: 190 Days and 13 Hours
Peer-review started: July 11, 2022
First decision: November 18, 2022
Revised: November 23, 2022
Accepted: December 23, 2022
Article in press: December 23, 2022
Published online: January 27, 2023
Processing time: 190 Days and 13 Hours
Core Tip
Core Tip: This retrospective study evaluated absolute lymph node (LN) harvest during pancreaticoduodenectomy (PD) for analyzed over 17000 patients who underwent PD from 2010 to 2018. The number of LN harvested differed by the procedure type (open, laparoscopic, robotic), with the highest harvest obtained with the robotic approach. Procedure type was not associated with mortality or readmission rate within 30 d of hospital discharge. However, an increasing number of LN harvested was associated with survival, while a higher number of LN that were positive for cancer was associated with earlier mortality on multivariate analysis. Our study suggests that robotic PD has better LN harvest and is comparable to open and laparoscopic approaches for short-term oncological outcomes and survival.