Published online May 16, 2022. doi: 10.12998/wjcc.v10.i14.4357
Peer-review started: February 22, 2021
First decision: September 28, 2021
Revised: October 19, 2021
Accepted: March 24, 2022
Article in press: March 24, 2022
Published online: May 16, 2022
Robotic pancreaticoduodenectomy (RPD) can achieve similar surgical results to open and PD; however, RPD has a long learning curve and operation time (OT). To address this issue, we have summarized a surgical path to shorten the surgical learning curve and OT.
To investigate the effective learning curve of a “G”-shaped surgical approach in RPD for patients.
A total of 60 patients, who received “G”-shaped RPD (GRPD) by a single surgeon in the First Hospital of Shanxi Medical University from May 2017 to April 2020, were included in this study. The OT, demographic data, intraoperative blood loss, complications, hospitalization time, and pathological results were recorded, and the cumulative sum (CUSUM) analysis was performed to evaluate the learning curve for GRPD.
According to the CUSUM analysis, the learning curve for GRPD was grouped into two phases: The early and late phases. The OT was 480 ± 81.65 min vs 331 ± 76.54 min, hospitalization time was 22 ± 4.53 d vs 17 ± 6.08 d, and blood loss was 308 ± 54.78 mL vs 169.2 ± 35.33 mL in the respective groups. Complications, including pancreatic fistula, bile leakage, reoperation rate, postoperative death, and delayed gastric emptying, were significantly decreased after this surgical technique.
GRPD can improve the learning curve and operative time, providing a new method for shortening the RPD learning curve.
Core Tip: Robotic pancreaticoduodenectomy (RPD) can achieve similar surgical results to open and PD; however, RPD has a long learning curve and operation time. A total of 60 patients, who received “G”-shaped RPD (GRPD) by a single surgeon in the First Hospital of Shanxi Medical University from May 2017 to April 2020, were included in this study. GRPD can improve the learning curve and operative time, providing a new method for shortening the RPD learning curve.