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The implementation of a robotic surgical platform for the treatment of patients with malignant or pre-malignant pancreatic tumors at the University Medical Center Ljubljana

Miha Petric

Miha Petric

  • Department of Abdominal Surgery, University Medical Center LjubljanaLjubljana, Slovenia
  • Medical Faculty, University of LjubljanaLjubljana, Slovenia
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Petric, Miha
, 
Patricio Marcelo Polanco

Patricio Marcelo Polanco

Division of Surgical Oncology, UT Southwestern Medical CenterDallas, USA
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Polanco, Patricio Marcelo
, 
Jan Grosek

Jan Grosek

  • Department of Abdominal Surgery, University Medical Center LjubljanaLjubljana, Slovenia
  • Medical Faculty, University of LjubljanaLjubljana, Slovenia
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Grosek, Jan
, 
Ales Tomazic

Ales Tomazic

  • Department of Abdominal Surgery, University Medical Center LjubljanaLjubljana, Slovenia
  • Medical Faculty, University of LjubljanaLjubljana, Slovenia
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Tomazic, Ales
, 
Blaz Trotovsek

Blaz Trotovsek

  • Department of Abdominal Surgery, University Medical Center LjubljanaLjubljana, Slovenia
  • Medical Faculty, University of LjubljanaLjubljana, Slovenia
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Trotovsek, Blaz
 e 
Bostjan Plesnik

Bostjan Plesnik

  • Department of Abdominal Surgery, University Medical Center LjubljanaLjubljana, Slovenia
  • Medical Faculty, University of LjubljanaLjubljana, Slovenia
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Plesnik, Bostjan
  
05 set 2025
The implementation of a robotic surgical platform for the treatment of patients with malignant or pre-malignant pancreatic tumors at the University Medical Center Ljubljana's Cover Image
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Categoria dell'articolo: Research Article
Pubblicato online: 05 set 2025
Pagine: 425 - 434
Ricevuto: 30 apr 2025
Accettato: 27 giu 2025
DOI: https://doi.org/10.2478/raon-2025-0051
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© 2025 Miha Petric et al., published by Sciendo
This work is licensed under the Creative Commons Attribution 4.0 International License.

FIGURE 1.

trocars position for robotic assisted distal pancreatectomy; 8mm robotic arm ports (blue), 8 mm robotic camera port (black), AirSeal® port (red), 15 mm assistant port (green).
trocars position for robotic assisted distal pancreatectomy; 8mm robotic arm ports (blue), 8 mm robotic camera port (black), AirSeal® port (red), 15 mm assistant port (green).

FIGURE 2.

trocars position for robotic assisted distal pancreatectomy; 8mm robotic arm ports (blue), 8 mm robotic camera port (black), AirSeal® port (red), 15 mm assistant port (green).
trocars position for robotic assisted distal pancreatectomy; 8mm robotic arm ports (blue), 8 mm robotic camera port (black), AirSeal® port (red), 15 mm assistant port (green).

FIGURE 3.

Operating time. RDP = robotic-assited distal pancreatectomy; RPD = robotic-assisted pancreatoduodenectomy
Operating time. RDP = robotic-assited distal pancreatectomy; RPD = robotic-assisted pancreatoduodenectomy

Perioperative outcomes

RDP (n = 10) RPD (n = 10)
Conversion 1(10%) 0
Mean operative time (min) 211 (±49.4) 365 (±69.6)
Intraoperative blood loss (ml) 330 (100 – 1700) 195 (100 - 500)
Pancreatic texture
  Soft 9 (90%) 3(30%)
  Hard 1(10%) 7(70%)
Spleen preserving (Kimura) 3 (30%) n/a
MPD diameter in mm(range) n/a 6 (2-8)
BD diameter in mm (range) n/a 9(5-14)
POPF
  Leak 2(20%) 3 (30%)
  B 1 (10%) 0
  C 0 0
DGE 0 1(10%)
Blood transfusion 3 (30%) 2(20%)
30-readmision rate 1 (10%) 1(10%)
90-day mortality rate 0 0

Baseline characteristics of the study population

RDP (n = 10) RPD (n = 10)
Gender, males (%) 20 60
Mean age, years (±SD) 61.8 (±7.6) 70.5 (±8.6)
Mean BMI, kg/m2 (±SD) 29.3 (±6.0) 26.2 (±4.0)
ASA score, n (%)
  I 0 (0%) 0 (0%)
  II 5 (50%) 4 (40%)
  III 5 (50%) 6 (60%)
  IV 0 (0%) 0 (0%)
  V 0 (0%) 0 (0%)
Histology
  PDAC 4 (40%) 7 (70%)
  IPMN 3 (30%) 1 (10%)
  NEN 2 (20%) 1 (10%)
  MCN 1 (10%) 0 (0%)
  GIST 0 (0%) 1 (10%)

Comparison of robotic and open pancreatoduodenectomy

RPD OPD P-value
male 6 21 P=0.50
female 4 14
AGE 72 (59-83) 71 P =0.65
BMI 26 (20,5- 33,3) 26 P=0.48
1 0 0
2 1 9
3 9 26
4 0 0
Time OFOP 364 {300- 542) 216 (163- 322) P<0.0001
Conversion to open 0 np
Texture of pan
  Soft 3 (30%) 18 (51,4) P=0.12
  Hard 7(70%) 17 (48,6%)
Blood loss in ml 205 (100- 500) 491 (200- 700) P<0.0005
HOU (0) 2,7 (1-5) 7(3- 92) P =0.07
Hospitalisation (0) 7,9 (5-19) 15,2(7-133) P= 0.05
CR -POPF 0 9 (25%) P=0.006
OGE 1 (10%) 6 (17%) P= 0.42
300 Rehospitalisation 1 (10%) 3 (8,6%) P=0.17
900 Mortality 0 0
Histology
  Premalignant 1 pts (10%) 5 (14,3%)
  Malignant 9 pts (90%) 30(85,7%)
Raoicality
RO 7/10 (70%) 30/35(85,7%) P=0.13
n 15,5 (9-19) 19 (2-48) P=0.12
Lingua:
Inglese
Frequenza di pubblicazione:
4 volte all'anno
Argomenti della rivista:
Medicina, Medicina clinica, Medicina interna, Ematologia, Oncologia, Radiologia
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