Опыт лапароскопических и робот-ассистированных дистальных резекций поджелудочной железы

Aim. To analyze the outcomes of robot-assisted and laparoscopic distal pancreatectomies. Material and Methods. 42 patients were enrolled: 27 patients underwent laparoscopic distal pancreatectomy, 15 – robot-assisted distal pancreatectomy. Results . Both groups were statistically homogeneous and comparable. Time of laparoscopic and robot-assisted distal  pancreatectomy was 184 ± 21.4 and 236 ± 31.6 min (p = 0.0384),  respectively; intraoperative blood loss – 310 ± 54 ml and 240 ± 86  ml (p = 0.0564), respectively. There were 6 (66.7%) spleen-sparing  laparoscopic distal pancreatectomies and 6 (85.7%) robotic  procedures in the same fashion. The length of hospital-stay after  laparoscopy was 5.4 ± 1.8 days, after robot-assisted operation – 6.1 ± 1.6 days (p = 0.073). The number of hemorrhagic complications  and pancreatic fistulas ISGPS 2016 was similar in both groups. There were 16 Clavien–Dindo complications after laparoscopic pancreatectomy and 8 after robot-assisted surgery. Conclusion . It was established that laparoscopic pancreatectomy is associated with reduced time of surgery and lower percentage of  spleen-sparing interventions. Intraoperative blood loss, hospital-stay and postoperative morbidity do not depend on the type of surgery.