TABLE 2.
(a) RPD vs OPD | Comment | Conversion | P‐value | Mortality | P‐value | Morbidity | P‐value | POPF | P‐value | Operative time | P‐value | Blood loss | P‐value | OS | P‐value |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Podda et al 7 | Systematic review | 90‐day | Overall | Overall | |||||||||||
RPD (n = 1593) | 4.7% | ‐ | 3.3% | .840 | 64.4% | .120 | 17.9% | .810 | 461 min | .000 | 352 ml | .003 | N.A | NA | |
OPD (n = 12 046) | ‐ | 2.8% | 68.1% | 15.9% | 384 min | 588 ml | N.A | ||||||||
Girgis et al 23 | BMI ≥ 30.0 kg/m2 | 30‐day | CD ≥ 3 | Grade B C | |||||||||||
RPD (n = 70) | 0.0% | ‐ | 1.4% | .368 | 35.7% | 1.000 | 12.9% | .039 | 381 min | .003 | 250ml | .001 | N.A | NA | |
OPD (n = 75) | ‐ | 5.3% | 36.0% | 28.0% | 428 min | 500ml | N.A | ||||||||
Nassour et al 6 | National data (NCDB) | 90‐day | |||||||||||||
RPD (n = 626) | 14.7% | ‐ | 3.8% | .061 | NA | NA | NA | NA | NA | NA | NA | NA | 22.0 M | .755 | |
OPD (n = 17,205) | ‐ | 5.6% | NA | NA | NA | NA | 21.8 M | ||||||||
Shyr et al 24 | Level 3 dissection | 90‐day | CD ≥ 3 | Grade B C | |||||||||||
RPD (n = 36) | 2.9% | ‐ | 2.8% | 1.000 | 13.9% | NA | 19.4% | .082 | 576 min | .137 | 263 ml | <.001 | 85.70% | .699 | |
OPD (n = 19) | ‐ | 0.0% | 0.0% | 0.0% | 600 min | 600 ml | 85.70% | ||||||||
(b) RPD vs LPD | |||||||||||||||
Kamarajah et al 25 | Systematic review | 30‐day | CD ≥ 3 | overall | |||||||||||
RPD (n = 1025) | 12.0% | <.001 | 2.0% | .80 | 42.0% | .90 | 19.0% | .90 | 405 min | .3 | 220 ml | .1 | NA | NA | |
LPD (n = 2437) | 26.0% | 3.0% | 41.0% | 19.0% | 418 min | 287 ml | NA | ||||||||
Liu et al 26 ) | overall | overall | overall | ||||||||||||
RPD (n = 27) | 0.0% | .980 | 4.0% | .98 | 29.6% | .28 | 14.3% | .89 | 387 min | .015 | 219 ml | .01 | NA | NA | |
LPD (n = 25) | 4.0% | 0.0% | 44.0% | 20.0% | 442 min | 334 ml | NA | ||||||||
Nassour et al 27 | National data (NCDB) | 90‐day | |||||||||||||
RPD (n = 165) | 17.0% | 0 | 4.8% | .93 | NA | NA | NA | NA | NA | NA | NA | NA | 20.7 M | .445 | |
LPD (n = 1,458) | 27.6% | 5.6% | NA | NA | NA | NA | 22.7 M |
Abbreviations: OPD, open pancreatoduodenectomy; POPF, postoperative pancreatic fistula; RPD, robotic pancreatoduodenectomy; NCDB, National Cancer Database (in the USA).