{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T23:54:47Z","timestamp":1782604487824,"version":"3.54.5"},"reference-count":37,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2017,12,14]],"date-time":"2017-12-14T00:00:00Z","timestamp":1513209600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100004332","name":"Seoul National University Hospital","doi-asserted-by":"publisher","award":["04\u20102017\u20100390"],"award-info":[{"award-number":["04\u20102017\u20100390"]}],"id":[{"id":"10.13039\/501100004332","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Hepato Biliary Pancreat"],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Robot surgery is a new method that maintains advantages and overcomes disadvantages of conventional methods, even in pancreatic surgery. This study aimed to evaluate safety and benefits of robot\u2010assisted minimally invasive pancreaticoduodenectomy (robot <jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This study included 237 patients who underwent <jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content> between 2015 and 2017. Demographics and surgical outcomes were evaluated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Fifty\u2010one patients underwent robot <jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content> and 186 underwent open <jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content>. Robot <jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content> group had younger age (60.7 vs. 65.4 years, <jats:italic>P<\/jats:italic> = 0.006) and lower body mass index (22.7 vs. 24.0, <jats:italic>P<\/jats:italic> = 0.007). Robot <jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content> group had lower proportion of patients with firm or hard pancreatic texture (15.7% vs. 38.2%, <jats:italic>P<\/jats:italic> = 0.004) and smaller pancreatic duct size (2.3 vs. 3.3 mm, <jats:italic>P<\/jats:italic> = 0.002). Two groups had similar operation time (robot vs. open: 335.6 vs. 330.1 min) and complications (15.7% vs. 21.0%), including postoperative pancreatic fistula rate (6.0% vs. 12.0%). Robot <jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content> group had lower postoperative pain score (3.7 vs. 4.1 points, <jats:italic>P<\/jats:italic> = 0.008), and shorter postoperative stay (10.6 vs. 15.3 days, <jats:italic>P<\/jats:italic> = 0.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Robot <jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content> is comparable to open <jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content> in early outcomes. Robot <jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content> is safe and feasible and enables early recovery; indication for robot <jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content> is expected to expand in the near future.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jhbp.522","type":"journal-article","created":{"date-parts":[[2017,11,8]],"date-time":"2017-11-08T22:02:38Z","timestamp":1510178558000},"page":"142-149","source":"Crossref","is-referenced-by-count":53,"title":["Comparison of surgical outcomes between open and robot\u2010assisted minimally invasive pancreaticoduodenectomy"],"prefix":"10.1002","volume":"25","author":[{"given":"Hyeong Seok","family":"Kim","sequence":"first","affiliation":[{"name":"Department of Surgery Seoul National University College of Medicine 101 Daehak\u2010Ro Jongro\u2010Gu, Seoul 110\u2010744 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