{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T14:46:39Z","timestamp":1785509199938,"version":"3.56.0"},"reference-count":36,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,10,26]],"date-time":"2022-10-26T00:00:00Z","timestamp":1666742400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Robotics Computer Surgery"],"published-print":{"date-parts":[[2023,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Postoperative pancreatic fistula (POPF) represents the most feared complication after distal pancreatectomy, and the possible role of robotic assistance in this setting is poorly investigated so far.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We analysed short\u2010term outcomes of 88 patients who had undergone robot\u2010assisted distal pancreatectomy (RDP), dividing them according to pancreatic stump management: selective Wirsung duct ligation\/hand sewn suture (WirsLIG group), use of robotic EndoWrist staplers (RobSTAP group), and use of laparoscopic staplers (LapSTAP group).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Mean operative time resulted significantly longer in WirsLIG group (291.1\u00a0\u00b1\u00a077.21\u00a0min vs. 245\u00a0\u00b1\u00a056.22\u00a0min in RobSTAP group vs. 221.77\u00a0\u00b1\u00a064.64\u00a0min in LapSTAP group). No significant differences were found in median hospital stay and in POPF occurrence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>No strategy for pancreatic stump management during RDP has proven superior to the others in reducing POPF rates. The hand\u2010sewn technique resulted more time consuming, nevertheless it remains essential where there is not enough space to insert the stapler.<\/jats:p><\/jats:sec>","DOI":"10.1002\/rcs.2470","type":"journal-article","created":{"date-parts":[[2022,10,18]],"date-time":"2022-10-18T18:54:38Z","timestamp":1666119278000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Comparison of different pancreatic stump management strategies during robot\u2010assisted distal pancreatectomy"],"prefix":"10.1002","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9343-278X","authenticated-orcid":false,"given":"Matteo","family":"Palmeri","sequence":"first","affiliation":[{"name":"General Surgery Department of Translational Research and New Technologies in Medicine and Surgery University of Pisa  Pisa Italy"},{"name":"Multidisciplinary Center for Robotic Surgery Azienda Ospedaliero\u2010Universitaria Pisana  Pisa 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