Evaluation of Difficulty Score for Robotic Pancreatoduodenectomy
Study Details
Study Description
Brief Summary
Robotic pancreatoduodenectomy is the most complex surgery for a general surgeon and consequently a pancreatic surgeon can aspire to. Due to the close proximity of the pancreas to the large vessels, great skill and experience in the field of pancreatic surgery, robotic surgery and also vascular surgery is essential. The ability to predict the depth of robotic pancreatoduodenectomy in each individual patient would be extremely important, for patient selection and for the implementation of the learning curve. This study aims to provide a difficulty score (DS) for robotic pancreatoduodenectomy to be used to select cases based on the experience and expertise of the surgeon.
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Detailed Description
Our Robot DIFFICULT Score was developed starting from factors evaluated by surgeons with experience in performing robotic pancreatoduodenectomy in high-volume centers. Based on the univariate and multivariate analysis, the elevated BMI, ASA 3, the need for venous resection and vascular variations in arterial liver supply were considered significant in increasing the degree of "difficulty" in the robotic pancreatoduodenectomy. The Robot ADDICT Score will be calculated in all cases of the International Consortium on Minimally Invasive Pancreatic Surgery (I-MIPS; www.i-mips.com).
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Other: patients undergoing robotic pancreatoduodenectomy patients have pancreatic neoplasm and undergoing robotic pancreatoduodenectomy |
Other: Difficulty score system for robotic pancreatoduodenectomy
calculate the score for patient in you cohort
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Outcome Measures
Primary Outcome Measures
- correlation to post-operative complication [6 months]
the score increase as complications increase
Eligibility Criteria
Criteria
Inclusion Criteria:
- pathology of the head of pancreas requiring surgery
Exclusion Criteria:
- pathology of the head of pancreas not requiring surgery
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Division of pancreatic surgery | Pisa | Italy | 56125 | |
2 | University of Pisa | Pisa | Italy | 56125 |
Sponsors and Collaborators
- University of Pisa
Investigators
- Study Chair: ugo boggi, University of Pisa
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- Difficulty Score RPD