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Invited Critique
March 21, 2011

The Advent of Laparoscopic Pancreatic Surgery Using the Robot: Comment on “Robotic-Assisted Major Pancreatic Resection and Reconstruction”

Author Affiliations

Author Affiliation: Department of Surgery, Johns Hopkins Hospital, Baltimore, Maryland.

Arch Surg. 2011;146(3):261-262. doi:10.1001/archsurg.2010.247

Patients are increasingly asking for their pancreatic operation to be performed laparoscopically, an approach known for both its clinical benefits and its technical challenge. Studies like these affirm the safety and feasibility of this approach using the robot. Advertisements for robotic-assisted surgery now appear on local television, and on a national level the technology seems to be winning the hearts and minds of the many prospective patients. Data from other surgical procedures, including 9 randomized controlled trials of robotic-assisted surgery vs standard laparoscopy, have thus far demonstrated similar patient outcomes, except for 1 Korean study that showed a slightly shorter length of stay. However, public demand for new technology has traditionally outpaced the data to support its adoption.

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