Robotic hepatic arterial infusion pump placement Journal Article

   


Authors: Qadan, M.; D'Angelica, M. I.; Kemeny, N. E.; Cercek, A.; Kingham, T. P.
Article Title: Robotic hepatic arterial infusion pump placement
Abstract: Background Hepatic artery infusion pump (HAIP) placement is associated with improved outcomes in the treatment of colorectal liver metastases (CRLM). In this study, we examined outcomes following robotic HAIP placement, which were compared with open and laparoscopic placement. Methods A retrospective review of HAIP placements by 2 surgeons at a single institution was carried out. All statistical tests were 2-sided and p < 0.05 was considered significant. Results There were a total of 53 open HAIP cases, 21 laparoscopic cases, and 24 robotic cases. Robotic HAIP placement was associated with a significantly lower conversion rate to open operation than laparoscopic pump placement (17 vs. 67%; p = 0.0009). When cases with concomitant resections were excluded, there was a trend towards shorter median length of hospital stay with robotic pump placement compared with open and laparoscopic placement (4 vs. 5 vs. 5 days, respectively; p = 0.09). Complication rates were equivalent among the 3 groups when concomitant resections were excluded. Conclusion Robotic HAIP placement is a safe minimally-invasive procedure that is associated with a significantly lower conversion rate to open operation compared with laparoscopic placement and a trend towards shorter hospitalization compared with open placement. © 2017 International Hepato-Pancreato-Biliary Association Inc.
Journal Title: HPB
Volume: 19
Issue: 5
ISSN: 1365-182X
Publisher: Elsevier Science, Inc.  
Date Published: 2017-05-01
Start Page: 429
End Page: 435
Language: English
DOI: 10.1016/j.hpb.2016.12.015
PROVIDER: scopus
PUBMED: 28132735
PMCID: PMC5633044
DOI/URL:

https://www.scopus.com/inward/record.uri?eid=2-s2.0-85010843608&doi=10.1016%2fj.hpb.2016.12.015&partnerID=40&md5=e094a5ccbca4714c629ed1944684b693
Notes: Article -- Export Date: 1 June 2017 -- Source: Scopus
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MSK Authors
  1. Andrea Cercek Hanjis
    351 Cercek Hanjis
  2. Michael D'Angelica
    777 D'Angelica
  3. T Peter Kingham
    609 Kingham
  4. Nancy Kemeny
    543 Kemeny
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