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  1. AU="Low, Tze-Yi"
  2. AU="Ratemi, Haithm W"
  3. AU="Lee, Kristy"
  4. AU="Nénon, Q"
  5. AU="Tang, Yi-Han"
  6. AU="Parodi, Jose F"
  7. AU="Kabata, Yudai"
  8. AU="Butler, Javed"
  9. AU=Du L
  10. AU="Artin, Hewa"
  11. AU="Bardakov, V M"
  12. AU="Sakaguchi, Bungo"
  13. AU="Boo, Irene"
  14. AU="Tam, Victor Wai-Hou"
  15. AU="Pierfrancesco Pagella"
  16. AU=Sanchez Garcia Elisabet
  17. AU=Yasir Kashif Ammar
  18. AU="Gümüş, Funda"
  19. AU=Bhowmik Deep AU=Bhowmik Deep
  20. AU="Eugene, Alexis"
  21. AU="Janesomboon, Sujintana"
  22. AU="Sonkhya, Nishi"
  23. AU="Vaz, André"
  24. AU="Rugo, Hope S"
  25. AU="Gupta, Sonia"
  26. AU="Molday, Robert S"
  27. AU="Yaodong Hu"
  28. AU=Gimenez-Mascarell Paula
  29. AU="Orlandi, D"
  30. AU="Takeishi, Yasuchika"
  31. AU="Kamath, Karthik Shantharam" AU="Kamath, Karthik Shantharam"
  32. AU="Innocente, Alessandra"
  33. AU="Xing, Lei"
  34. AU="Chen, Mingyu"
  35. AU="Riedl, Sophie"
  36. AU="Ding, Haiyan"
  37. AU=Hu Xiumei AU=Hu Xiumei
  38. AU="Simmonds, Peter"
  39. AU="Chaturvedi, Apeksha"
  40. AU="Madden, Wyatt"
  41. AU="Wald, Moshe"
  42. AU="Zalesak, J."
  43. AU="Krach, Florian"
  44. AU="Modak, Manisha A"
  45. AU="Ottolini, Matteo"
  46. AU="Douglas Hanahan"
  47. AU="Bieniaszewska, Maria"
  48. AU="Alovisi, Camilla"
  49. AU="Lijfering, Willem M."
  50. AU="Rademacher, Jessica"
  51. AU="Dartigues, Jean-François"
  52. AU="Denicola, Anthony J"
  53. AU="Zhang, Xuewei"
  54. AU="Li, Yanjiao"
  55. AU="Botelho Meireles de Souza, Guilherme"
  56. AU="Gong, Yu-Qing"
  57. AU="Eisch, J"
  58. AU=De Vito Eduardo L
  59. AU="Lowsky, Robert"
  60. AU="Lindner, M."
  61. AU="Mugnai, Giacomo"
  62. AU="Chollet-Krugler, Marylène"
  63. AU="Firsanov, Denis"
  64. AU="Jo, Dong-Gyu"
  65. AU="Greenland, John R"
  66. AU="J Natale"
  67. AU="Drost, Carolin Christina"
  68. AU="Silvera, Risset"
  69. AU="Zgubič, M"
  70. AU="Russo, Rosita"
  71. AU="Ruiz-Ortega, Marta"
  72. AU="T Talbot"
  73. AU="Emoto, Kasey C"
  74. AU="Moos, W H" AU="Moos, W H"
  75. AU=Singh Sweta AU=Singh Sweta
  76. AU="Pimentel, Mauricio"
  77. AU="Kim, Ji Hee"
  78. AU=Ross Jeffrey S
  79. AU=Malhotra Atul
  80. AU="Tiesler, Carla M T"
  81. AU="Merighi, Adalberto" AU="Merighi, Adalberto"

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  1. Artikel: First experience with robotic pancreatoduodenectomy in Singapore.

    Low, Tze-Yi / Koh, Ye-Xin / Goh, Brian Kp

    Singapore medical journal

    2019  Band 61, Heft 11, Seite(n) 598–604

    Abstract: Introduction: Recent studies reported that laparoscopic pancreatoduodenectomy (LPD) is associated with superior perioperative outcomes compared to the open approach. However, concerns have been raised about the safety of LPD, especially during the ... ...

    Abstract Introduction: Recent studies reported that laparoscopic pancreatoduodenectomy (LPD) is associated with superior perioperative outcomes compared to the open approach. However, concerns have been raised about the safety of LPD, especially during the learning phase. Robotic pancreatoduodenectomy (RPD) has been reported to be associated with a shorter learning curve compared to LPD. We herein present our initial experience with RPD.
    Methods: A retrospective review of a single-institution prospective robotic hepatopancreaticobiliary (HPB) surgery database of 70 patients identified seven consecutive RPDs performed by a single surgeon in 2016-2017. These were matched at a 1:2 ratio with 14 open pancreatoduodenectomies (OPDs) selected from 77 consecutive pancreatoduodenectomies performed by the same surgeon between 2011 and 2017.
    Results: Seven patients underwent RPD, of which five were hybrid procedures with open reconstruction. There were no open conversions. Median operative time was 710.0 (range 560.0-930.0) minutes. Two major morbidities (> Grade 2) occurred: one gastrojejunostomy bleed requiring endoscopic haemostasis and one delayed gastric emptying requiring feeding tube placement. There were no pancreatic fistulas, reoperations or 90-day/in-hospital mortalities in the RPD group. Comparison between RPD and OPD demonstrated that RPD was associated with a significantly longer operative time. Compared to open surgery, there was no significant difference in estimated blood loss, blood transfusion, postoperative stay, pancreatic fistula rates, morbidity and mortality rates, R0 resection rates, and lymph node harvest rates.
    Conclusion: Our initial experience demonstrates that RPD is feasible and safe in selected patients. It can be safely adopted without any compromise in patient outcomes compared to the open approach.
    Mesh-Begriff(e) Humans ; Laparoscopy ; Operative Time ; Pancreatic Neoplasms/surgery ; Pancreaticoduodenectomy ; Postoperative Complications/epidemiology ; Prospective Studies ; Retrospective Studies ; Robotic Surgical Procedures ; Singapore
    Sprache Englisch
    Erscheinungsdatum 2019-09-19
    Erscheinungsland Singapore
    Dokumenttyp Journal Article
    ZDB-ID 604319-7
    ISSN 0037-5675
    ISSN 0037-5675
    DOI 10.11622/smedj.2019119
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  2. Artikel ; Online: Close air support: enhancing emergency care in the COVID-19 pandemic.

    Low, Tze Yi / Mathews, Ian / Lau, Joel Wen-Liang / Ngiam, Kee Yuan

    Emergency medicine journal : EMJ

    2020  Band 37, Heft 10, Seite(n) 642–643

    Abstract: The COVID-19 pandemic has taken the world by storm and overwhelmed healthcare institutions even in developed countries. In response, clinical staff and resources have been redeployed to the areas of greatest need, that is, intensive care units and ... ...

    Abstract The COVID-19 pandemic has taken the world by storm and overwhelmed healthcare institutions even in developed countries. In response, clinical staff and resources have been redeployed to the areas of greatest need, that is, intensive care units and emergency rooms (ER), to reinforce front-line manpower. We introduce the concept of close air support (CAS) to augment ER operations in an efficient, safe and scalable manner. Teams of five comprising two on-site junior ER physicians would be paired with two CAS doctors, who would be off-site but be in constant communication via teleconferencing to render real-time administrative support. They would be supervised by an ER attending. This reduces direct viral exposure to doctors, conserves precious personal protective equipment and allows ER physicians to focus on patient care. Medical students can also be involved in a safe and supervised manner. After 1 month, the average time to patient disposition was halved. General feedback was also positive. CAS improves efficiency and is safe, scalable and sustainable. It has also empowered a previously untapped group of junior clinicians to support front-line medical operations, while simultaneously protecting them from viral exposure. Institutions can consider adopting our novel approach, with modifications made according to their local context.
    Mesh-Begriff(e) Air Ambulances/organization & administration ; COVID-19 ; Coronavirus Infections/epidemiology ; Coronavirus Infections/prevention & control ; Emergency Medical Services/organization & administration ; Emergency Medicine/organization & administration ; Emergency Service, Hospital/organization & administration ; Female ; Humans ; Male ; Organizational Innovation ; Outcome Assessment, Health Care ; Pandemics/prevention & control ; Pandemics/statistics & numerical data ; Pilot Projects ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/prevention & control ; Program Development ; Program Evaluation ; Quality Improvement ; Workforce/organization & administration
    Schlagwörter covid19
    Sprache Englisch
    Erscheinungsdatum 2020-08-04
    Erscheinungsland England
    Dokumenttyp Journal Article
    ZDB-ID 2040124-3
    ISSN 1472-0213 ; 1472-0205
    ISSN (online) 1472-0213
    ISSN 1472-0205
    DOI 10.1136/emermed-2020-210148
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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    Verfügbar in ZB MED Köln/Königswinter

    Zs.A 1941: Hefte anzeigen Standort:
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  3. Artikel: Initial experience with minimally invasive extended pancreatectomies for locally advanced pancreatic malignancies: Report of six cases.

    Low, Tze-Yi / Goh, Brian K P

    Journal of minimal access surgery

    2018  Band 15, Heft 3, Seite(n) 204–209

    Abstract: Background: Recently, there have been several reports on minimally-invasive surgery for extended pancreatectomy (MIEP) in the literature. However, to date, only a limited number of studies reporting on the outcomes of MIEP have been published. In the ... ...

    Abstract Background: Recently, there have been several reports on minimally-invasive surgery for extended pancreatectomy (MIEP) in the literature. However, to date, only a limited number of studies reporting on the outcomes of MIEP have been published. In the present study, we report our initial experience with MIEP defined according to the latest the International Study Group for Pancreatic Surgery (ISPGS) guidelines.
    Methods: Over a 14-month period, a total of 6 consecutive MIEP performed by a single surgeon at a tertiary institution were identified from a prospectively maintained surgical database. EP was defined as per the 2014 ISPGS consensus. Hybrid pancreatoduodenectomy (PD) was defined as when the entire resection was completed through minimally-invasive surgery, and the reconstruction was performed open through a mini-laparotomy incision.
    Results: Six cases were performed including 2 robotic extended subtotal pancreatosplenectomies with gastric resection, 1 laparoscopic-assisted (hybrid) extended PD with superior mesenteric vein wedge resection, 2 robotic-assisted (hybrid) PD with portal vein resection (1 interposition Polytetrafluoroethylene graft reconstruction and 1 wedge resection) and 1 totally robotic PD with wedge resection of portal vein. Median estimated blood loss was 400 (250-1500) ml and median operative time was 713 (400-930) min. Median post-operative stay was 9 (6-36) days. There was 1 major morbidity (Grade 3b) in a patient who developed early post-operative intestinal obstruction secondary to port site herniation necessitating repeat laparoscopic surgery. There were no open conversions and no in-hospital mortalities.
    Conclusion: Based on our initial experience, MIEP although technically challenging and associated with long operative times, is feasible and safe in highly selected cases.
    Sprache Englisch
    Erscheinungsdatum 2018-11-13
    Erscheinungsland India
    Dokumenttyp Journal Article
    ZDB-ID 2186884-0
    ISSN 1998-3921 ; 0972-9941
    ISSN (online) 1998-3921
    ISSN 0972-9941
    DOI 10.4103/jmas.JMAS_69_18
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  4. Artikel: Emergency hand-assisted laparoscopic haemostasis for post-operative haemorrhage following laparoscopic liver resection.

    Low, Tze Yi / Goh, Brian Kim Poh

    Journal of minimal access surgery

    2017  Band 14, Heft 2, Seite(n) 171–173

    Abstract: Introduction: The use of laparoscopic surgery for liver resection and the management of abdominal emergencies has been well established. However, the value of this technique for post-operative haemorrhage in liver resection has not been characterized.!## ...

    Abstract Introduction: The use of laparoscopic surgery for liver resection and the management of abdominal emergencies has been well established. However, the value of this technique for post-operative haemorrhage in liver resection has not been characterized.
    Case description: We describe a case of post-operative haemorrhage following an elective totally laparoscopic liver resection that was treated with emergency hand-assisted laparoscopic haemostasis.
    Discussion: Emergency hand-assisted laparoscopic haemostasis in the setting of post-operative haemorrhage after laparoscopic liver resection is feasible and should be considered as a treatment option in suitable patients.
    Sprache Englisch
    Erscheinungsdatum 2017-09-16
    Erscheinungsland India
    Dokumenttyp Journal Article
    ZDB-ID 2186884-0
    ISSN 1998-3921 ; 0972-9941
    ISSN (online) 1998-3921
    ISSN 0972-9941
    DOI 10.4103/jmas.JMAS_50_17
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  5. Artikel: Close air support: enhancing emergency care in the COVID-19 pandemic

    Low, Tze Yi / Mathews, Ian / Lau, Joel Wen-Liang / Ngiam, Kee Yuan

    Emerg Med J

    Abstract: The COVID-19 pandemic has taken the world by storm and overwhelmed healthcare institutions even in developed countries. In response, clinical staff and resources have been redeployed to the areas of greatest need, that is, intensive care units and ... ...

    Abstract The COVID-19 pandemic has taken the world by storm and overwhelmed healthcare institutions even in developed countries. In response, clinical staff and resources have been redeployed to the areas of greatest need, that is, intensive care units and emergency rooms (ER), to reinforce front-line manpower. We introduce the concept of close air support (CAS) to augment ER operations in an efficient, safe and scalable manner. Teams of five comprising two on-site junior ER physicians would be paired with two CAS doctors, who would be off-site but be in constant communication via teleconferencing to render real-time administrative support. They would be supervised by an ER attending. This reduces direct viral exposure to doctors, conserves precious personal protective equipment and allows ER physicians to focus on patient care. Medical students can also be involved in a safe and supervised manner. After 1 month, the average time to patient disposition was halved. General feedback was also positive. CAS improves efficiency and is safe, scalable and sustainable. It has also empowered a previously untapped group of junior clinicians to support front-line medical operations, while simultaneously protecting them from viral exposure. Institutions can consider adopting our novel approach, with modifications made according to their local context.
    Schlagwörter covid19
    Verlag WHO
    Dokumenttyp Artikel
    Anmerkung WHO #Covidence: #697092
    Datenquelle COVID19

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  6. Buch ; Online: Close air support

    Low, Tze Yi / Mathews, Ian / Lau, Joel Wen-Liang / Ngiam, Kee Yuan

    enhancing emergency care in the COVID-19 pandemic

    2020  

    Abstract: The COVID-19 pandemic has taken the world by storm and overwhelmed healthcare institutions even in developed countries. In response, clinical staff and resources have been redeployed to the areas of greatest need, that is, intensive care units and ... ...

    Abstract The COVID-19 pandemic has taken the world by storm and overwhelmed healthcare institutions even in developed countries. In response, clinical staff and resources have been redeployed to the areas of greatest need, that is, intensive care units and emergency rooms (ER), to reinforce front-line manpower. We introduce the concept of close air support (CAS) to augment ER operations in an efficient, safe and scalable manner. Teams of five comprising two on-site junior ER physicians would be paired with two CAS doctors, who would be off-site but be in constant communication via teleconferencing to render real-time administrative support. They would be supervised by an ER attending. This reduces direct viral exposure to doctors, conserves precious personal protective equipment and allows ER physicians to focus on patient care. Medical students can also be involved in a safe and supervised manner. After 1 month, the average time to patient disposition was halved. General feedback was also positive. CAS improves efficiency and is safe, scalable and sustainable. It has also empowered a previously untapped group of junior clinicians to support front-line medical operations, while simultaneously protecting them from viral exposure. Institutions can consider adopting our novel approach, with modifications made according to their local context.
    Schlagwörter Report from the front ; covid19
    Sprache Englisch
    Erscheinungsdatum 2020-10-01 00:00:00.0
    Verlag BMJ Publishing Group Ltd
    Erscheinungsland us
    Dokumenttyp Buch ; Online
    Datenquelle BASE - Bielefeld Academic Search Engine (Lebenswissenschaftliche Auswahl)

    Volltext online

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  7. Artikel ; Online: Close air support

    Low, Tze Yi / Mathews, Ian / Lau, Joel Wen-Liang / Ngiam, Kee Yuan

    Emergency Medicine Journal

    enhancing emergency care in the COVID-19 pandemic

    2020  Band 37, Heft 10, Seite(n) 642–643

    Abstract: The COVID-19 pandemic has taken the world by storm and overwhelmed healthcare institutions even in developed countries. In response, clinical staff and resources have been redeployed to the areas of greatest need, that is, intensive care units and ... ...

    Abstract The COVID-19 pandemic has taken the world by storm and overwhelmed healthcare institutions even in developed countries. In response, clinical staff and resources have been redeployed to the areas of greatest need, that is, intensive care units and emergency rooms (ER), to reinforce front-line manpower. We introduce the concept of close air support (CAS) to augment ER operations in an efficient, safe and scalable manner. Teams of five comprising two on-site junior ER physicians would be paired with two CAS doctors, who would be off-site but be in constant communication via teleconferencing to render real-time administrative support. They would be supervised by an ER attending. This reduces direct viral exposure to doctors, conserves precious personal protective equipment and allows ER physicians to focus on patient care. Medical students can also be involved in a safe and supervised manner. After 1 month, the average time to patient disposition was halved. General feedback was also positive. CAS improves efficiency and is safe, scalable and sustainable. It has also empowered a previously untapped group of junior clinicians to support front-line medical operations, while simultaneously protecting them from viral exposure. Institutions can consider adopting our novel approach, with modifications made according to their local context.
    Schlagwörter Critical Care and Intensive Care Medicine ; Emergency Medicine ; General Medicine ; covid19
    Sprache Englisch
    Verlag BMJ
    Erscheinungsland uk
    Dokumenttyp Artikel ; Online
    ZDB-ID 2040124-3
    ISSN 1472-0205
    ISSN 1472-0205
    DOI 10.1136/emermed-2020-210148
    Datenquelle BASE - Bielefeld Academic Search Engine (Lebenswissenschaftliche Auswahl)

    Volltext online

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  8. Artikel ; Online: Initial experience with laparoscopic and robotic surgery for the treatment of periampullary tumours: single institution experience with the first 30 consecutive cases.

    Goh, Brian K P / Low, Tze-Yi / Kam, Juinn-Huar / Lee, Ser-Yee / Chan, Chung-Yip

    ANZ journal of surgery

    2019  Band 89, Heft 4, Seite(n) E137–E141

    Abstract: Background: Concerns have been raised about the safety of minimally invasive surgery (MIS) for pancreatoduodenectomy (PD) during the early learning phase. In this study, we present our initial experience with MIS for periampullary tumours.: Methods: ... ...

    Abstract Background: Concerns have been raised about the safety of minimally invasive surgery (MIS) for pancreatoduodenectomy (PD) during the early learning phase. In this study, we present our initial experience with MIS for periampullary tumours.
    Methods: Retrospective review of the first 30 consecutive patients who underwent laparoscopic (LS)/robotic surgery (RS) for periampullary tumours between 2014 and 2017.
    Results: Twenty-seven patients underwent PD, including three total pancreatectomies (TPs) and three underwent palliative bypasses. Twenty underwent LS, of which 18 were hybrid PDs, including two TPs and two bypasses. Ten patients underwent RS, of which nine were PDs, including one TP and one bypass. Five of 10 RSs were totally MIS procedures. There were four PDs with venous resection, of which three were by RS. There were four (13.3%) open conversions all in the LS cohort. There were five (16.7%) major (>grade 2) morbidities, including three pancreatic fistulas (two grade B and one grade C). There was no 30-day and one (3.3%) 90-day mortality. Comparison between RS and LS demonstrated that RS had a higher likelihood of being completed via totally MIS (five (50%) versus 0, P = 0.002), tended to have a shorter post-operative stay (eight (range 6-36) versus 14.5 (range 6-62) days, P = 0.058) but tended to be associated with a longer operation time (670 (range 500-930) versus 577 (range 235-715) min, P = 0.056).
    Conclusion: Our initial experience demonstrated that both LS and RS can be safely adopted for the treatment of periampullary tumours. The learning curve for RS seemed to be shorter than LS as we could transition more quickly from hybrid PDs to totally MIS safely.
    Mesh-Begriff(e) Adult ; Aged ; Feasibility Studies ; Female ; Follow-Up Studies ; Humans ; Incidence ; Laparoscopy/methods ; Male ; Middle Aged ; Pancreatic Neoplasms/mortality ; Pancreatic Neoplasms/surgery ; Pancreaticoduodenectomy/methods ; Retrospective Studies ; Robotic Surgical Procedures/methods ; Singapore/epidemiology ; Survival Rate/trends ; Young Adult
    Sprache Englisch
    Erscheinungsdatum 2019-02-25
    Erscheinungsland Australia
    Dokumenttyp Comparative Study ; Journal Article
    ZDB-ID 2050749-5
    ISSN 1445-2197 ; 1445-1433 ; 0004-8682
    ISSN (online) 1445-2197
    ISSN 1445-1433 ; 0004-8682
    DOI 10.1111/ans.15033
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 180: Hefte anzeigen Standort:
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  9. Artikel: Changing trends and outcomes associated with the adoption of minimally-invasive pancreato-biliary surgery: Contemporary experience of a 'self-taught' early adopter in Southeast Asia.

    Goh, Brian K P / Zeng, Gerald / Low, Tze-Yi / Chua, Darren W / Koh, Ye-Xin / Lim, Kai-Inn

    Journal of minimal access surgery

    2020  Band 16, Heft 4, Seite(n) 341–347

    Abstract: Background: Minimally-invasive pancreato-biliary surgery (MIPBS) is increasingly reported worldwide. This study examines the changing trends, safety and outcomes associated with the adoption of MIPBS based on a contemporary experience of an early ... ...

    Abstract Background: Minimally-invasive pancreato-biliary surgery (MIPBS) is increasingly reported worldwide. This study examines the changing trends, safety and outcomes associated with the adoption of MIPBS based on a contemporary experience of an early adopter in Southeast Asia.
    Methods: Retrospective review of 114 consecutive patients who underwent MIPBS by a single surgeon over 86 months from 2011. The study population was stratified into three equal groups of 38 patients. Comparison was also performed between minimally-invasive pancreato surgery (MIPS) and minimally-invasive biliary surgery (MIBS).
    Results: There were 70 MIPS and 44 MIBS. Sixty-three cases (55.3%) were performed using robotic assistance and fourteen (12.3%) were hybrid procedures with open reconstruction. Forty-four (38.6%) procedures were performed for malignancy. There were 8 (7.0%) open conversions and median operation time was 335 (range, 60-930) min. There were nine extended pancreatectomies including seven involving vascular reconstructions. Major morbidity (>Grade 2) occurred in 20 (17.5%) patients including 6 (5.3%) reoperations and there was no mortality. Comparison across the three groups demonstrated that with increasing experience, there was a significant trend in a higher proportion of higher ASA score patients, increasing frequency of procedures requiring anastomosis and increasing the use of robotic assistance without significant difference in key perioperative outcomes such as open conversion rate, morbidity and hospital stay. Comparison between MIPS and MIBS demonstrated that MIPS was associated with significantly longer operation time, increased blood loss, increased transfusion rate, longer hospital stay, increased readmission rate and increased morbidity.
    Conclusion: MIPBS can be safely adopted today with a low open conversion rate.
    Sprache Englisch
    Erscheinungsdatum 2020-01-12
    Erscheinungsland India
    Dokumenttyp Journal Article
    ZDB-ID 2186884-0
    ISSN 1998-3921 ; 0972-9941
    ISSN (online) 1998-3921
    ISSN 0972-9941
    DOI 10.4103/jmas.JMAS_94_19
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  10. Artikel: Adoption of Robotic Liver, Pancreatic and Biliary Surgery in Singapore: A Single Institution Experience with Its First 100 Consecutive Cases.

    Goh, Brian K / Low, Tze Yi / Teo, Jin Yao / Lee, Ser Yee / Chan, Chung Yip / Chow, Pierce K / Chung, Alexander Y / Ooi, Lpj

    Annals of the Academy of Medicine, Singapore

    2020  Band 49, Heft 10, Seite(n) 742–748

    Abstract: Introduction: Presently, robotic hepatopancreatobiliary surgery (RHPBS) is increasingly adopted worldwide. This study reports our experience with the first 100 consecutive cases of RHPBS in Singapore.: Methods: Retrospective review of a single- ... ...

    Abstract Introduction: Presently, robotic hepatopancreatobiliary surgery (RHPBS) is increasingly adopted worldwide. This study reports our experience with the first 100 consecutive cases of RHPBS in Singapore.
    Methods: Retrospective review of a single-institution prospective database of the first 100 consecutive RHPBS performed over 6 years from February 2013 to February 2019. Eighty-six cases were performed by a single surgeon.
    Results: The 100 consecutive cases included 24 isolated liver resections, 48 pancreatic surgeries (including 2 bile duct resections) and 28 biliary surgeries (including 8 with concomitant liver resections). They included 10 major hepatectomies, 15 pancreaticoduodenectomies, 6 radical resections for gallbladder carcinoma and 8 hepaticojejunostomies. The median operation time was 383 minutes, with interquartile range (IQR) of 258 minutes and there were 2 open conversions. The median blood loss was 200ml (IQR 350ml) and 15 patients required intra-operative blood transfusion. There were no post-operative 90-day nor in-hospital mortalities but 5 patients experienced major (> grade 3a) morbidities. The median post-operative stay was 6 days (IQR 5 days) and there were 12 post-operative 30-day readmissions. Comparison between the first 50 and the subsequent 50 patients demonstrated a significant reduction in blood loss, significantly lower proportion of malignant indications, and a decreasing frequency in liver resections performed.
    Conclusion: Our experience with the first 100 consecutive cases of RHPBS confirms its feasibility and safety when performed by experienced laparoscopic hepatopancreatobiliary surgeons. It can be performed for even highly complicated major hepatopancreatobiliary surgery with a low open conversion rate.
    Mesh-Begriff(e) Hepatectomy ; Humans ; Laparoscopy ; Liver ; Retrospective Studies ; Robotic Surgical Procedures ; Singapore/epidemiology
    Sprache Englisch
    Erscheinungsdatum 2020-10-23
    Erscheinungsland Singapore
    Dokumenttyp Journal Article
    ZDB-ID 604527-3
    ISSN 0304-4602
    ISSN 0304-4602
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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