Conversion to open surgery in obese patients undergoing minimally invasive distal pancreatectomy: results from a multicenter analysis.
Fabio AusaniaCarolina Gonzalez-AbósFilippo LandiJohn B MartinieDionisios VrochidesMatthew WalshShanaz M HossainSteven WhiteViswakumar PrabakaranLaleh G MelstromYuman FongGiovanni ButturiniLaura BignottoValentina ValleYuntao BingDianrong XiuGregorio Di FrancoFrancisco Sanchez-BuenoNicola de'AngelisAlexis LaurentGiuseppe GiulianiGraziano PernazzaAlessandro EspositoRoberto SalviaFrancesca BazzocchiLudovica EspositoAndrea PietrabissaLuigi PuglieseRiccardo MemeoIchiro UyamaYuichiro UchidaJosé RíosAndrea CorattiLuca MorelliPier C GiulianottiPublished in: HPB : the official journal of the International Hepato Pancreato Biliary Association (2024)
Conversion rate is significantly lower in patients undergoing robotic approach. Radiological enlarged lymphnodes and ASA ≥ III are also associated with conversion to open. Conversion is associated with poorer perioperative outcomes, especially in case of intraoperative hemorrhage.