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1. Benchmarking of robotic and laparoscopic spleen-preserving distal pancreatectomy by using two different methods

Author

van Ramshorst, Tess M. E., Giani, Alessandro, Mazzola, Michele, Dokmak, Safi, Fteriche, Fadhel Samir, Esposito, Alessandro, de Pastena, Matteo, Lof, Sanne, Edwin, Bjorn, Sahakyan, Mushegh, Boggi, Ugo, Kauffman, Emanuele Federico, Fabre, Jean Michel, Souche, Regis Francois, Zerbi, Alessandro, Butturini, Giovanni, Molenaar, Quintus, Al-Sarireh, Bilal, Marino, Marco V, Keck, Tobias, White, Steven A., Casadei, Riccardo, Burdio, Fernando, Björnsson, Bergthor, Soonawalla, Zahir, Koerkamp, Bas Groot, Fusai, Giuseppe Kito, Pessaux, Patrick, Jah, Asif, Pietrabissa, Andrea, Hackert, Thilo, DHondt, Mathieu, Pando, Elizabeth, Besselink, Marc G., Ferrari, Giovanni, Abu Hilaland, Mohammad, van Ramshorst, Tess M. E., Giani, Alessandro, Mazzola, Michele, Dokmak, Safi, Fteriche, Fadhel Samir, Esposito, Alessandro, de Pastena, Matteo, Lof, Sanne, Edwin, Bjorn, Sahakyan, Mushegh, Boggi, Ugo, Kauffman, Emanuele Federico, Fabre, Jean Michel, Souche, Regis Francois, Zerbi, Alessandro, Butturini, Giovanni, Molenaar, Quintus, Al-Sarireh, Bilal, Marino, Marco V, Keck, Tobias, White, Steven A., Casadei, Riccardo, Burdio, Fernando, Björnsson, Bergthor, Soonawalla, Zahir, Koerkamp, Bas Groot, Fusai, Giuseppe Kito, Pessaux, Patrick, Jah, Asif, Pietrabissa, Andrea, Hackert, Thilo, DHondt, Mathieu, Pando, Elizabeth, Besselink, Marc G., Ferrari, Giovanni, and Abu Hilaland, Mohammad

Abstract

Background Benchmarking is an important tool for quality comparison and improvement. However, no benchmark values are available for minimally invasive spleen-preserving distal pancreatectomy, either laparoscopically or robotically assisted. The aim of this study was to establish benchmarks for these techniques using two different methods. Methods Data from patients undergoing laparoscopically or robotically assisted spleen-preserving distal pancreatectomy were extracted from a multicentre database (2006-2019). Benchmarks for 10 outcomes were calculated using the Achievable Benchmark of Care (ABC) and best-patient-in-best-centre methods. Results Overall, 951 laparoscopically assisted (77.3 per cent) and 279 robotically assisted (22.7 per cent) procedures were included. Using the ABC method, the benchmarks for laparoscopically assisted and robotically assisted spleen-preserving distal pancreatectomy respectively were: 150 and 207 min for duration of operation, 55 and 100 ml for blood loss, 3.5 and 1.7 per cent for conversion, 0 and 1.7 per cent for failure to preserve the spleen, 27.3 and 34.0 per cent for overall morbidity, 5.1 and 3.3 per cent for major morbidity, 3.6 and 7.1 per cent for pancreatic fistula grade B/C, 5 and 6 days for duration of hospital stay, 2.9 and 5.4 per cent for readmissions, and 0 and 0 per cent for 90-day mortality. Best-patient-in-best-centre methodology revealed milder benchmark cut-offs for laparoscopically and robotically assisted procedures, with operating times of 254 and 262.5 min, blood loss of 150 and 195 ml, conversion rates of 5.8 and 8.2 per cent, rates of failure to salvage spleen of 29.9 and 27.3 per cent, overall morbidity rates of 62.7 and 55.7 per cent, major morbidity rates of 20.4 and 14 per cent, POPF B/C rates of 23.8 and 24.2 per cent, duration of hospital stay of 8 and 8 days, readmission rates of 20 and 15.1 per cent, and 90-day mortality rates of 0 and 0 per cent respectively. Conclusion Two benchmark methods for mi

Published
2023
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2. Benchmarking of robotic and laparoscopic spleen-preserving distal pancreatectomy by using two different methods

Author

van Ramshorst, Tess M E, Giani, Alessandro, Mazzola, Michele, Dokmak, Safi, Ftériche, Fadhel Samir, Esposito, Alessandro, de Pastena, Matteo, Lof, Sanne, Edwin, Bjørn, Sahakyan, Mushegh, Boggi, Ugo, Kauffman, Emanuele Federico, Fabre, Jean Michel, Souche, Regis Francois, Zerbi, Alessandro, Butturini, Giovanni, Molenaar, Quintus, Al-Sarireh, Bilal, Marino, Marco V, Keck, Tobias, White, Steven A, Casadei, Riccardo, Burdio, Fernando, Björnsson, Bergthor, Soonawalla, Zahir, Koerkamp, Bas Groot, Fusai, Giuseppe Kito, Pessaux, Patrick, Jah, Asif, Pietrabissa, Andrea, Hackert, Thilo, D'Hondt, Mathieu, Pando, Elizabeth, Besselink, Marc G, Ferrari, Giovanni, Hilal, Mohammad Abu, van Ramshorst, Tess M E, Giani, Alessandro, Mazzola, Michele, Dokmak, Safi, Ftériche, Fadhel Samir, Esposito, Alessandro, de Pastena, Matteo, Lof, Sanne, Edwin, Bjørn, Sahakyan, Mushegh, Boggi, Ugo, Kauffman, Emanuele Federico, Fabre, Jean Michel, Souche, Regis Francois, Zerbi, Alessandro, Butturini, Giovanni, Molenaar, Quintus, Al-Sarireh, Bilal, Marino, Marco V, Keck, Tobias, White, Steven A, Casadei, Riccardo, Burdio, Fernando, Björnsson, Bergthor, Soonawalla, Zahir, Koerkamp, Bas Groot, Fusai, Giuseppe Kito, Pessaux, Patrick, Jah, Asif, Pietrabissa, Andrea, Hackert, Thilo, D'Hondt, Mathieu, Pando, Elizabeth, Besselink, Marc G, Ferrari, Giovanni, and Hilal, Mohammad Abu

Abstract

BACKGROUND: Benchmarking is an important tool for quality comparison and improvement. However, no benchmark values are available for minimally invasive spleen-preserving distal pancreatectomy, either laparoscopically or robotically assisted. The aim of this study was to establish benchmarks for these techniques using two different methods.METHODS: Data from patients undergoing laparoscopically or robotically assisted spleen-preserving distal pancreatectomy were extracted from a multicentre database (2006-2019). Benchmarks for 10 outcomes were calculated using the Achievable Benchmark of Care (ABC) and best-patient-in-best-centre methods.RESULTS: Overall, 951 laparoscopically assisted (77.3 per cent) and 279 robotically assisted (22.7 per cent) procedures were included. Using the ABC method, the benchmarks for laparoscopically assisted and robotically assisted spleen-preserving distal pancreatectomy respectively were: 150 and 207 min for duration of operation, 55 and 100 ml for blood loss, 3.5 and 1.7 per cent for conversion, 0 and 1.7 per cent for failure to preserve the spleen, 27.3 and 34.0 per cent for overall morbidity, 5.1 and 3.3 per cent for major morbidity, 3.6 and 7.1 per cent for pancreatic fistula grade B/C, 5 and 6 days for duration of hospital stay, 2.9 and 5.4 per cent for readmissions, and 0 and 0 per cent for 90-day mortality. Best-patient-in-best-centre methodology revealed milder benchmark cut-offs for laparoscopically and robotically assisted procedures, with operating times of 254 and 262.5 min, blood loss of 150 and 195 ml, conversion rates of 5.8 and 8.2 per cent, rates of failure to salvage spleen of 29.9 and 27.3 per cent, overall morbidity rates of 62.7 and 55.7 per cent, major morbidity rates of 20.4 and 14 per cent, POPF B/C rates of 23.8 and 24.2 per cent, duration of hospital stay of 8 and 8 days, readmission rates of 20 and 15.1 per cent, and 90-day mortality rates of 0 and 0 per cent respectively.CONCLUSION: Two

Published
2023

3. Benchmarking of robotic and laparoscopic spleen-preserving distal pancreatectomy by using two different methods.

Author

van Ramshorst TME, Giani A, Mazzola M, Dokmak S, Ftériche FS, Esposito A, de Pastena M, Lof S, Edwin B, Sahakyan M, Boggi U, Kauffman EF, Fabre JM, Souche RF, Zerbi A, Butturini G, Molenaar Q, Al-Sarireh B, Marino MV, Keck T, White SA, Casadei R, Burdio F, Björnsson B, Soonawalla Z, Koerkamp BG, Fusai GK, Pessaux P, Jah A, Pietrabissa A, Hackert T, D'Hondt M, Pando E, Besselink MG, Ferrari G, and Hilal MA

Subjects
Humans, Pancreatectomy methods, Spleen surgery, Benchmarking, Operative Time, Retrospective Studies, Treatment Outcome, Robotic Surgical Procedures methods, Pancreatic Neoplasms surgery, Laparoscopy methods
Abstract

Background: Benchmarking is an important tool for quality comparison and improvement. However, no benchmark values are available for minimally invasive spleen-preserving distal pancreatectomy, either laparoscopically or robotically assisted. The aim of this study was to establish benchmarks for these techniques using two different methods., Methods: Data from patients undergoing laparoscopically or robotically assisted spleen-preserving distal pancreatectomy were extracted from a multicentre database (2006-2019). Benchmarks for 10 outcomes were calculated using the Achievable Benchmark of Care (ABC) and best-patient-in-best-centre methods., Results: Overall, 951 laparoscopically assisted (77.3 per cent) and 279 robotically assisted (22.7 per cent) procedures were included. Using the ABC method, the benchmarks for laparoscopically assisted and robotically assisted spleen-preserving distal pancreatectomy respectively were: 150 and 207 min for duration of operation, 55 and 100 ml for blood loss, 3.5 and 1.7 per cent for conversion, 0 and 1.7 per cent for failure to preserve the spleen, 27.3 and 34.0 per cent for overall morbidity, 5.1 and 3.3 per cent for major morbidity, 3.6 and 7.1 per cent for pancreatic fistula grade B/C, 5 and 6 days for duration of hospital stay, 2.9 and 5.4 per cent for readmissions, and 0 and 0 per cent for 90-day mortality. Best-patient-in-best-centre methodology revealed milder benchmark cut-offs for laparoscopically and robotically assisted procedures, with operating times of 254 and 262.5 min, blood loss of 150 and 195 ml, conversion rates of 5.8 and 8.2 per cent, rates of failure to salvage spleen of 29.9 and 27.3 per cent, overall morbidity rates of 62.7 and 55.7 per cent, major morbidity rates of 20.4 and 14 per cent, POPF B/C rates of 23.8 and 24.2 per cent, duration of hospital stay of 8 and 8 days, readmission rates of 20 and 15.1 per cent, and 90-day mortality rates of 0 and 0 per cent respectively., Conclusion: Two benchmark methods for minimally invasive distal pancreatectomy produced different values, and should be interpreted and applied differently., (© The Author(s) 2022. Published by Oxford University Press on behalf of BJS Society Ltd.)

Published
2022
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