To study the surgical outcome and the intra-operative nursing of the da Vinci robotic surgical system assisted pancreaticoduodenectomy.

The clinical data of patients who received pancreaticoduodenectomy in Shanghai Ruijin Hospital from January 2016 to January 2017 were retrospectively collected, of which 122 underwent surgeries assisted by the da Vinci robotic surgical system(robotic group) while 164 underwent traditional laparotomy as control (control group). Data including operative duration, intra-operative bleeding, hospital stay, incidence of complications and incidence of intra-operative hypothermia were retrieved and compared between two groups respectively.

The intra-operative bleeding, operative duration, total hospital stay and postopertative hospital stay of the patients in robotic group were significantly improved as compared to those of the patients in control group respectively, the differences were statistically significant (with P values below 0.05). The incidences of intra-operative hypothermia and postoperative complications such as anastomotic leakage and infection in the robotic group were significantly lower than those in the control group respectively, the differences were statistically significant (with P values below 0.05). While there were no statistical difference (with P values above 0.05) in comparing the incidences of biliary fistula, gastrointestinal fistula, bleeding and delayed gastric emptying between two groups respectively.

The da Vinci robotic surgical system assisted pancreaticoduodenectomy has advantages such as less invasive, less intra-operative bleeding, shorter operative duration, shorter hospital stay and more rapid recovery. Furthermore, a good cooperation between the surgical and nursing team ensures the operation.