Napoli et al reported the PD-ROBOSCORE for predicting the difficulty of robotic pancreatoduodenectomy in a patient. The authors are from multiple institutions in Europe, South Korea and China.
Patient selection: robotic pancreatoduodenectomy
Parameters:
(1) body mass index (BMI) in kg per square meter
(2) ASA status
(3) tumor at the uncinate process
(4) hepatic artery arising from the superior mesenteric artery (SMA)
(5) pancreatic duct size in mm
(6) borderline resectable tumor
|
Parameter
|
Finding
|
Points
|
|
body mass index
|
not high
|
-2.393304724
|
|
|
high
|
2.3933047235
|
|
ASA status
|
1 or 2
|
-1.59388454
|
|
|
>= 3
|
1.5938845396
|
|
uncinate process tumor
|
no
|
-1.690066056
|
|
|
yes
|
1.6900660558
|
|
hepatic artery from SMA
|
no
|
-1.431280211
|
|
|
yes
|
1.4312802108
|
|
pancreatic duct size
|
>= 4 mm
|
-1.589822894
|
|
|
< 4 mm
|
1.5898228944
|
|
borderline resectable
|
no
|
-1.979557938
|
|
|
yes
|
1.9795579382
|
where:
• A high BMI was >= 25 kg per sq meter for males and >= 30 for females.
total score =
= SUM(points for all of the parameters) + 12.319933924
Interpretation:
• The higher the score the greater the risk of postoperative complications, including bleeding and mortality
• The score correlates with blood loss, operative time, and 30-day readmission.
|
Difficulty Group
|
Score
|
|
low
|
1.64 to 4.83
|
|
intermediate
|
7.69 to 8.20
|
|
high
|
9.62 to 12.80
|
