Robot-assisted distal pancreatectomy (RDP) was developed to overcome technical limitations of laparoscopic distal pancreatectomy (LDP), yet uncertainty persists regarding oncologic adequacy, learning-curve effects, and outcomes in high-risk subgroups. We synthesized current evidence to address these gaps. We systematically searched PubMed and EMBASE, in accordance with PRISMA guidelines, from inception to 2025 to identify comparative studies of RDP versus LDP. Using random-effects models, we calculated weighted mean differences (WMDs) for continuous outcomes and risk ratios (RRs) for dichotomous outcomes, and performed subgroup analyses, including pancreatic ductal adenocarcinoma (PDAC), along with meta-regression to explore heterogeneity sources. Sixty-four studies comprising 15,790 patients (5,723 RDP; 10,067 LDP; mean age 60.5 years; BMI 26.1 kg/m²) were included. RDP resulted in lower blood loss (WMD − 52.0 mL; p < 0.00001), fewer conversions (RR 0.49; p < 0.00001), and fewer unplanned splenectomies (RR 0.59; p < 0.0001). Operative time was longer (WMD + 24.06 min; p < 0.00001). Postoperative morbidity, POPF, PPH, infection, reintervention, and mortality were comparable. Length of stay was shorter with RDP (WMD − 0.57 days; p < 0.00001). Although lymph node yield appeared higher with LDP in the overall and PDAC cohorts, this difference was no longer significant in a sensitivity analysis, and R0 resection rates remained comparable. Costs were higher with RDP, with substantial heterogeneity. RDP and LDP demonstrate comparable safety and oncologic outcomes. RDP reduces blood loss, conversions, and splenectomy but increases operative time and cost. The operative time disadvantage likely reflects learning-curve. Selective use in high-risk and complex resections is supported; cost-effectiveness warrants further study.
This article examines the conditions for ensuring regional economic resilience in the face of geopolitical turbulence and structural shifts in the global economy. It reveals that regional resilience is determined not only by the ability to withstand external shocks but also by the ability to adapt production structures, investment policies, labor markets, logistics, and governance systems to new constraints. Particular attention is paid to import substitution, technological restructuring, economic diversification, the development of domestic demand, and the reduction of regional dependence on foreign economic conditions. It concludes that economic resilience is determined not by maintaining the previous development model, but by the region’s ability to structurally adapt and recreate competitive advantages in changing conditions.
В статье анализируется роль управления объектами недвижимости агропромышленного комплекса (АПК) в обеспечении импортозамещения и устойчивого развития сельских территорий России. Рассматриваются современные подходы к эффективному использованию земельных и имущественных ресурсов, цифровизации процессов, а также меры государственной поддержки. Особое внимание уделено вопросам повышения инвестиционной привлекательности, внедрения инноваций и формирования комфортной среды для жизни и труда на селе. Приведены актуальные данные за 2023–2026 годы, выделены ключевые направления развития и предложены рекомендации для органов управления и бизнеса. The article analyses the role of real estate management of the agro-industrial complex (AIC) in ensuring import substitution and sustainable development of rural areas of Russia. Modern approaches to the effective use of land and property resources, digitalisation of processes, as well as state support measures are considered. Particular attention is paid to the issues of increasing investment attractiveness, introducing innovations and creating a comfortable environment for life and work in the countryside. Current data for 2023-2026 are provided, key areas of development are highlighted and recommendations for management bodies and business are proposed.
В статье исследуются характер воздействия цифровых технологий на образ жизни, социальные практики и ценностные ориентации молодых людей. Обращается внимание на противоречивость существования в реально-виртуальном мире, приводящая к различным последствиям – социальным и психологическим. Утверждается мысль о том, что реальное и виртуальное бытие характеризуются как сходными, так и отличительными признаками, влияющими на когнитивные возможности и поведенческие стратегии молодых людей. Отмечается, что чрезмерное пребывание в пространстве Интернета и социальных сетей приводит к появлению новой культуры – сетевой, которой присущи свои особенности, законы функционирования, правила поведения. Исследуется феномен цифровой зависимости (аддикции), вследствие которой меняется восприятие реальности и происходящих в ней процессов. Акцентируется внимание на том, что подлинная жизнь в ее противоречивости и неопределенности создает условия для реального эскапизма, а чрезмерность присутствия в Интернете приводит к цифровому эскапизму, который является способом освобождения от IT-зависимости. Прослеживаются позитивные и негативные тренды виртуальной реальности, показывается востребованность дистанционных форм обучения, подчеркивается объективный характер возникающих в связи с развитием коммуникационно-информационных технологий тенденций и новых форм коммуникаций. The article explores the nature of the impact of digital technologies on the lifestyle, social practices and value orientations of young people. The article draws attention to the contradictory nature of existence in the real-virtual world, which leads to various consequences - social and psychological. It is argued that real and virtual existence are characterised by both similar and distinctive features that influence young people's cognitive capabilities and behavioural strategies. It is noted that excessive stay in the space of the Internet and social networks leads to the emergence of a new culture - network culture, which has its own features, laws of functioning, rules of behaviour. The phenomenon of digital dependence (addiction) is studied, as a result of which the perception of reality and the processes taking place in it changes. It is emphasised that real life in its contradiction and uncertainty creates conditions for real escapism, while excessive presence on the Internet leads to digital escapism, which is a way of liberation from IT-dependence. Positive and negative trends of virtual reality are traced, the demand for distance forms of education is shown, and the objective nature of trends and new forms of communication arising in connection with the development of communication and information technologies is emphasised.
The hydrological system is one of the defining exogenous factors of sustainable development of rural areas. Many researchers note a tendency towards the complication of the hydrological situation around the world. In this regard, zoning of rural areas in the conditions of increasing frequency and catastrophic nature of adverse natural phenomena generated by the hydrological system is an urgent problem. An adequate assessment of the hydrological situation, in order to develop an optimal strategy for managing rural areas, minimizing damage from the consequences of negative manifestations of the hydrological system – one of the most important tasks in the context of sustainable development of rural areas. The paper presents an original methodology for zoning rural areas. The criteria for zoning and methods for assessing territories have been determined, followed by the grouping of rural areas into zones with identical characteristics. This is intended to facilitate the development of optimal standard solutions for rural areas.
