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. 2016 Jul 26:2:126.
doi: 10.21037/jovs.2016.07.06. eCollection 2016.

Robotic pancreaticoduodenectomy

Richard Sola Jr  1 , Russell C Kirks  1 , David A Iannitti  2 , Dionisios Vrochides  2 , John B Martinie  2
Affiliations

Robotic pancreaticoduodenectomy

Richard Sola Jr et al. J Vis Surg. .

Abstract

Pancreaticoduodenectomy (PD) is considered one of the most complex and technically challenging abdominal surgeries performed by general surgeons. With increasing use of minimally invasive surgery, this operation continues to be performed most commonly in an open fashion. Open PD (OPD) is characterized by high morbidity and mortality rates in published series. Since the early 2000s, use of robotics for PD has slowly evolved. For appropriately selected patients, robotic PD (RPD) has been shown to have less intraoperative blood loss, decreased morbidity and mortality, shorter hospital length of stay, and similar oncological outcomes compared with OPD. At our high-volume center, we have found lower complication rates for RPD along with no difference in total cost when compared with OPD. With demonstrated non-inferior oncologic outcomes for RPD, the potential exists that RPD may be the future standard in surgical management for pancreatic disease. We present a case of a patient with a pancreatic head mass and describe our institution's surgical technique for RPD.

Keywords: Pancreas; pancreaticoduodenectomy (PD); robotic surgery.

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Conflict of interest statement

Conflicts of Interest: Dr. Martinie serves as a consultant and proctor for Intuitive Surgical. Dr. Iannitti is a consultant and proctor for Medtronic. All other authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
Clinical presentation and imaging of 56-year-old male with pancreatic head mass. Surgical technique of a robotic pancreaticoduodenectomy (PD) is provided in this video (19). Available online: http://www.asvide.com/articles/1051
See this image and copyright information in PMC

References

    1. Whipple AO, Parsons WB, Mullins CR. Treatment of carcinoma of the ampulla of vater. Ann Surg 1935;102:763-79. 10.1097/00000658-193510000-00023 - DOI - PMC - PubMed
    1. Winter JM, Cameron JL, Campbell KA, et al. 1423 pancreaticoduodenectomies for pancreatic cancer: A single-institution experience. J Gastrointest Surg 2006;10:1199-210; discussion 1210-1. 10.1016/j.gassur.2006.08.018 - DOI - PubMed
    1. Yeo CJ, Cameron JL, Lillemoe KD, et al. Pancreaticoduodenectomy with or without distal gastrectomy and extended retroperitoneal lymphadenectomy for periampullary adenocarcinoma, part 2: randomized controlled trial evaluating survival, morbidity, and mortality. Ann Surg 2002;236:355-66; discussion 366-8. 10.1097/00000658-200209000-00012 - DOI - PMC - PubMed
    1. Yeo CJ, Cameron JL, Lillemoe KD, et al. Pancreaticoduodenectomy for cancer of the head of the pancreas. 201 patients. Ann Surg 1995;221:721-31; discussion 731-3. 10.1097/00000658-199506000-00011 - DOI - PMC - PubMed
    1. Gagner M, Pomp A. Laparoscopic pylorus-preserving pancreatoduodenectomy. Surg Endosc 1994;8:408-10. 10.1007/BF00642443 - DOI - PubMed

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