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Review
. 2017 Aug 21:3:106.
doi: 10.21037/jovs.2017.07.02. eCollection 2017.

Developing a robotic pancreas program: the Dutch experience

Carolijn L Nota  1   2 , Maurice J Zwart  3 , Yuman Fong  2 , Jeroen Hagendoorn  1 , Melissa E Hogg  4 , Bas Groot Koerkamp  5 , Marc G Besselink  3 , I Quintus Molenaar  1 ; Dutch Pancreatic Cancer Group
Affiliations
Review

Developing a robotic pancreas program: the Dutch experience

Carolijn L Nota et al. J Vis Surg. .

Abstract

Robot-assisted surgery has been developed to overcome limitations of conventional laparoscopy aiming to further optimize minimally invasive surgery. Despite the fact that robotics already have been widely adopted in urology, gynecology, and several gastro-intestinal procedures, like colorectal surgery, pancreatic surgery lags behind. Due to the complex nature of the procedure, surgeons probably have been hesitant to apply minimally invasive techniques in pancreatic surgery. Nevertheless, the past few years pancreatic surgery has been catching up. An increasing number of procedures are being performed laparoscopically and robotically, despite it being a highly complex procedure with high morbidity and mortality rates. Since the complex nature and extensiveness of the procedure, the start of a robotic pancreatic program should be properly prepared and should comply with several conditions within high-volume centers. Robotic training plays a significant role in the preparation. In this review we discuss the different aspects of preparation when working towards the start of a robotic pancreas program against the background of our nationwide experience in the Netherlands.

Keywords: Pancreatic surgery; robotic surgery; training in robotic surgery.

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Conflict of interest statement

Conflicts of Interest: Dr. Yuman Fong is a scientific advisor to Intuitive Surgical, Medtronic, AVRA Medical Robotics, Inc., Perfint Healthcare Robotics and Johnson & Johnson. The other authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
The box trainer.
Figure 2
Figure 2
Construction of a hepaticojejunostomy on artificial organs.
See this image and copyright information in PMC

References

    1. de Rooij T, van Hilst J, Boerma D, et al. Impact of a Nationwide Training Program in Minimally Invasive Distal Pancreatectomy (LAELAPS). Ann Surg 2016;264:754-62. 10.1097/SLA.0000000000001888 - DOI - PubMed
    1. Zureikat AH, Postlewait LM, Liu Y, et al. A Multi-institutional Comparison of Perioperative Outcomes of Robotic and Open Pancreaticoduodenectomy. Ann Surg 2016;264:640-9. 10.1097/SLA.0000000000001869 - DOI - PubMed
    1. de Rooij T, Lu MZ, Steen MW, et al. Minimally Invasive Versus Open Pancreatoduodenectomy: Systematic Review and Meta-analysis of Comparative Cohort and Registry Studies. Ann Surg 2016;264:257-67. 10.1097/SLA.0000000000001660 - DOI - PubMed
    1. Venkat R, Edil BH, Schulick RD, et al. Laparoscopic distal pancreatectomy is associated with significantly less overall morbidity compared to the open technique: a systematic review and meta-analysis. Ann Surg 2012;255:1048-59. 10.1097/SLA.0b013e318251ee09 - DOI - PubMed
    1. Magge D, Gooding W, Choudry H, et al. Comparative effectiveness of minimally invasive and open distal pancreatectomy for ductal adenocarcinoma. JAMA Surg 2013;148:525-31. 10.1001/jamasurg.2013.1673 - DOI - PubMed

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