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. 2025 Aug;32(8):5717-5719.
doi: 10.1245/s10434-025-17402-w. Epub 2025 May 6.

Practical Approaches to High-Risk Anastomoses in Robotic Pancreatoduodenectomy

Francesca Marcucci #  1 , Giovanna Carillo #  1 , Patricia Sánchez-Velázquez  1 , Alberto Garcia-Picazo  1 , Fernando Burdio  1 , Benedetto Ielpo  2
Affiliations

Practical Approaches to High-Risk Anastomoses in Robotic Pancreatoduodenectomy

Francesca Marcucci et al. Ann Surg Oncol. 2025 Aug.

Erratum in

Abstract

Background: Pancreatoduodenectomy (PD) is performed for the treatment of pancreatic head and periampullary tumors and is associated with relatively high postoperative morbidity and mortality. Traditionally conducted as open surgery, PD has evolved with the advent of minimally invasive techniques, including robotic-assisted approaches.

Results: As reported in the literature, minimally invasive PD is becoming a safe and effective alternative surgical approach. Clinically relevant postoperative pancreatic complications, such as fistulas and hemorrhage, remain among the most challenging issues after PD, particularly in high-risk cases. There are several maneuvers that may reduce their incidence and mitigate their postoperative clinical impact.

Conclusions: In this video, we describe strategies implemented at our center for high-risk PD cases, including some key tips and tricks.

Keywords: Minimally invasive surgery; Pancreas; Pancreatic cancer; Pancreatic fistula; Pancreatoduodenectomy.

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Conflict of interest statement

Disclosure: The authors of this manuscript have no commercial interest.

Figures

Fig. 1
Fig. 1
Pigtail catheter positioned near two bleeding points from branches of the superior mesenteric artery (green arrows)
See this image and copyright information in PMC

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