Abstract
Pancreaticoduodenectomies are among the most challenging procedures performed in the abdominal cavity. Robotic pancreatoduodenectomies, since their first application described by Dr. Giulianotti in 2001, have gained acceptance and have spread in multiple specialized centers. They have the advantage to maintain the same oncological quality of open surgery through a less traumatic access. This creates the basis for a faster recovery and, possibly, faster initiation of multimodality adjuvant therapies, which is key for the treatment of this malignancy.
The robotic technique has the potential, over standard laparoscopy, to significantly improve some of the most challenging steps such as the dissection of the uncinate process, the lymphadenectomy, and the reconstructive phase. In the following chapter, we describe the standardized technique for this procedure, according to our 20-year-long experience. Our most expert surgeon also provides a “tips and tricks” section regarding the most crucial steps of the procedure to help readers in this difficult learning process.
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We are grateful to Mrs. Myriam Davis for the manuscript revision and also for following our patients in the clinic with passion and dedication.
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Bianco, F.M., Valle, V., Aguiluz, G., Pavelko, Y., Giulianotti, P.C. (2021). Robotic Pancreaticoduodenectomy (Whipple). In: Gharagozloo, F., Patel, V.R., Giulianotti, P.C., Poston, R., Gruessner, R., Meyer, M. (eds) Robotic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-53594-0_73
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