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Essentials and Future Directions of Robotic Pancreatic Surgery

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Essentials of Robotic Surgery

Abstract

Advances in minimally invasive surgery are allowing surgeons to perform increasingly complex pancreatic resections. Early data reported from high-volume surgeons and centers indicate that these procedures are safe and efficacious if performed in carefully selected cases. In this chapter, we focus on the background and rise of robotic surgery, its application to a variety of complex pancreatic resections, and its perceived limitations and advantages over the laparoscopic and open approach. We highlight the evidence available in support of this platform and draw comparisons to seminal reports of laparoscopic and open pancreatic surgery.

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Author information

Authors and Affiliations

  1. Department of Surgical Oncology, University of Pittsburgh Medical Center, 5150 Centre Ave, Ste 414, 15232, Pittsburgh, PA, USA

    Melanie Ongchin M.D.

  2. Department of GI Surgical Oncology, University of Pittsburgh Medical Center, UPMC Shadyside Hospital, 3550 terrace ave, Scaife 497, 15213, Pittsburgh, PA, USA

    Melissa E. Hogg M.D.

  3. GI Surgical Oncology, UPMC Shadyside Hospital, UPMC Cancer Pavilion 5150 Centre Ave, Ste 417, 15232, Pittsburgh, PA, USA

    Herbert J. Zeh III M.D.

  4. Division of Surgical Oncology, University of Pittsburgh Medical Center, UPMC Cancer Pavilion 5150 Centre Ave, Ste 421, Pittsburgh, PA, 15232, USA

    Amer H. Zureikat M.D., FACS

Authors
  1. Melanie Ongchin M.D.
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  2. Melissa E. Hogg M.D.
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  3. Herbert J. Zeh III M.D.
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  4. Amer H. Zureikat M.D., FACS
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Corresponding author

Correspondence to Amer H. Zureikat M.D., FACS .

Editor information

Editors and Affiliations

  1. Digestive Disease Institute, Cleveland Clinic Lerner College of Medicine, Cleveland, Ohio, USA

    Matthew Kroh

  2. Surgical Operations, Cleveland Clinic Lerner College of Medicine, Cleveland, Ohio, USA

    Sricharan Chalikonda

Electronic Supplementary Material

Below is the link to the electronic supplementary material.

Robotic pancreaticoduodenectomy performed on an 86-year-old female with pancreatic head ductal adenocarcinoma. The video illustrates the authors’ technique in performing the RPD, beginning with laparoscopic mobilization of the right colon, kocherization of the duodenum, and division of the proximal jejunum. The robot is then docked for the remainder of the resection and the entire reconstruction. This patient had unexpected 90° involvement of a short segment of the portal vein, which required a partial venous resection with primary repair using the robot (M4V 203710 kb)

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Ongchin, M., Hogg, M.E., Zeh, H.J., Zureikat, A.H. (2015). Essentials and Future Directions of Robotic Pancreatic Surgery. In: Kroh, M., Chalikonda, S. (eds) Essentials of Robotic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-09564-6_10

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  • DOI: https://doi.org/10.1007/978-3-319-09564-6_10

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-09563-9

  • Online ISBN: 978-3-319-09564-6

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