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Robotic pancreas surgery: an overview of history and update on technique, outcomes, and financials

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Abstract

The use robotics in surgery is gaining momentum. This approach holds substantial promise in pancreas surgery. Robotic surgery for pancreatic lesions and malignancies has become well accepted and is expanding to more and more center annually. The number of centers using robotics in pancreatic surgery is rapidly increasing. The most studied robotic pancreas surgeries are pancreaticoduodenectomy and distal pancreatectomy. Most studies are in their early phases, but they report that robotic pancreas surgery is safe feasible. Robotic pancreas surgery offers several advantages over open and laparoscopic techniques. Data regarding costs of robotics versus conventional techniques is still lacking. Robotic pancreas surgery is still in its early stages. It holds promise to become the new surgical standard for pancreatic resections in the future, however, more research is still needed to establish its safety, cost effectiveness and efficacy in providing the best outcomes.

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Abbreviations

DP:

Distal Pancreatectomy

FDA:

Food and Drug Administration

LDP:

Laparoscopic distal pancreatectomy

LOS:

Length of stay

LPD:

Laparoscopic pancreaticoduodenectomy

PD:

Pancreaticoduodenectomy

PG:

Pancreaticogastrostomy

PJ:

Pancreatojejunostomy

RCP:

Robotic central pancreatectomy

RDP:

Robotic distal pancreatectomy

RPD:

Robotic Pancreatoduodenectomy

RTP:

Robotic total pancreatectomy

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Authors and Affiliations

  1. Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA

    Hussein H. Khachfe

  2. Division of GI Surgical Oncology, Department of Surgery, UPMC Pancreatic Cancer Center, University of Pittsburgh Medical Center, UPMC Cancer Pavilion, Pittsburgh, PA, USA

    Hussein H. Khachfe

  3. Division of General Surgery, Johns Hopkins University, Baltimore, Maryland, USA

    Joseph R. Habib

  4. Department of Surgery, Sheikh Shakhbout Medical City, Abu Dhabi, UAE

    Salem Al Harthi, Amal Suhool, Ali H. Hallal & Faek R. Jamali

Authors
  1. Hussein H. Khachfe
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  2. Joseph R. Habib
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  3. Salem Al Harthi
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  4. Amal Suhool
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  5. Ali H. Hallal
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  6. Faek R. Jamali
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Contributions

All authors contributed to the study conception and design. Idea of the study, literature search and data analysis was performed by H.H.K, J.R.H and F.R.J. The first draft of the manuscript was written by H.H.K, J.R.H., S.A., A.S., A.H.H., and F.R.J. All authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

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Khachfe, H.H., Habib, J.R., Harthi, S.A. et al. Robotic pancreas surgery: an overview of history and update on technique, outcomes, and financials. J Robotic Surg 16, 483–494 (2022). https://doi.org/10.1007/s11701-021-01289-2

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