Abstract
Pancreatoduodenectomy (PD) represents a challenging scenario for a minimally invasive approach, and the pure laparoscopic surgery is performed in few centers around the world.
Our experience with robotic pancreatic resections started more than 15 years ago1 and since then a great effort to standardize the technique has been done. The advantages of the robot can be mostly appreciated during the uncinate process dissection, the lymphadenectomy and the reconstructive phase. We herein describe our technique, in particular for pylorus preserving PD with different options for the pancreatic anastomosis.
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Giulianotti PC, Coratti A, Angelini M, Sbrana F, Cecconi S, Balestracci T, Caravaglios G. Robotics in general surgery: personal experience in a large community hospital. Arch Surg. 2003;138:777–84.
Kutlu OC, Lee JE, Katz MH, Tzeng CD, Wolff RA, Varadhachary GR, et al. Open pancreaticoduodenectomy case volume predicts outcome of laparoscopic approach: a population-based analysis. Ann Surg. 2018;267(3):552–60.
Gagner M, Pomp A. Laparoscopic pylorus-preserving pancreatoduodenectomy. Surg Endosc. 1994;8:408–10.
Fong ZV, Chang DC, Ferrone CR, Lillemoe KD, Fernandez Del Castillo C. Early national experience with laparoscopic pancreaticoduodenectomy for ductal adenocarcinoma: is this really a short learning curve? J Am Coll Surg. 2016;222:209.
Kim JH, Gonzalez-Heredia R, Daskalaki D, Rashdan M, Masrur M, Giulianotti PC. Totally replaced right hepatic artery in pancreaticoduodenectomy: is this anatomical condition a contraindication to minimally invasive surgery? HPB (Oxford). 2016;18:580–5.
Miura F, Asano T, Amano H, Yoshida M, Toyota N, Wada K, et al. Management of postoperative arterial hemorrhage after pancreato-biliary surgery according to the site of bleeding: re-laparotomy or interventional radiology. J Hepato-Biliary-Pancreat Surg. 2009;16:56–63.
Giulianotti PC, Addeo P, Buchs NC, Ayloo SM, Bianco FM. Robotic extended pancreatectomy with vascular resection for locally advanced pancreatic tumors. Pancreas. 2011;40:1264–70.
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Giulianotti, P.C., Gheza, F. (2018). Robotic Pancreatoduodenectomy. In: Fong, Y., Woo, Y., Hyung, W., Lau, C., Strong, V. (eds) The SAGES Atlas of Robotic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-91045-1_27
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DOI: https://doi.org/10.1007/978-3-319-91045-1_27
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