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Essentials and Future Directions of Robotic Pancreatic Surgery

  • Melanie Ongchin
  • Melissa E. Hogg
  • Herbert J. ZehIII
  • Amer H. ZureikatEmail author
Chapter

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.

Keywords

Robotic Surgery Distal Pancreatectomy Pancreatic Surgery Laparoscopic Distal Pancreatectomy Robotic Platform 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Supplementary material

Video 10.1

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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Copyright information

© Springer International Publishing Switzerland 2015

Authors and Affiliations

  • Melanie Ongchin
    • 1
  • Melissa E. Hogg
    • 2
  • Herbert J. ZehIII
    • 3
  • Amer H. Zureikat
    • 4
    Email author
  1. 1.Department of Surgical OncologyUniversity of Pittsburgh Medical CenterPittsburghUSA
  2. 2.Department of GI Surgical OncologyUniversity of Pittsburgh Medical Center, UPMC Shadyside HospitalPittsburghUSA
  3. 3.GI Surgical OncologyUPMC Shadyside HospitalPittsburghUSA
  4. 4.Division of Surgical OncologyUniversity of Pittsburgh Medical CenterPittsburghUSA

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