Robotic-Assisted Pancreaticoduodenectomy: How We Do It
Improvements in surgical techniques and instrumentation have led to the advent of robotic surgery that is now considered to be the standard approach for multiple abdominal procedures. Adaptation of this technique to perform pancreaticoduodenectomy (PD) has been slow due to several reasons, including complex anatomy, the need for multiple complex anastomoses, sparse data on the impact on short- and long-term oncological outcomes, and the lack of training facilities. However, some high-volume centers performing robotic pancreaticoduodenectomy (RPD) have reported multiple benefits of this approach, including earlier postoperative oral intake, reduced operative blood loss, and decreased postoperative pain resulting in earlier recovery and shorter length of stay. Furthermore, RPD has been shown to have equivalent oncological outcomes as compared to the open approach in terms of number of resected lymph nodes and rates of negative margin resection. The technique of RPD remains heterogeneous varying from hybrid procedures to completely robotic PD. This chapter describes our surgical approach to performing a RPD and discusses patient selection and the current literature available on RPD.
Grant support: Drs. Keith and Valda Kaye Research Fund.
- 17.Mendoza AS 3rd, Han HS, Yoon YS, Cho JY, Choi Y. Laparoscopy-assisted pancreaticoduodenectomy as minimally invasive surgery for periampullary tumors: a comparison of short-term clinical outcomes of laparoscopy-assisted pancreaticoduodenectomy and open pancreaticoduodenectomy. J Hepatobiliary Pancreat Sci. 2015;22(12):819–24.CrossRefPubMedGoogle Scholar