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Technical Detail for Robot Assisted Pancreaticoduodenectomy
Published on: September 28, 2019
Robot-assisted laparoscopic pancreaticoduodenectomy
A Horiguchi1, I Uyama, S Miyakawa
1Department of Gastroenterological Surgery, Fujita Health University, Toyoake, Aichi, Japan. akihori@fujita-hu.ac.jp
Journal of Hepato-Biliary-Pancreatic Sciences
|September 3, 2010
Summary
Robot-assisted pancreaticoduodenectomy (PD) using the da Vinci system allows for safe organ removal with minimal bleeding. Further experience with this robotic approach is expected to improve procedure times and patient outcomes.
Area of Science:
- Minimally Invasive Surgery
- Surgical Robotics
- Gastrointestinal Surgery
Background:
- Robotic surgery represents an advancement in minimally invasive procedures.
- Robot-assisted endoscopic gastrointestinal surgery reports are limited.
- This study details total laparoscopic pancreaticoduodenectomy (PD) using the da Vinci Surgical System.
Purpose of the Study:
- To describe the feasibility and outcomes of robot-assisted pancreaticoduodenectomy.
- To evaluate the safety and efficacy of the da Vinci system in PD.
Main Methods:
- Three patients underwent robotic PD between November 2009 and February 2010.
- Procedures involved resection of the pancreatic head, duodenum, and distal stomach.
- Intracorporeal anastomosis was achieved using Child's reconstruction method.
Main Results:
- Surgical time averaged 703 ± 141 minutes with blood loss of 118 ± 72 mL.
- Average hospital stay was 26 ± 12 days.
- One patient experienced a pancreatic juice leak, managed conservatively; all surgical margins were tumor-negative.
Conclusions:
- Robot-assisted PD, while time-consuming, enables safe organ removal with reduced bleeding due to enhanced instrument dexterity and visualization.
- Pancreatojejunostomy was successfully performed.
- Future accumulation of experience with the da Vinci PD is anticipated to enhance safety and efficiency.
