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Updated: May 13, 2026

14:45
Technical Detail for Robot Assisted Pancreaticoduodenectomy
Published on: September 28, 2019
Robot-assisted subtotal pancreas-preserving duodenectomy
Mario Masrur1, Federico Gheza, Paolo Raimondi
1Division of General, Minimally Invasive and Robotic Surgery, University of Illinois, Chicago, IL 60612, USA. mmasrur@uic.edu
JSLS : Journal of the Society of Laparoendoscopic Surgeons
|March 15, 2013
Summary
Robotic-assisted surgery enabled a safe and feasible pancreas-preserving duodenectomy for duodenal angiodysplasia. This minimally invasive approach offers precise dissection and microsuture, expanding options for treating benign duodenal diseases.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Minimally Invasive Surgery
Background:
- Duodenal angiodysplasia is a rare cause of gastrointestinal bleeding, often necessitating surgical intervention.
- Minimally invasive surgical approaches for duodenal angiodysplasia are infrequently utilized due to technical challenges.
Observation:
- A 60-year-old female presented with chronic gastrointestinal bleeding from duodenal angiodysplasia, refractory to endoscopic treatments.
- Diagnostic imaging confirmed angiodysplasia in the third and fourth duodenal portions and proximal jejunum.
Findings:
- A robot-assisted subtotal pancreas-preserving duodenectomy was successfully performed with minimal blood loss and an uneventful postoperative recovery.
- Pathology confirmed duodenal angiodysplasia. Postoperative follow-up showed the patient was asymptomatic with no signs of duodenal obstruction.
Implications:
- Robotic assistance facilitates complex minimally invasive procedures like pancreas-preserving duodenectomy for benign duodenal diseases.
- Enhanced visualization and instrument dexterity in robotic surgery allow for precise dissection and reconstruction, improving patient outcomes.

