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Technical Detail for Robot Assisted Pancreaticoduodenectomy
Published on: September 28, 2019
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Technical considerations for the fully robotic pancreaticoduodenectomy
Daniel Galvez1, Rebecca Sorber1, Ammar A Javed1
1Department of Surgery, The Johns Hopkins Hospital Baltimore, MD 21215, USA.
Journal of Visualized Surgery
|October 29, 2017
Summary
Robotic pancreaticoduodenectomy (RPD) offers comparable oncologic outcomes and faster recovery to open surgery for experienced surgeons. This paper details a specific technique for fully robotic pancreaticoduodenectomy (RPD).
Area of Science:
- Surgical Oncology
- Minimally Invasive Surgery
- Robotic Surgery
Background:
- Minimally invasive surgery, including robotic approaches, is standard for many abdominal procedures.
- Pancreaticoduodenectomy (PD) presents technical challenges for minimally invasive techniques due to tumor location and characteristics.
- Robotic PD (RPD) is performed by a limited number of surgeons, resulting in varied techniques.
Purpose of the Study:
- To describe a standardized technique for fully robotic pancreaticoduodenectomy (RPD).
- To provide a video supplement demonstrating the execution of the described RPD technique.
Main Methods:
- Detailed description of the authors' technique for performing a fully robotic pancreaticoduodenectomy.
- Video supplement illustrating the step-by-step execution of the robotic procedure.
Main Results:
- Previous studies indicate robotic PD (RPD) yields oncologic outcomes and complication rates similar to open PD for experienced surgeons.
- Robotic PD (RPD) may be associated with accelerated patient surgical recovery compared to open procedures.
Conclusions:
- The described technique aims to standardize robotic pancreaticoduodenectomy (RPD) execution.
- Wider adoption of standardized robotic techniques could improve outcomes and recovery for patients undergoing pancreaticoduodenectomy (PD).

