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Robotic vascular resections during Whipple procedure.

Bassan J Allan1, Stephanie M Novak1, Melissa E Hogg1

  • 1Division of Surgical Oncology, Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.

Journal of Visualized Surgery
|February 16, 2018
PubMed
Summary
This summary is machine-generated.

Robotic Whipple procedures enable minimally invasive resection of pancreatic cancer involving the portal vein (PV) or superior mesenteric vein (SMV). This technique offers a less invasive alternative for complex pancreatic surgeries requiring vascular reconstruction.

Keywords:
Robotic-assistedWhipplepancreaticoduodenectomyportovenous reconstructionvein resection

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Area of Science:

  • Surgical Oncology
  • Gastrointestinal Surgery
  • Robotic Surgery

Background:

  • Pancreatic cancer resection indications have expanded to include patients with peri-pancreatic vascular involvement.
  • The standard surgical approach for portal vein (PV) or superior mesenteric vein (SMV) reconstruction is the open Whipple procedure.
  • Minimally invasive techniques, including robotic surgery, are increasingly adopted for complex pancreatic resections.

Purpose of the Study:

  • To describe the technique for performing robotic Whipple procedures with concomitant portovenous resections.
  • To present institutional experience with robotic pancreaticoduodenectomy involving vascular reconstruction.

Main Methods:

  • Retrospective review of seventy robotic Whipple procedures.
  • Focus on cases requiring resection and reconstruction of the portal vein (PV) or superior mesenteric vein (SMV).
  • Detailed description of the surgical technique employed for robotic pancreaticoduodenectomy with vascular resection.

Main Results:

  • Successfully performed seventy robotic Whipple procedures with vascular resections.
  • Demonstrates the feasibility of a minimally invasive approach for complex pancreatic cancer surgery involving major veins.

Conclusions:

  • Robotic Whipple procedures are a viable option for selected patients with pancreatic cancer involving the PV or SMV.
  • This minimally invasive technique facilitates complex vascular reconstruction during pancreaticoduodenectomy.
  • The described technique allows for effective treatment of advanced pancreatic malignancies with reduced invasiveness.