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Updated: Dec 25, 2025
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Technical Detail for Robot Assisted Pancreaticoduodenectomy
Published on: September 28, 2019
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Robotic Pancreatoduodenectomy: Patient Selection, Volume Criteria, and Training Programs
L R Jones1,2, M J W Zwart2, I Q Molenaar3
1Department of General Surgery, Istituto Ospedaliero Fondazione Poliambulanza, Brescia, Italy.
Summary
Robotic pancreatoduodenectomy is safe for all patients when performed by trained surgeons in high-volume centers. Proficiency-based training programs are essential for safe implementation and future research in robotic surgery.
Area of Science:
- Minimally invasive surgery
- Surgical oncology
- Robotic surgery
Background:
- Minimally invasive pancreas surgery has advanced rapidly, with robotic pancreatoduodenectomy being a recent innovation.
- Studies suggest benefits of robotic pancreatoduodenectomy over open or laparoscopic approaches.
- This review examines patient selection, volume criteria, and training for robotic pancreatoduodenectomy.
Purpose of the Study:
- To review current literature on patient selection for robotic pancreatoduodenectomy.
- To identify recommended volume criteria for centers performing robotic pancreatoduodenectomy.
- To explore existing training programs and knowledge gaps for safe implementation.
Main Methods:
- A comprehensive literature search was performed using PubMed.
- Keywords included patient selection, volume criteria, and training programs for robotic pancreatoduodenectomy.
- Twenty studies were included in the review.
Main Results:
- No patient selection contraindications for robotic pancreatoduodenectomy were identified.
- Consensus and guidelines recommend a minimum of 20 procedures per center annually.
- One training program showed improved outcomes and a shorter learning curve.
Conclusions:
- Robotic pancreatoduodenectomy is safe and feasible for all indications with proper training and high-volume centers (≥20 procedures/year).
- Proficiency-based training programs are crucial for safe adoption and future research.
- Addressing implementation barriers is key for widespread, safe use.
