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Updated: Oct 18, 2025
Technical Detail for Robot Assisted Pancreaticoduodenectomy
Published on: September 28, 2019
[Actual issues of pancreatic tumor surgery]
1Vishnevsky National Medical Research Center for Surgery, Moscow, Russia.
Objective:
To analyze the features of diagnosis and treatment of pancreatic tumors.
Material And Methods:
This report is based on the results of 389 surgeries for different pancreatic neoplasms performed in the abdominal surgery department of the Vishnevsky Center of Surgery between 2016 and 2020.
Results:
Most serous cystic adenomas don't require surgical treatment. At the same time, mucinous cystic neoplasms should be exsiced. Intraductal papillary mucinous neoplasms type I and III should be surgically treated in organ-sparing fashion. Minimally invasive enucleation is desirable for solid pseudopapillary neoplasm. There is a high risk of post-pancreatecomy pancreatitis and fistula in patients with pancreatic neuroendocrine tumors. Pancreatic fistula and hemorrhage occurred in 23% and 17% of cases after pancreaticoduodenectomy (n=211), respectively.
Conclusion:
The choice of surgical strategy for pancreatic tumors is a quite complex problem. Technical features of surgeries require special experience. Surgical treatment of patients with pancreatic tumors should be carried out in specialized pancreatic centers.
