Related Experiment Video
Updated: Jul 18, 2025
Robotic Pancreatoduodenectomy for Pancreatic Head Cancer: a Case Report of a Standardized Technique
Published on: June 24, 2022
Implementation of robotic pancreaticoduodenectomy at a community tertiary care hospital utilizing a comprehensive
Jason T Heckman1, Ashley E Martinez2, Rebecca L Keim1
1Department of Hepatobiliary, Pancreatic, and General Surgery, St. Peter's Health Partners, 319 S Manning Blvd, Ste 304, Albany, NY, 12208, United States.
Background:
We evaluated the outcomes of a robotic pancreaticoduodenectomy (RPD) program implemented at a community tertiary care hospital.
Methods:
A retrospective review of 65 RPD cases compared surgical outcomes and performance to benchmark data.
Results:
Postoperative complications occurred in 31% (20) of patients vs. ≤73% (variance -42), with grade IV complications in 3% (2) vs. ≤5% (variance -2). Postoperative pancreatic fistula type B frequency was 12% (8) vs. ≤15% (variance -3). One 90-day mortality occurred (1.5% vs. 1.6%). Failure to rescue rate was 7% vs. ≤9% (variance -2), and R1 resection rate was 2% vs. ≤39% (variance -37). There was a downward trend of operative time (rho = -0.600, P < 0.001), with a learning curve of 27 cases. Median hospital length of stay was 6 days vs. ≤15 days (variance -9).
Conclusion:
Our comprehensive RPD training program resulted in improved operative performance and outcomes commensurate with benchmark thresholds.
