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Updated: Jun 7, 2026
Robotic-assisted Lateral Pancreaticojejunostomy for Chronic Pancreatitis
Published on: September 5, 2025
Robotic vs open Puestow procedure for chronic pancreatitis: an updated 15-year experience
Marleny N F Araujo1, Valeria Arango1, Raphael L C Araujo1
1Division of HPB Surgery, Department of Surgery, Carolinas Medical Center, 1025 Morehead Medical Drive, Suite 600, Charlotte, NC, USA.
Introduction:
Pain from chronic pancreatitis (CP) impairs quality of life and demands continuous treatment, whether pharmacological, endoscopic or surgical. Surgical treatment for CP can include solely decompression, resection, or a combination of both. The modified Puestow [1] procedure is an established indication for patients with a dilated pancreatic duct and without the need for parenchyma resection.
Methods:
We report a series of 48 patients who have undergone a Puestow procedure from January 2009 to July 2025 (28 open and 21 robotic).
Results:
This is a retrospective review of a prospectively maintained database. Comparison between groups reveals a shorter overall hospital length of stay and zero readmissions among the robotic group (respectively p = 0.036 and 0.029), as well as no difference in morbidity or operative time when compared to open cases.
Conclusion:
At our high-volume HPB center, robotic Puestow procedures are safe and feasible, with similar complication rates and earlier discharge.
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