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Robotic Pancreaticoduodenectomy (Whipple Procedure)

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Robotics in General Surgery

Abstract

Technological innovations in robotic-assisted surgery have allowed complex resections and anastomotic reconstructions. We present the selection criteria, technical description, and preliminary outcomes of robotic-assisted pancreaticoduodenectomy (RAPD). RAPD is offered to patients with low-predicted risk of a non-R0 outcome, based on tumor diameter, endoscopic ultrasound, and CT evidence of vascular involvement. Early outcomes of RAPD are comparable to laparoscopic and open approaches, bringing the well-recognized advantages of minimally invasive surgery to major pancreatic resections.

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References

  1. Whipple AO. Pancreaticoduodenectomy for Islet carcinoma: a five-year follow-up. Ann Surg. 1945;121(6): 847–52.

    Article  CAS  PubMed  Google Scholar 

  2. Traverso LW, Longmire Jr WP. Preservation of the pylorus in pancreaticoduodenectomy. Surg Gynecol Obstet. 1978;146(6):959–62.

    CAS  PubMed  Google Scholar 

  3. Howard JM. Pancreatico-duodenectomy: forty-one consecutive Whipple resections without an operative mortality. Ann Surg. 1968;168(4):629–40.

    Article  CAS  PubMed  Google Scholar 

  4. Crist DW, Sitzmann JV, Cameron JL. Improved hospital morbidity, mortality, and survival after the Whipple procedure. Ann Surg. 1987;206(3):358–65.

    Article  CAS  PubMed  Google Scholar 

  5. Gagner M, Pomp A. Laparoscopic pylorus-preserving pancreatoduodenectomy. Surg Endosc. 1994;8(5): 408–10.

    Article  CAS  PubMed  Google Scholar 

  6. Palanivelu C, Rajan PS, Rangarajan M, Vaithiswaran V, Senthilnathan P, Parthasarathi R, Praveen RP. Evolution in techniques of laparoscopic pancreaticoduodenectomy: a decade long experience from a tertiary center. J Hepatobiliary Pancreat Surg. 2009; 16(6):731–40.

    Article  CAS  PubMed  Google Scholar 

  7. Kendrick ML, Cusati D. Total laparoscopic pancreaticoduodenectomy: feasibility and outcome in an early experience. Arch Surg. 2010;145(1):19–23.

    Article  PubMed  Google Scholar 

  8. Gagner M, Palermo M. Laparoscopic Whipple procedure: review of the literature. J Hepatobiliary Pancreat Surg. 2009;16(6):726–30.

    Article  PubMed  Google Scholar 

  9. Giulianotti PC, Sbrana F, Bianco FM, Elli EF, Shah G, Addeo P, Caravaglios G, Coratti A. Robot-assisted laparoscopic pancreatic surgery: single- surgeon experience. Surg Endosc. 2010;24(7):1646–57.

    Article  PubMed  Google Scholar 

  10. Narula VK, Mikami DJ, Melvin WS. Robotic and laparoscopic pancreaticoduodenectomy: a hybrid approach. Pancreas. 2010;39(2):160–4.

    Article  PubMed  Google Scholar 

  11. Moser AJ, Zeh HJ. Robotic pancreaticoduodenectomy. In: Fischer JE, Jones DB, Pomposelli FB, Upchurch Jr GR, editors. Fischer’s mastery of surgery, vol. 133A. 6th ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2011. p. 92–9.

    Google Scholar 

  12. Zureikat AH, Nguyen KT, Bartlett DL, Zeh HJ, Moser AJ. Robotic-assisted major pancreatic resection and reconstruction. Arch Surg. 2011;146(3):256–61.

    Article  PubMed  Google Scholar 

  13. Nguyen KT, Zureikat AH, Chalikonda S, Bartlett DL, Moser AJ, Zeh HJ. Technical aspects of robotic-assisted pancreaticoduodenectomy (RAPD). J Gastrointest Surg. 2011;15(5):870–5.

    Article  PubMed  Google Scholar 

  14. Zeh III HJ, Bartlett DL, Moser AJ. Robotic-assisted major pancreatic resection. Adv Surg. 2011;45:323–40.

    Article  PubMed  Google Scholar 

  15. Zeh HJ, Zureikat AH, Secrest A, Dauoudi M, Bartlett D, Moser AJ. Outcomes after robot-assisted pancreaticoduodenectomy for periampullary lesions. Ann Surg Oncol. 2012;19(3):864–70.

    Article  PubMed  Google Scholar 

  16. Bao P, Potter D, Eisenberg DP, Lenzner D, Zeh HJ, Lee Iii KK, Hughes SJ, Sanders MK, Young JL, Moser AJ. Validation of a prediction rule to maximize curative (R0) resection of early-stage pancreatic adenocarcinoma. HPB (Oxford). 2009;11(7):606–11.

    Article  Google Scholar 

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Correspondence to A. James Moser M.D., F.A.C.S. .

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© 2014 Springer Science+Business Media New York

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Dib, M.J., Kent, T., Moser, A.J. (2014). Robotic Pancreaticoduodenectomy (Whipple Procedure). In: Kim, K. (eds) Robotics in General Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-8739-5_13

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  • DOI: https://doi.org/10.1007/978-1-4614-8739-5_13

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-8738-8

  • Online ISBN: 978-1-4614-8739-5

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