ArticleUpdates in surgery2016
Indications, technique, and results of robotic pancreatoduodenectomy.
Article in Updates in surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.
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Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.
- Minimally invasive pancreaticoduodenectomy for periampullary disease: a comprehensive review of literature and meta-analysis of outcomes compared with open surgery.BMC gastroenterology · 2017Pooled it
- External Validation of the International Study Group for Pancreatic Surgery Complexity Grading System for Minimally Invasive Pancreatoduodenectomy: Insights From the IGOMIPS Registry.Annals of surgery · 2026Article
- From Open to Robot-Assisted Pancreatoduodenectomy: What RCTs Really Show.Journal of clinical medicine · 2026Review
- Robot-assisted pancreaticoduodenectomy: a bibliometric analysis of trends, key contributors, and collaborations.Journal of robotic surgery · 2025Article
- The British technique of purely robotic Whipple's pancreatoduodenectomy a systematic and stepwise ('clockwise') approach.Hepatobiliary surgery and nutrition · 2025Article
- Perioperative outcomes of robot-assisted pancreatoduodenectomy (PD) and totally laparoscopic PD after overcoming learning curves with comparison of oncologic outcomes between open PD and minimally invasive PD.Annals of hepato-biliary-pancreatic surgery · 2024Article
- Internal hernia through the Treitz fossa after robotic pancreatoduodenectomy: pathogenesis and preventive measures.Updates in surgery · 2024Article
- Rationale and tips and tricks for transgastric robotic pancreaticogastrostomy by the double purse-string technique.Updates in surgery · 2024Article
- Instrumentless liver suspension for liver retraction in robotic pancreatoduodenectomy.Updates in surgery · 2024Article
- Robotic Versus Open Pancreatoduodenectomy With Vein Resection and Reconstruction: A Propensity Score-Matched Analysis.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2024Article
- Early experience with robotic pancreatoduodenectomy versus open pancreatoduodenectomy: nationwide propensity-score-matched analysis.The British journal of surgery · 2024Article
- Robotic pancreas-preserving total duodenectomy: first-world experience.Updates in surgery · 2023Article
- Tips and tricks for robotic pancreatoduodenectomy with superior mesenteric/portal vein resection and reconstruction.Surgical endoscopy · 2023Article
- Division of the neck of the pancreas in minimally invasive surgery without a preemptive retropancreatic tunnel.Updates in surgery · 2023Article
- Feasibility of "cold" triangle robotic pancreatoduodenectomy.Surgical endoscopy · 2022Article
- Propensity score-matched comparison of the oncological feasibility and survival outcomes for pancreatic adenocarcinoma with robotic and open pancreatoduodenectomy.Surgical endoscopy · 2022Article
- Robotic pancreaticoduodenectomy for pancreatic head cancer and periampullary lesions.Annals of gastroenterological surgery · 2021Review
- Hybrid pancreatoduodenectomy in laparoscopic and robotic surgery: a single-center experience in China.Surgical endoscopy · 2021Article
- Robotic pancreaticoduodenectomy in the era of minimally invasive surgery.Journal of the Chinese Medical Association : JCMA · 2020Review
- Robot-Assisted Pancreatic Surgery: A Structured Approach to Standardization of a Program and of the Operation.Visceral medicine · 2020Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Robotic assistance improves surgical dexterity in minimally invasive operations, especially when fine dissection and multiple sutures are required. As such, robotic assistance could be rewarding in the setting of robotic pancreatoduodenectomy (RPD). RPD was implemented at a high volume center with preemptive experience in advanced laparoscopy. Indications, surgical technique, and results of RPD are discussed against the background of current literature. RPD was performed in 112 consecutive patients. Conversion to open surgery was required in three patients, despite nine required segmental resection and reconstruction of the superior mesenteric/portal vein. No patient was converted to laparoscopy. A pancreato-jejunostomy was created in 106 patients (94.6 %), using either a duct-to-mucosa (n = 82; 73.2 %) or an invaginating (n = 24; 21.4 %) technique. Pancreato-gastrostomy was performed in one patient, the pancreatic duct was occluded in two patients, and a pancreatico-cutaneous fistula was created in three patients. Mean operative time was 526.3 ± 102.4 in the entire cohort and reduced significantly over the course of time. Experience was also associated with reduced rates of delayed gastric emptying and increased proportion of malignant tumor histology. Ninety day mortality was 3.6 %. Postoperative complications occurred in 83 patients (74.1 %) with a median comprehensive complication index of 20.9 (0-30.8). Clinically relevant pancreatic fistula occurred in 19.6 % of the patients. No grade C pancreatic fistula was noted in the last 72 consecutive patients. RPD is safely feasible in selected patients. Implementation of RPD requires sound experience with open pancreatoduodenectomy and advanced laparoscopic procedures, as well as specific training with the robotic platform.
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