ArticleSurgical endoscopy2023
Tips and tricks for robotic pancreatoduodenectomy with superior mesenteric/portal vein resection and reconstruction.
Article in Surgical endoscopy, 2023. 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, 36 citations in OpenAlex.
- Robotic pancreaticoduodenectomy with venous resection and reconstruction: a systematic review of perioperative, vascular, oncological and survival outcomes.Journal of robotic surgery · 2026Pooled it
- Autologous peritoneal patch for venous reconstruction: A systematic review of clinical outcomes.Annals of hepato-biliary-pancreatic surgery · 2026Review
- Robotic Pancreaticoduodenectomy Combined with Partial Resection of the Superior Mesenteric Vein and Artificial Vessel Replacement in Minors.Annals of surgical oncology · 2026Article
- Pancreatic ductal adenocarcinoma and pancreatic surgery in the 21st century: triumphs, turning points, and unresolved challenges.Updates in surgery · 2026Review
- 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
- Robotic left gastric vein reimplantation to prevent gastric venous congestion in total pancreatectomy.Updates in surgery · 2026Article
- Robotic portomesenteric vein reconstruction using self-fashioned bovine pericardial grafts during Da Vinci-assisted pancreatectomy: a case series with video demonstration.Surgical endoscopy · 2026Article
- Evaluation of Clinical Outcomes and Graft Patency Following Venous Resection and Vascular Reconstruction Using a Recanalized Ligamentum Teres Hepatis Graft in Pancreaticoduodenectomy.Annals of surgical oncology · 2026Article
- Stapled Wedge Resection of the Portal Vein/Superior Mesenteric Vein During Robotic Pancreaticoduodenectomy: Feasibility and Short-term Outcomes.Annals of surgical oncology · 2026Article
- Robot-assisted pancreaticoduodenectomy: a bibliometric analysis of trends, key contributors, and collaborations.Journal of robotic surgery · 2025Article
- Safety and learning curve of robotic pancreatoduodenectomy with limited robotic platform access: a propensity score-matched comparison with open surgery in a high-volume center.Hepatobiliary surgery and nutrition · 2025Article
- Technical Aspects of Patch Reconstruction during Open and Robotic Pancreatoduodenectomy with Venous Resection: Preserving Venous Axis and Collaterals without Sacrificing Radicality.Annals of surgical oncology · 2025Article
- Learning Curve of Robotic Pancreaticoduodenectomy with Portal-Superior Mesenteric Vein Resection for Pancreatic Cancers.Journal of clinical medicine · 2025Article
- Intestinal reengineering: Scientific advances in intestinal transplantation.World journal of gastrointestinal surgery · 2025Review
- Robotic-assisted vascular bypass for celiac trunk occlusion: expanding the horizons of minimally invasive surgery.Updates in surgery · 2025Article
- Percutaneous transhepatic recanalization of occluded prosthetic graft after pancreatoduodenectomy with venous reconstruction for pancreatic cancer.Frontiers in oncology · 2025Article
- Robotic-Assisted Vascular Surgery: A Clinical Perspective.Methodist DeBakey cardiovascular journal · 2025Review
- Robotic Pancreatoduodenectomy: Increasing Complexity and Decreasing Complications with Experience: Single-Center Results from 150 Consecutive Patients.Annals of surgical oncology · 2024Article
- Robot-assisted vascular surgery: literature review, clinical applications, and future perspectives.Journal of robotic surgery · 2024Review
- 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
Corrections and comments
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Authors and funding
11 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOpen pancreatoduodenectomy with vein resection (OPD-VR) is now standard of care in patients who responded to neoadjuvant therapies. Feasibility of robotic pancreatoduodenectomy (RPD) with vein resection (RPD-VR) was shown, but no study provided a detailed description of the technical challenges associated with this formidable operation. Herein, we describe the trips and tricks for technically successful RPD-VR.
methodsThe vascular techniques used in RPD-VR were borrowed from OPD-VR, as well as from our experience with robotic transplantation of both kidney and pancreas. Vein resection was classified into 4 types according to the international study group of pancreatic surgery. Each type of vein resection was described in detail and shown in a video.
resultsBetween October 2008 and November 2021, a total of 783 pancreatoduodenectomies were performed, including 233 OPDs-VR (29.7%). RPD was performed in 256 patients (32.6%), and RPDs-VR in 36 patients (4.5% of all pancreatoduodenectomies; 15.4% of all pancreatoduodenectomies with vein resection; 14.0% of all RPDs). In RPD-VR vein resections were: 4 type 1 (11.1%), 10 type 2 (27.8%), 12 type 3 (33.3%) and 10 type 4 (27.8%). Vascular patches used in type 2 resections were made of peritoneum (n = 8), greater saphenous vein (n = 1), and deceased donor aorta (n = 1). Interposition grafts used in type 4 resections were internal left jugular vein (n = 8), venous graft from deceased donor (n = 1) and spiral saphenous vein graft (n = 1). There was one conversion to open surgery (2.8%). Ninety-day mortality was 8.3%. There was one (2.8%) partial vein thrombosis, treated with heparin infusion.
conclusionsWe have reported 36 technically successful RPDs-VR. We hope that the tips and tricks provided herein can contribute to safer implementation of RPD-VR. Based on our experience, and according to data from the literature, we strongly advise that RPD-VR is performed by expert surgeons at high volume centers.
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