Evidence map›Paper›PMID 40558245›Full record

GuidelineCurrent oncology (Toronto, Ont.)2025

Step-by-Step Description of Standardized Technique for Robotic Pancreatoduodenectomy.

Antonella Delvecchio, Silvio Caringi, Cataldo De Palma, Gaetano Brischetto, Rosalinda Filippo, Annachiara Casella, Valentina Ferraro, Matteo Stasi, Riccardo Memeo, Michele Tedeschi

Abstract readGuideline
In one paragraph

Guideline in Current oncology (Toronto, Ont.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Antonella DelvecchioUnit of Hepato-Biliary and Pancreatic Surgery, F. Miulli General Hospital, Acquaviva delle Fonti, 70021 Bari, Italy.ORCID 0000-0002-7759-4340
Silvio CaringiUnit of Hepato-Biliary and Pancreatic Surgery, F. Miulli General Hospital, Acquaviva delle Fonti, 70021 Bari, Italy.ORCID 0009-0008-6007-8834
Cataldo De PalmaUnit of Hepato-Biliary and Pancreatic Surgery, F. Miulli General Hospital, Acquaviva delle Fonti, 70021 Bari, Italy.ORCID 0009-0001-0997-9425
Gaetano BrischettoUnit of Hepato-Biliary and Pancreatic Surgery, F. Miulli General Hospital, Acquaviva delle Fonti, 70021 Bari, Italy.
Rosalinda FilippoUnit of Hepato-Biliary and Pancreatic Surgery, F. Miulli General Hospital, Acquaviva delle Fonti, 70021 Bari, Italy.
Annachiara CasellaUnit of Hepato-Biliary and Pancreatic Surgery, F. Miulli General Hospital, Acquaviva delle Fonti, 70021 Bari, Italy.
Valentina FerraroUnit of Hepato-Biliary and Pancreatic Surgery, F. Miulli General Hospital, Acquaviva delle Fonti, 70021 Bari, Italy.
Matteo StasiUnit of Hepato-Biliary and Pancreatic Surgery, F. Miulli General Hospital, Acquaviva delle Fonti, 70021 Bari, Italy.
Riccardo MemeoUnit of Hepato-Biliary and Pancreatic Surgery, F. Miulli General Hospital, Acquaviva delle Fonti, 70021 Bari, Italy.ORCID 0000-0002-1668-932X
Michele TedeschiUnit of Hepato-Biliary and Pancreatic Surgery, F. Miulli General Hospital, Acquaviva delle Fonti, 70021 Bari, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Robotic pancreaticoduodenectomy (RPD) has emerged as a viable alternative to open and laparoscopic approaches, offering potential advantages in precision and dexterity. However, its complexity and lack of standardization remain as barriers to widespread adoption. We present a step-by-step surgical approach to RPD, emphasizing key technical strategies to enhance safety, efficiency, and reproducibility. Our technique is structured into defined surgical steps, facilitating learning curve optimization and intraoperative consistency. Key refinements include an optimized trocar placement, the strategic suspension of vascular structures, and specific reconstructive techniques to reduce the operative time and improve surgical ergonomics. These improvements may contribute to a reduction in perioperative morbidity and procedural standardization. Standardizing RPD through defined surgical steps and structured learning pathways may improve its feasibility, safety, and broader adoption. Further studies are needed to validate these strategies in high-volume centers.

Indexed as

PancreaticoduodenectomyRobotic Surgical ProceduresHumansminimally invasive surgeryreproducibilityrobotic pancreaticoduodenectomystandardizationsurgical techniqueWhipple procedure

Identifiers

PMID40558245
PMCPMC12192253

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.