Robotic pancreaticoduodenectomy (RPD) has emerged as an advanced minimally invasive approach to pancreatic surgery, building upon the limitations of traditional laparoscopy and open operations. This chapter provides a detailed description of the surgical steps involved in RPD, highlighting the advantages of the robotic platform, such as enhanced precision, tremor elimination, three-dimensional visualization, and superior ergonomics. These factors enable surgeons to undertake complex pancreatic procedures with some improvement in safety and outcomes compared to conventional methods. The introduction of robotic technology has revolutionized the field, overcoming the limitations of laparoscopic surgery, which include a steep learning curve. The chapter also discusses preoperative preparation, patient selection, and perioperative care, emphasizing the importance of multidisciplinary planning. Current literature supports the role of RPD in patient outcomes, with some studies showing similar or improved morbidity, mortality, and oncological safety specifically with lymph node resection status. As technology continues to evolve, RPD may become more applicable in pancreatic surgery. The chapter concludes with an optimistic outlook on the future of robotic pancreaticoduodenectomy as a transformative tool in complex pancreatic surgeries.

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Robotic Pancreatoduodenectomy

  • Sharona Ross,
  • Harel Jacoby,
  • Cameron Syblis,
  • Iswanto Sucandy,
  • Alexander Rosemurgy

摘要

Robotic pancreaticoduodenectomy (RPD) has emerged as an advanced minimally invasive approach to pancreatic surgery, building upon the limitations of traditional laparoscopy and open operations. This chapter provides a detailed description of the surgical steps involved in RPD, highlighting the advantages of the robotic platform, such as enhanced precision, tremor elimination, three-dimensional visualization, and superior ergonomics. These factors enable surgeons to undertake complex pancreatic procedures with some improvement in safety and outcomes compared to conventional methods. The introduction of robotic technology has revolutionized the field, overcoming the limitations of laparoscopic surgery, which include a steep learning curve. The chapter also discusses preoperative preparation, patient selection, and perioperative care, emphasizing the importance of multidisciplinary planning. Current literature supports the role of RPD in patient outcomes, with some studies showing similar or improved morbidity, mortality, and oncological safety specifically with lymph node resection status. As technology continues to evolve, RPD may become more applicable in pancreatic surgery. The chapter concludes with an optimistic outlook on the future of robotic pancreaticoduodenectomy as a transformative tool in complex pancreatic surgeries.