Robotic-Assisted Pancreaticoduodenectomy: How We Do It View Full Text


Ontology type: schema:Chapter     


Chapter Info

DATE

2018

AUTHORS

Ammar A. Javed , Aslam Ejaz , Matthew J. Weiss

ABSTRACT

Improvements in surgical techniques and instrumentation have led to the advent of robotic surgery that is now considered to be the standard approach for multiple abdominal procedures. Adaptation of this technique to perform pancreaticoduodenectomy (PD) has been slow due to several reasons, including complex anatomy, the need for multiple complex anastomoses, sparse data on the impact on short- and long-term oncological outcomes, and the lack of training facilities. However, some high-volume centers performing robotic pancreaticoduodenectomy (RPD) have reported multiple benefits of this approach, including earlier postoperative oral intake, reduced operative blood loss, and decreased postoperative pain resulting in earlier recovery and shorter length of stay. Furthermore, RPD has been shown to have equivalent oncological outcomes as compared to the open approach in terms of number of resected lymph nodes and rates of negative margin resection. The technique of RPD remains heterogeneous varying from hybrid procedures to completely robotic PD. This chapter describes our surgical approach to performing a RPD and discusses patient selection and the current literature available on RPD. More... »

PAGES

203-210

Book

TITLE

Surgery for Pancreatic and Periampullary Cancer

ISBN

978-981-10-7463-9
978-981-10-7464-6

Author Affiliations

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/978-981-10-7464-6_22

DOI

http://dx.doi.org/10.1007/978-981-10-7464-6_22

DIMENSIONS

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