How I Do It: Hybrid Laparoscopic and Robotic Pancreaticoduodenectomy

Overview

Journal J Gastrointest Surg

Specialty Gastroenterology

Date 2016 Jun 9

PMID 27271540

Citations 5

Authors

R Matthew Walsh

Sricharan Chalikonda

Affiliations

Soon will be listed here.

Abstract

Minimally invasive pancreatic resections remain technically challenging. Distal pancreatectomy has been embraced at multiple centers as an acceptable minimally invasive technique in selected patients. In contrast, minimally invasive pancreaticoduodenectomy has not achieved broad acceptance, partly due to technical challenges. We detail a minimally invasive technique that utilizes both laparoscopic and robotic approaches which capitalizes on the advantages of each. Our early results have encouraged the continued development of this minimally invasive pancreatic surgery program. This hybrid technique may be an approach that is useful for surgeons striving to adopt the advantages of minimally invasive surgery for their patients.

Citing Articles

The current status and future directions of robotic pancreatectomy.

Nakata K, Nakamura M Ann Gastroenterol Surg. 2021; 5(4):467-476.

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First experience with robotic pancreatoduodenectomy in Singapore.

Low T, Koh Y, Goh B Singapore Med J. 2019; 61(11):598-604.

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International consensus statement on robotic pancreatic surgery.

Liu R, Wakabayashi G, Palanivelu C, Tsung A, Yang K, Goh B Hepatobiliary Surg Nutr. 2019; 8(4):345-360.

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Technical considerations for the fully robotic pancreaticoduodenectomy.

Galvez D, Sorber R, Javed A, He J J Vis Surg. 2017; 3:81.

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Minimally invasive versus open pancreatoduodenectomy-systematic review and meta-analysis.

Pedziwiatr M, Malczak P, Pisarska M, Major P, Wysocki M, Stefura T Langenbecks Arch Surg. 2017; 402(5):841-851.

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References

Croome K, Farnell M, Que F, Reid-Lombardo K, Truty M, Nagorney D . Total laparoscopic pancreaticoduodenectomy for pancreatic ductal adenocarcinoma: oncologic advantages over open approaches?. Ann Surg. 2014; 260(4):633-8. DOI: 10.1097/SLA.0000000000000937. View

Boggi U, Signori S, De Lio N, Perrone V, Vistoli F, Belluomini M . Feasibility of robotic pancreaticoduodenectomy. Br J Surg. 2013; 100(7):917-25. DOI: 10.1002/bjs.9135. View

Sabater L, Garcia-Granero A, Escrig-Sos J, Del Carmen Gomez-Mateo M, Sastre J, Ferrandez A . Outcome quality standards in pancreatic oncologic surgery. Ann Surg Oncol. 2014; 21(4):1138-46. DOI: 10.1245/s10434-013-3451-2. View

Casadei R, Ricci C, Lazzarini E, Taffurelli G, DAmbra M, Mastroroberto M . Pancreatic resection in patients 80 years or older: a meta-analysis and systematic review. Pancreas. 2014; 43(8):1208-18. DOI: 10.1097/MPA.0000000000000182. View

Matsuoka L, Parekh D . The minimally invasive approach to surgical management of pancreatic diseases. Gastroenterol Clin North Am. 2012; 41(1):77-101. DOI: 10.1016/j.gtc.2011.12.006. View

Stauffer J, Asbun H . Minimally invasive pancreatic surgery. Semin Oncol. 2015; 42(1):123-33. DOI: 10.1053/j.seminoncol.2014.12.011. View

Zeh H, Zureikat A, Secrest A, Dauoudi M, Bartlett D, Moser A . Outcomes after robot-assisted pancreaticoduodenectomy for periampullary lesions. Ann Surg Oncol. 2011; 19(3):864-70. DOI: 10.1245/s10434-011-2045-0. View

Wang Y, Bergman S, Piedimonte S, Vanounou T . Bridging the gap between open and minimally invasive pancreaticoduodenectomy: the hybrid approach. Can J Surg. 2014; 57(4):263-70. PMC: 4119119. DOI: 10.1503/cjs.026713. View

Rosales-Velderrain A, Bowers S, Goldberg R, Clarke T, Buchanan M, Stauffer J . National trends in resection of the distal pancreas. World J Gastroenterol. 2012; 18(32):4342-9. PMC: 3436049. DOI: 10.3748/wjg.v18.i32.4342. View

10.

Donahue T, Reber H . Surgical management of pancreatic cancer--pancreaticoduodenectomy. Semin Oncol. 2015; 42(1):98-109. DOI: 10.1053/j.seminoncol.2014.12.009. View

11.

de Castro S, Houwert J, Lagarde S, Reitsma J, Busch O, van Gulik T . Evaluation of POSSUM for patients undergoing pancreatoduodenectomy. World J Surg. 2009; 33(7):1481-7. PMC: 2691933. DOI: 10.1007/s00268-009-0037-z. View

12.

Mishra P, Saluja S, Gupta M, Rajalingam R, Pattnaik P . Blumgart's technique of pancreaticojejunostomy: an appraisal. Dig Surg. 2011; 28(4):281-7. DOI: 10.1159/000329584. View

13.

de la Fuente S . Laparoscopic pancreaticoduodenectomies: a word of caution. J Am Coll Surg. 2013; 216(6):1218. DOI: 10.1016/j.jamcollsurg.2013.02.016. View

14.

Kendrick M . Laparoscopic and robotic resection for pancreatic cancer. Cancer J. 2012; 18(6):571-6. DOI: 10.1097/PPO.0b013e31827b8f86. View

15.

Boone B, Zenati M, Hogg M, Steve J, Moser A, Bartlett D . Assessment of quality outcomes for robotic pancreaticoduodenectomy: identification of the learning curve. JAMA Surg. 2015; 150(5):416-22. DOI: 10.1001/jamasurg.2015.17. View