Robotic pancreatoduodenectomy: trends in technique and training challenges

Davis, Catherine H.; Grandhi, Miral S.; Gazivoda, Victor P.; Greenbaum, Alissa; Kennedy, Timothy J.; Langan, Russell C.; Alexander, H. Richard; Pitt, Henry A.; August, David A.

doi:10.1007/s00464-022-09469-3

Cited by 7 publications

(11 citation statements)

References 41 publications

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“…In 2018 we presented our technique for robotic ALPPS with positive outcomes. All our comparison studies for robotic liver surgery have shown similar clinical outcomes to laparoscopic and improvements in length of stay and decreased blood loss compared to open cases 5,17 …”

Section: Expanding the Indications For Robotic Liver And Pancreas Sur...mentioning

confidence: 86%

“…In a comparative study we saw shorter hospital length of stay, fewer ICU admissions, and fewer hospital re-admissions after robotic major hepatectomy compared to laparoscopic. 5 We also noticed that more complex cases, such as right posterior sectionectomy, were able to be performed minimally invasively when using the robotic platform. We then began to offer robotic hepatectomy to patients that required biliary and vascular reconstructions.…”

Section: E Xpand Ing the Ind I C Ati On S For Roboti C Liver And Pan ...mentioning

confidence: 91%

“…Since then, we have performed over 100 major robotic hepatectomies including trisectionectomies, hemi‐hepatectomies, right posterior sectionectomies, central hepatectomies, ALPPS procedures, and Klatskin resections. In a comparative study we saw shorter hospital length of stay, fewer ICU admissions, and fewer hospital re‐admissions after robotic major hepatectomy compared to laparoscopic 5 . We also noticed that more complex cases, such as right posterior sectionectomy, were able to be performed minimally invasively when using the robotic platform.…”

Section: Expanding the Indications For Robotic Liver And Pancreas Sur...mentioning

confidence: 91%

“…All our comparison studies for robotic liver surgery have shown similar clinical outcomes to laparoscopic and improvements in length of stay and decreased blood loss compared to open cases. 5,17 In 2011 we performed the first robotic pancreaticoduodenectomy, 5 years after initiation of the program. Integration of these complex cases occurred gradually.…”

Section: E Xpand Ing the Ind I C Ati On S For Roboti C Liver And Pan ...mentioning

confidence: 99%

“…2 It has been frequently mentioned in the literature that the robotic platform has theoretical advantages providing surgeons the dexterity to perform complex operations in a minimally invasive fashion that may not be seen with laparoscopy. [3][4][5] The downfalls, however, seem to be two-fold; the learning curve that needs to be overcome prior to experiencing superior outcomes and cost. Over the last 16 years, we have established a high-volume center for complex robotic hepatobiliary and pancreas surgery and published outcomes that surpass some of those for open and laparoscopic HPB surgery within our institution.…”

mentioning

confidence: 99%

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Current progress in robotic hepatobiliary and pancreatic surgery at a high‐volume center

McCarron,

Vrochides,

Martinie

2023

Annals of Gastroent Surgery

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There has been steady growth in the adoption of robotic HPB procedures world‐wide over the past 20 years, but most of this increase has occurred only recently. Not surprisingly, the vast majority of robotics has been in the United States, with very few, select centers of adoption in Italy, South Korea, and Brazil, to name a few. We began our robotic HPB program in 2008, well before almost all other centers in the world, with the most notable exception of Giullianotti and colleagues. Our program began gradually, with smaller cases carefully selected to optimize the strengths of the original robotic platform and included complex biliary and pancreatic resections. We performed the first reported series of choledochojejunostomy for benign biliary strictures and first series of completion cholecystectomies. We began performing robotic distal pancreatectomies and longitudinal pancreaticojejunostomies, reporting our early experience for each of these procedures. Over time we progressed to robotic pancreaticoduodenectomies. Initially, these were performed with planned conversions until we were able to optimize efficiency. Now we have performed over 200 robotic whipples, reaching a 100% robotic completion rate by 2020. Finally, we have added robotic major hepatectomies, including resections for hilar cholangiocarcinoma to our repertoire. Since the program began, we have performed over 1600 robotic HPB cases. Outcomes from our program have shown superior lymph node harvest, lower DGE rates, shorter hospitalizations, and fewer rehab admissions with similar overall complications to open and laparoscopic procedures, signifying that over time a robotic HPB program is not only feasible but advantageous as well.

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Section: Expanding the Indications For Robotic Liver And Pancreas Sur...mentioning

confidence: 86%

Section: E Xpand Ing the Ind I C Ati On S For Roboti C Liver And Pan ...mentioning

confidence: 91%

Section: Expanding the Indications For Robotic Liver And Pancreas Sur...mentioning

confidence: 91%

Section: E Xpand Ing the Ind I C Ati On S For Roboti C Liver And Pan ...mentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

Current progress in robotic hepatobiliary and pancreatic surgery at a high‐volume center

McCarron,

Vrochides,

Martinie

2023

Annals of Gastroent Surgery

View full text Add to dashboard Cite

show abstract

Unplanned conversions of robotic pancreaticoduodenectomy: short-term outcomes and suggested stepwise approach for a safe conversion

Slavin,

Ross,

Sucandy

et al. 2023

Surg Endosc

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Minimally invasive training in surgical oncology: Current status and needs assessment

Rieser,

Corvino,

Hays

et al. 2024

Surgical Oncology Insight

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Robotic pancreatoduodenectomy: trends in technique and training challenges

Cited by 7 publications

References 41 publications

Current progress in robotic hepatobiliary and pancreatic surgery at a high‐volume center

Current progress in robotic hepatobiliary and pancreatic surgery at a high‐volume center

Unplanned conversions of robotic pancreaticoduodenectomy: short-term outcomes and suggested stepwise approach for a safe conversion

Minimally invasive training in surgical oncology: Current status and needs assessment

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