Routine use of chest computed tomography may avoid futile resections in patients with suspected pancreatic head carcinoma

Abstract

Background: Pylorus preserving pancreaticoduodenectomy is one oft he most complex procedures in general surgery. Laparoscopic pancreaticoduodenectomy was initially described in 1994. However, its worldwide distribution is limited to only a few specialist centers. Robotic surgery using the DaVinciÒ-system can overcome many limitations of laparoscopic surgery. Methods: Video presentation. Results: The video presents a robotic pylorus preserving pancreaticoduodenectomy for periampullary carcinoma in a female patient. Alternate types of reconstruction are demonstrated and discussed. The clinical course was uneventful, the patient was discharged on day 10. Conclusion: Robotic pancreaticoduodenectomy is feasible and safe. The Robotic system is a promising tool for a more widespread introduction of minimally invasive surgery for pancreatic disease.