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Published in: World Journal of Surgery 12/2013

01-12-2013

State of the Art of Robotic Pancreatic Surgery

Authors: Luca Milone, Despoina Daskalaki, Xiaoying Wang, Pier Cristoforo Giulianotti

Published in: World Journal of Surgery | Issue 12/2013

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Abstract

More than a decade has passed since robotic technology was adopted for abdominal surgery, and virtually every gastrointestinal operation has since been shown to be feasible, safe, and reproducible using the robotic approach. Robotic pancreatic surgery had been left behind at the beginning, because they were technically challenging, requiring not only being very familiar with the robotic technology but also having a perfect knowledge of the anatomical variations, very frequent in this area. Nonetheless in the last few years many authors have approached the robot for pancreatic surgery with very promising results in terms of surgical and oncological outcomes. The aim of this article is to review the literature on robotic pancreatic surgery and to define the state of the art use of the robotic approach for pancreatic disease.
Literature
1.
go back to reference Kendrick ML, Cusati D (2010) Total laparoscopic pancreaticoduodenectomy: feasibility and outcome in an early experience. Arch Surg 145:19–23PubMedCrossRef Kendrick ML, Cusati D (2010) Total laparoscopic pancreaticoduodenectomy: feasibility and outcome in an early experience. Arch Surg 145:19–23PubMedCrossRef
2.
3.
go back to reference Hilal MA, Hamdam M, Di Fabio F et al (2012) Laparoscopic versus open distal pancreatectomy: a clinical and cost-effectiveness study. Surg Endosc 26:1670–1674PubMedCrossRef Hilal MA, Hamdam M, Di Fabio F et al (2012) Laparoscopic versus open distal pancreatectomy: a clinical and cost-effectiveness study. Surg Endosc 26:1670–1674PubMedCrossRef
4.
go back to reference Palanivelu C, Rajan PS, Rangaranjan M et al (2009) Evolution in techniques of laparoscopic pancreaticoduodenectomy: a decade long experience from a tertiary center. J Hepatobiliary Pancreatic Surg 16:731–740CrossRef Palanivelu C, Rajan PS, Rangaranjan M et al (2009) Evolution in techniques of laparoscopic pancreaticoduodenectomy: a decade long experience from a tertiary center. J Hepatobiliary Pancreatic Surg 16:731–740CrossRef
5.
go back to reference Gumbs AA, Gayet B (2008) The laparoscopic duodenopancreatectomy: the posterior approach. Surg Endosc 22:539–540PubMedCrossRef Gumbs AA, Gayet B (2008) The laparoscopic duodenopancreatectomy: the posterior approach. Surg Endosc 22:539–540PubMedCrossRef
6.
go back to reference Giulianotti PC, Sbrana F, Bianco FM et al (2010) Robot-assisted laparoscopic pancreatic surgery: single-surgeon experience. Surg Endosc 24:1646–1657PubMedCrossRef Giulianotti PC, Sbrana F, Bianco FM et al (2010) Robot-assisted laparoscopic pancreatic surgery: single-surgeon experience. Surg Endosc 24:1646–1657PubMedCrossRef
7.
go back to reference Winer J, Can MF, Bartlett DL et al (2012) The current state of robotic-assisted pancreatic surgery. Nat Rev Gastroenterol Hepatol 9:468–476PubMedCrossRef Winer J, Can MF, Bartlett DL et al (2012) The current state of robotic-assisted pancreatic surgery. Nat Rev Gastroenterol Hepatol 9:468–476PubMedCrossRef
8.
go back to reference Daouadi M, Zureikat AH, Zenati MS et al (2013) Robot-assisted minimally invasive distal pancreatectomy is superior to the laparoscopic technique. Ann Surg 257:128–132PubMedCrossRef Daouadi M, Zureikat AH, Zenati MS et al (2013) Robot-assisted minimally invasive distal pancreatectomy is superior to the laparoscopic technique. Ann Surg 257:128–132PubMedCrossRef
9.
go back to reference Narula VK, Mikami DJ, Melvin WS (2010) Robotic and laparoscopic pancreaticoduodenectomy: a hybrid approach. Pancreas 39:160–164PubMedCrossRef Narula VK, Mikami DJ, Melvin WS (2010) Robotic and laparoscopic pancreaticoduodenectomy: a hybrid approach. Pancreas 39:160–164PubMedCrossRef
11.
go back to reference Kang CM et al (2011) Initial experiences using robot-assisted central pancreatectomy with pancreaticogastrostomy: a potential way to advanced laparoscopic pancreatectomy. Surg Endosc 25:1101–1106PubMedCrossRef Kang CM et al (2011) Initial experiences using robot-assisted central pancreatectomy with pancreaticogastrostomy: a potential way to advanced laparoscopic pancreatectomy. Surg Endosc 25:1101–1106PubMedCrossRef
12.
go back to reference Giulianotti PC et al (2010) Robot-assisted laparoscopic middle pancreatectomy. J Laparoendosc Adv Surg Tech A 20:135–139PubMedCrossRef Giulianotti PC et al (2010) Robot-assisted laparoscopic middle pancreatectomy. J Laparoendosc Adv Surg Tech A 20:135–139PubMedCrossRef
13.
14.
go back to reference Ntourakis D et al (2011) Robotic left pancreatectomy for pancreatic solid pseudopapillary tumor. Ann Surg Oncol 18:642–643PubMedCrossRef Ntourakis D et al (2011) Robotic left pancreatectomy for pancreatic solid pseudopapillary tumor. Ann Surg Oncol 18:642–643PubMedCrossRef
15.
go back to reference Ballantyne GH (2007) Telerobotic gastrointestinal surgery: phase 2—safety and efficacy. Surg Endosc 21:1054–1062PubMedCrossRef Ballantyne GH (2007) Telerobotic gastrointestinal surgery: phase 2—safety and efficacy. Surg Endosc 21:1054–1062PubMedCrossRef
16.
go back to reference Talamini MA et al (2003) A prospective analysis of 211 robotic-assisted surgical procedures. Surg Endosc 17:1521–1524PubMedCrossRef Talamini MA et al (2003) A prospective analysis of 211 robotic-assisted surgical procedures. Surg Endosc 17:1521–1524PubMedCrossRef
17.
go back to reference Ntourakis D et al (2010) Robotic distal splenopancreatectomy: bridging the gap between pancreatic and minimal access surgery. J Gastrointest Surg 14:1326–1330PubMedCrossRef Ntourakis D et al (2010) Robotic distal splenopancreatectomy: bridging the gap between pancreatic and minimal access surgery. J Gastrointest Surg 14:1326–1330PubMedCrossRef
18.
19.
go back to reference Giulianotti PC et al (2003) Robotics in general surgery: personal experience in a large community hospital. Arch Surg 138:777–784PubMedCrossRef Giulianotti PC et al (2003) Robotics in general surgery: personal experience in a large community hospital. Arch Surg 138:777–784PubMedCrossRef
21.
go back to reference Melvin WS et al (2003) Robotic resection of pancreatic neuroendocrine tumor. J Laparoendosc Adv Surg Tech A 13:33–36PubMedCrossRef Melvin WS et al (2003) Robotic resection of pancreatic neuroendocrine tumor. J Laparoendosc Adv Surg Tech A 13:33–36PubMedCrossRef
22.
go back to reference Whipple AO, Parsons WB, Mullins CR (1935) Treatment of carcinoma of the ampulla of Vater. Ann Surg 102:763–779PubMedCrossRef Whipple AO, Parsons WB, Mullins CR (1935) Treatment of carcinoma of the ampulla of Vater. Ann Surg 102:763–779PubMedCrossRef
23.
go back to reference Gumbs AA et al (2011) Laparoscopic pancreatoduodenectomy: a review of 285 published cases. Ann Surg Oncol 18:1335–1341PubMedCrossRef Gumbs AA et al (2011) Laparoscopic pancreatoduodenectomy: a review of 285 published cases. Ann Surg Oncol 18:1335–1341PubMedCrossRef
24.
go back to reference Chalikonda S, Aguilar-Saavedra JR, Walsh RM (2012) Laparoscopic robotic-assisted pancreaticoduodenectomy: a case-matched comparison with open resection. Surg Endosc 26:2397–2402PubMedCrossRef Chalikonda S, Aguilar-Saavedra JR, Walsh RM (2012) Laparoscopic robotic-assisted pancreaticoduodenectomy: a case-matched comparison with open resection. Surg Endosc 26:2397–2402PubMedCrossRef
25.
go back to reference Zeh HJ et al (2012) Outcomes after robot-assisted pancreaticoduodenectomy for periampullary lesions. Ann Surg Oncol 19:864–870PubMedCrossRef Zeh HJ et al (2012) Outcomes after robot-assisted pancreaticoduodenectomy for periampullary lesions. Ann Surg Oncol 19:864–870PubMedCrossRef
26.
go back to reference Gagner M, Gentileschi P (2001) Hand-assisted laparoscopic pancreatic resection. Semin Laparosc Surg 8:114–125PubMedCrossRef Gagner M, Gentileschi P (2001) Hand-assisted laparoscopic pancreatic resection. Semin Laparosc Surg 8:114–125PubMedCrossRef
27.
go back to reference Ammori BJ (2004) Laparoscopic hand-assisted pancreaticoduodenectomy: initial UK experience. Surg Endosc 18:717–718PubMedCrossRef Ammori BJ (2004) Laparoscopic hand-assisted pancreaticoduodenectomy: initial UK experience. Surg Endosc 18:717–718PubMedCrossRef
28.
go back to reference Kimura Y et al (2005) Hand-assisted laparoscopic pylorus-preserving pancreaticoduodenectomy for pancreas head disease. Am J Surg 189:734–737PubMedCrossRef Kimura Y et al (2005) Hand-assisted laparoscopic pylorus-preserving pancreaticoduodenectomy for pancreas head disease. Am J Surg 189:734–737PubMedCrossRef
29.
go back to reference Choi SH et al (2011) Robotic pylorus preserving pancreaticoduodenectomy with mini-laparotomy reconstruction in patient with ampullary adenoma. J Korean Surg Soc 81:355–359PubMedCrossRef Choi SH et al (2011) Robotic pylorus preserving pancreaticoduodenectomy with mini-laparotomy reconstruction in patient with ampullary adenoma. J Korean Surg Soc 81:355–359PubMedCrossRef
30.
go back to reference Merchant NB, Parikh AA, Kooby DA (2009) Should all distal pancreatectomies be performed laparoscopically? Adv Surg 43:283–300PubMedCrossRef Merchant NB, Parikh AA, Kooby DA (2009) Should all distal pancreatectomies be performed laparoscopically? Adv Surg 43:283–300PubMedCrossRef
31.
go back to reference Melotti G et al (2007) Laparoscopic distal pancreatectomy: results on a consecutive series of 58 patients. Ann Surg 246:77–82PubMedCrossRef Melotti G et al (2007) Laparoscopic distal pancreatectomy: results on a consecutive series of 58 patients. Ann Surg 246:77–82PubMedCrossRef
32.
go back to reference Kooby DA et al (2008) Left-sided pancreatectomy: a multicenter comparison of laparoscopic and open approaches. Ann Surg 248:438–446PubMed Kooby DA et al (2008) Left-sided pancreatectomy: a multicenter comparison of laparoscopic and open approaches. Ann Surg 248:438–446PubMed
33.
go back to reference Mabrut JY et al (2005) Laparoscopic pancreatic resection: results of a multicenter European study of 127 patients. Surgery 137:597–605PubMedCrossRef Mabrut JY et al (2005) Laparoscopic pancreatic resection: results of a multicenter European study of 127 patients. Surgery 137:597–605PubMedCrossRef
34.
go back to reference Kooby DA et al (2010) A multicenter analysis of distal pancreatectomy for adenocarcinoma: is laparoscopic resection appropriate? J Am Coll Surg 210:779–785 (discussion 786–787) Kooby DA et al (2010) A multicenter analysis of distal pancreatectomy for adenocarcinoma: is laparoscopic resection appropriate? J Am Coll Surg 210:779–785 (discussion 786–787)
35.
go back to reference Fernandez-Cruz L et al (2007) Curative laparoscopic resection for pancreatic neoplasms: a critical analysis from a single institution. J Gastrointest Surg 11:1607–1621 (discussion 1621–1622) Fernandez-Cruz L et al (2007) Curative laparoscopic resection for pancreatic neoplasms: a critical analysis from a single institution. J Gastrointest Surg 11:1607–1621 (discussion 1621–1622)
36.
go back to reference Kang CM, Kim DH, Lee WJ (2010) Ten years of experience with resection of left-sided pancreatic ductal adenocarcinoma: evolution and initial experience to a laparoscopic approach. Surg Endosc 24:1533–1541PubMedCrossRef Kang CM, Kim DH, Lee WJ (2010) Ten years of experience with resection of left-sided pancreatic ductal adenocarcinoma: evolution and initial experience to a laparoscopic approach. Surg Endosc 24:1533–1541PubMedCrossRef
37.
go back to reference Zhan Q, Deng XX, Han B et al (2012) Robotic-assisted pancreatic resection: a report of 47 cases. Int J Med Robotics 9:41–44 Zhan Q, Deng XX, Han B et al (2012) Robotic-assisted pancreatic resection: a report of 47 cases. Int J Med Robotics 9:41–44
38.
go back to reference Hwang HK et al (2012) Robot-assisted spleen-preserving distal pancreatectomy: a single surgeon’s experiences and proposal of clinical application. Surg Endosc. doi:10-1007/s00464-012-2551-6. (Epub before print 8 Oct 2012) Hwang HK et al (2012) Robot-assisted spleen-preserving distal pancreatectomy: a single surgeon’s experiences and proposal of clinical application. Surg Endosc. doi:10-1007/​s00464-012-2551-6. (Epub before print 8 Oct 2012)
39.
go back to reference Kang CM et al (2011) Conventional laparoscopic and robot-assisted spleen-preserving pancreatectomy: does da Vinci have clinical advantages? Surg Endosc 25:2004–2009PubMedCrossRef Kang CM et al (2011) Conventional laparoscopic and robot-assisted spleen-preserving pancreatectomy: does da Vinci have clinical advantages? Surg Endosc 25:2004–2009PubMedCrossRef
40.
go back to reference Warshaw AL (2010) Distal pancreatectomy with preservation of the spleen. J Hepatobiliary Pancreatic Sci 17:808–812CrossRef Warshaw AL (2010) Distal pancreatectomy with preservation of the spleen. J Hepatobiliary Pancreatic Sci 17:808–812CrossRef
41.
go back to reference Turrini O et al (2013) Should the portal vein be routinely resected during pancreaticoduodenectomy for adenocarcinoma? Ann Surg 257:726–730PubMedCrossRef Turrini O et al (2013) Should the portal vein be routinely resected during pancreaticoduodenectomy for adenocarcinoma? Ann Surg 257:726–730PubMedCrossRef
42.
go back to reference Giulianotti PC et al (2011) Robotic extended pancreatectomy with vascular resection for locally advanced pancreatic tumors. Pancreas 40:1264–1270PubMedCrossRef Giulianotti PC et al (2011) Robotic extended pancreatectomy with vascular resection for locally advanced pancreatic tumors. Pancreas 40:1264–1270PubMedCrossRef
43.
go back to reference Crippa S et al (2007) Middle pancreatectomy: indications, short- and long-term operative outcomes. Ann Surg 246:69–76PubMedCrossRef Crippa S et al (2007) Middle pancreatectomy: indications, short- and long-term operative outcomes. Ann Surg 246:69–76PubMedCrossRef
44.
go back to reference Sa Cunha A et al (2007) Laparoscopic central pancreatectomy: single institution experience of 6 patients. Surgery 142:405–409PubMedCrossRef Sa Cunha A et al (2007) Laparoscopic central pancreatectomy: single institution experience of 6 patients. Surgery 142:405–409PubMedCrossRef
45.
go back to reference Rotellar F et al (2008) Totally laparoscopic Roux-en-Y duct-to-mucosa pancreaticojejunostomy after middle pancreatectomy: a consecutive nine-case series at a single institution. Ann Surg 247:938–944PubMedCrossRef Rotellar F et al (2008) Totally laparoscopic Roux-en-Y duct-to-mucosa pancreaticojejunostomy after middle pancreatectomy: a consecutive nine-case series at a single institution. Ann Surg 247:938–944PubMedCrossRef
46.
go back to reference Addeo P, Marzano E, Cinzia N et al (2011) Robotic central pancreatectomy with stented pancreaticogastrostomy: operative details. Int J Med Robotics 7:293–297 Addeo P, Marzano E, Cinzia N et al (2011) Robotic central pancreatectomy with stented pancreaticogastrostomy: operative details. Int J Med Robotics 7:293–297
47.
go back to reference Zureikat AH et al (2011) Robotic-assisted major pancreatic resection and reconstruction. Arch Surg 146:256–261PubMedCrossRef Zureikat AH et al (2011) Robotic-assisted major pancreatic resection and reconstruction. Arch Surg 146:256–261PubMedCrossRef
48.
go back to reference Bassi C et al (2005) Postoperative pancreatic fistula: an international study group (ISGPF) definition. Surgery 138:8–13PubMedCrossRef Bassi C et al (2005) Postoperative pancreatic fistula: an international study group (ISGPF) definition. Surgery 138:8–13PubMedCrossRef
49.
go back to reference Zhou NX et al (2011) Outcomes of pancreatoduodenectomy with robotic surgery versus open surgery. Int J Med Robotics 7:131–137CrossRef Zhou NX et al (2011) Outcomes of pancreatoduodenectomy with robotic surgery versus open surgery. Int J Med Robotics 7:131–137CrossRef
50.
51.
go back to reference Zhang J et al (2013) Robotic versus open pancreatectomy: a systematic review and meta-analysis. Ann Surg Oncol 20:1774–1780PubMedCrossRef Zhang J et al (2013) Robotic versus open pancreatectomy: a systematic review and meta-analysis. Ann Surg Oncol 20:1774–1780PubMedCrossRef
52.
go back to reference Buchs NC et al (2011) Robotic palliation for unresectable pancreatic cancer and distal cholangiocarcinoma. Int J Med Robotics 7:60–65CrossRef Buchs NC et al (2011) Robotic palliation for unresectable pancreatic cancer and distal cholangiocarcinoma. Int J Med Robotics 7:60–65CrossRef
53.
go back to reference Chan OC et al (2011) Robotic hepatobiliary and pancreatic surgery: a cohort study. J Hepatobiliary Pancreat Sci 18(4):471–480 Chan OC et al (2011) Robotic hepatobiliary and pancreatic surgery: a cohort study. J Hepatobiliary Pancreat Sci 18(4):471–480
Metadata
Title
State of the Art of Robotic Pancreatic Surgery
Authors
Luca Milone
Despoina Daskalaki
Xiaoying Wang
Pier Cristoforo Giulianotti
Publication date
01-12-2013
Publisher
Springer US
Published in
World Journal of Surgery / Issue 12/2013
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI
https://doi.org/10.1007/s00268-013-2275-3

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