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Journal of Hepato-Biliary-Pancreatic Sciences

Published in:

01-08-2013 | Topics

Robotic-assisted pancreatic surgery

Authors: E. Fernandes, P. C. Giulianotti

Published in: Journal of Hepato-Biliary-Pancreatic Sciences | Issue 6/2013

Abstract

Background

Pancreatic surgery is a challenging application of minimally invasive surgery. Due to the complexity of the surgical technique, requiring dissection along major abdominal vessels as well as delicate reconstruction involving biliary, pancreatic and enteric anastomoses, reports on laparoscopic pancreatic surgery have been scanty. With the advent of robotic-assisted surgery, however, the increased dexterity granted by endo-wristed instruments, the improved three-dimensional vision and the computer filtration of the surgeon’s movements have brought minimally invasive pancreatic surgery into a new era.

Methods

As the surgical group which has performed the highest number of robotic-assisted pancreatic procedures worldwide, we review the state of the art of minimally invasive robotic-assisted pancreatic surgery. Clinical results from all major robotic-assisted pancreatic surgery series are considered.

Results

Preliminary reports from the published major pancreatic surgery series show encouraging results, with morbidity and mortality comparable to open surgery. Preliminary data on cancer survival rates also appear to be similar to open series.

Conclusion

Robotic-assisted pancreatic surgery is safe and feasible for all pancreatic diseases. The complexity of pancreatic procedures warrant them to be carried out in specialised centres, where short- and long-term outcomes seem to be similar to the ones achieved in open surgery.

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Title: Robotic-assisted pancreatic surgery
Authors: E. Fernandes
P. C. Giulianotti
Publication date: 01-08-2013
Publisher: Springer Japan
Published in: Journal of Hepato-Biliary-Pancreatic Sciences / Issue 6/2013
Print ISSN: 1868-6974
Electronic ISSN: 1868-6982
DOI: https://doi.org/10.1007/s00534-013-0615-1

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Robotic-assisted pancreatic surgery

Abstract

Background

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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