Skip to main content
Top
Published in: Surgical Endoscopy 6/2020

Open Access 01-06-2020 | Pancreatoduodenostomy | Dynamic Manuscript

Educational step-by-step surgical video about operative technique in robotic pancreaticoduodenectomy (RPD) at University of Illinois at Chicago (UIC): 17 steps standardized technique—Lessons learned since the first worldwide RPD performed in the year 2001

Authors: Pier Cristoforo Giulianotti, Alberto Mangano, Roberto E. Bustos, Eduardo Fernandes, Mario A. Masrur, Valentina Valle, Antonio Gangemi, Francesco M. Bianco

Published in: Surgical Endoscopy | Issue 6/2020

Login to get access

Abstract

Background

RPD (Robotic pancreatoduodenectomy) was first performed by P. C. Giulianotti in 2001 (Arch Surg 138(7):777–784, 2003). Since then, the complexity and lack of technique standardization has slowed down its widespread utilization. RPD has been increasingly adopted worldwide and in few centres is the preferred apporached approach by certain surgeons. Some large retrospective series are available and data seem to indicate that RPD is safe/feasible, and a valid alternative to the classic open Whipple. Our group has recently described a standardized 17 steps approach to RPD (Giulianotti et al. Surg Endosc 32(10): 4329–4336, 2018). Herin, we present an educational step-by-step surgical video with short technical/operative description to visually exemplify the RPD 17 steps technique.

Methods

The current project has been approved by our local Institutional Review Board (IRB). We edited a step-by-step video guidance of our RPD standardized technique. The data/video images were collected from a retrospective analysis of a prospectively collected database (IRB approved). The narration and the images describe hands-on operative “tips and tricks” to facilitate the learning/teaching/evaluation process.

Results

Each of the 17 surgical steps is visually represented and explained to help the in-depth understanding of the relevant surgical anatomy and the specific operative technique.

Conclusions

Educational videos descriptions like the one herein presented are a valid learning/teaching tool to implement standardized surgical approaches. Standardization is a crucial component of the learning curve. This approach can create more objective and reproducible data which might be more reliably assessed/compared across institutions and by different surgeons. Promising results are arising from several centers about RPD. However, RPD as gold standard-approach is still a matter of debate. Randomized-controlled studies (RCT) are required to better validate the precise role of RPD.
Appendix
Available only for authorised users
Literature
4.
Metadata
Title
Educational step-by-step surgical video about operative technique in robotic pancreaticoduodenectomy (RPD) at University of Illinois at Chicago (UIC): 17 steps standardized technique—Lessons learned since the first worldwide RPD performed in the year 2001
Authors
Pier Cristoforo Giulianotti
Alberto Mangano
Roberto E. Bustos
Eduardo Fernandes
Mario A. Masrur
Valentina Valle
Antonio Gangemi
Francesco M. Bianco
Publication date
01-06-2020
Publisher
Springer US
Published in
Surgical Endoscopy / Issue 6/2020
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-020-07383-0

Other articles of this Issue 6/2020

Surgical Endoscopy 6/2020 Go to the issue