Practical approaches to high-risk anastomoses in robotic pancreatoduodenectomy
Background: Pancreatoduodenectomy (PD) is performed for the treatment of pancreatic head and periampullary tumors and is associated with relatively high postoperative morbidity and mortality. Traditionally conducted as open surgery, PD has evolved with the advent of minimally invasive techniques, in...
| Authors: | , , , , , |
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| Format: | article |
| Status: | Published version |
| Publication Date: | 2025 |
| Country: | España |
| Institution: | Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya) |
| Repository: | Recercat. Dipósit de la Recerca de Catalunya |
| OAI Identifier: | oai:recercat.cat:10230/70679 |
| Online Access: | http://hdl.handle.net/10230/70679 http://dx.doi.org/10.1245/s10434-025-17402-w |
| Access Level: | Open access |
| Keyword: | Minimally invasive surgery Pancreas Pancreatic cancer Pancreatic fistula Pancreatoduodenectomy |
| Summary: | Background: Pancreatoduodenectomy (PD) is performed for the treatment of pancreatic head and periampullary tumors and is associated with relatively high postoperative morbidity and mortality. Traditionally conducted as open surgery, PD has evolved with the advent of minimally invasive techniques, including robotic-assisted approaches. Results: As reported in the literature, minimally invasive PD is becoming a safe and effective alternative surgical approach. Clinically relevant postoperative pancreatic complications, such as fistulas and hemorrhage, remain among the most challenging issues after PD, particularly in high-risk cases. There are several maneuvers that may reduce their incidence and mitigate their postoperative clinical impact. Conclusions: In this video, we describe strategies implemented at our center for high-risk PD cases, including some key tips and tricks. |
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