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...

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Autores: Marcucci, Francesca, Carillo, Giovanna, Sánchez Velázquez, Patricia, 1985-, García Picazo, Alberto, Burdío Pinilla, Fernando, Ielpo, Benedetto
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2025
País:España
Recursos:Universitat Pompeu Fabra
Repositorio:Repositorio Digital de la UPF
OAI Identifier:oai:repositori.upf.edu:10230/70679
Acesso em linha:http://hdl.handle.net/10230/70679
http://dx.doi.org/10.1245/s10434-025-17402-w
Access Level:acceso abierto
Palavra-chave:Minimally invasive surgery
Pancreas
Pancreatic cancer
Pancreatic fistula
Pancreatoduodenectomy
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spelling Practical approaches to high-risk anastomoses in robotic pancreatoduodenectomyMarcucci, FrancescaCarillo, GiovannaSánchez Velázquez, Patricia, 1985-García Picazo, AlbertoBurdío Pinilla, FernandoIelpo, BenedettoMinimally invasive surgeryPancreasPancreatic cancerPancreatic fistulaPancreatoduodenectomyBackground: 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.Springer202520252025info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttp://hdl.handle.net/10230/70679http://dx.doi.org/10.1245/s10434-025-17402-wreponame:Repositorio Digital de la UPFinstname:Universitat Pompeu FabraInglésAnn Surg Oncol. 2025 Aug;32(8):5717-9© The Author(s) 2025, corrected publication 2025. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.http://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:repositori.upf.edu:10230/706792026-06-12T07:21:37Z
dc.title.none.fl_str_mv Practical approaches to high-risk anastomoses in robotic pancreatoduodenectomy
title Practical approaches to high-risk anastomoses in robotic pancreatoduodenectomy
spellingShingle Practical approaches to high-risk anastomoses in robotic pancreatoduodenectomy
Marcucci, Francesca
Minimally invasive surgery
Pancreas
Pancreatic cancer
Pancreatic fistula
Pancreatoduodenectomy
title_short Practical approaches to high-risk anastomoses in robotic pancreatoduodenectomy
title_full Practical approaches to high-risk anastomoses in robotic pancreatoduodenectomy
title_fullStr Practical approaches to high-risk anastomoses in robotic pancreatoduodenectomy
title_full_unstemmed Practical approaches to high-risk anastomoses in robotic pancreatoduodenectomy
title_sort Practical approaches to high-risk anastomoses in robotic pancreatoduodenectomy
dc.creator.none.fl_str_mv Marcucci, Francesca
Carillo, Giovanna
Sánchez Velázquez, Patricia, 1985-
García Picazo, Alberto
Burdío Pinilla, Fernando
Ielpo, Benedetto
author Marcucci, Francesca
author_facet Marcucci, Francesca
Carillo, Giovanna
Sánchez Velázquez, Patricia, 1985-
García Picazo, Alberto
Burdío Pinilla, Fernando
Ielpo, Benedetto
author_role author
author2 Carillo, Giovanna
Sánchez Velázquez, Patricia, 1985-
García Picazo, Alberto
Burdío Pinilla, Fernando
Ielpo, Benedetto
author2_role author
author
author
author
author
dc.subject.none.fl_str_mv Minimally invasive surgery
Pancreas
Pancreatic cancer
Pancreatic fistula
Pancreatoduodenectomy
topic Minimally invasive surgery
Pancreas
Pancreatic cancer
Pancreatic fistula
Pancreatoduodenectomy
description 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.
publishDate 2025
dc.date.none.fl_str_mv 2025
2025
2025
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/10230/70679
http://dx.doi.org/10.1245/s10434-025-17402-w
url http://hdl.handle.net/10230/70679
http://dx.doi.org/10.1245/s10434-025-17402-w
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Ann Surg Oncol. 2025 Aug;32(8):5717-9
dc.rights.none.fl_str_mv http://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Springer
publisher.none.fl_str_mv Springer
dc.source.none.fl_str_mv reponame:Repositorio Digital de la UPF
instname:Universitat Pompeu Fabra
instname_str Universitat Pompeu Fabra
reponame_str Repositorio Digital de la UPF
collection Repositorio Digital de la UPF
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,228081

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