Robotic-Assisted Pancreaticoduodenectomy (Whipple)

Abstract

Pancreaticoduodenectomy (PD; Whipple operation) is widely considered to be among the most technically challenging abdominal operations performed. Minimally invasive PD represents a formidable challenge, which has been mastered by relatively few surgeons. Robotic-assisted PD (RAPD) offers advantages of improved instrumentation and freedom of motion when compared to the laparoscopic approach, which may allow greater adoption in general clinical practice. Here, we outline our approach to RAPD including patient selection and preparation, patient positioning and port placement, instrumentation, and technical aspects of the operation. We review outcomes following RAPD as well.