title: Robotic surgery of the pancreas.
abstract: Pancreatic surgery is one of the most challenging and complex fields in general surgery. While minimally invasive surgery has become the standard of care for many intra-abdominal pathologies the overwhelming majority of pancreatic surgery is performed in an open fashion. This is attributed to the retroperitoneal location of the pancreas, its intimate relationship to major vasculature and the complexity of reconstruction in the case of pancreatoduodenectomy. Herein, we describe the application of robotic technology to minimally invasive pancreatic surgery. The unique capabilities of the robotic platform have made the minimally invasive approach feasible and safe with equivalent if not better outcomes (e.g., decreased length of stay, less surgical site infections) to conventional open surgery. However, it is unclear whether the robotic approach is truly superior to traditional laparoscopy; this is a key point given the substantial costs associated with procuring and maintaining robotic capabilities.
authors.affiliation: Daniel Joyce, Gareth Morris-Stiff, Gavin A Falk, Kevin El-Hayek, Sricharan Chalikonda, R Matthew Walsh, Department of General Surgery, Digestive Disease Institute, Cleveland Clinic, Cleveland, OH 44195, United States.
authors.forename: Daniel
authors.initials: D
authors.lastname: Joyce
authors.affiliation: Daniel Joyce, Gareth Morris-Stiff, Gavin A Falk, Kevin El-Hayek, Sricharan Chalikonda, R Matthew Walsh, Department of General Surgery, Digestive Disease Institute, Cleveland Clinic, Cleveland, OH 44195, United States.
authors.forename: Gareth
authors.initials: G
authors.lastname: Morris-Stiff
authors.affiliation: Daniel Joyce, Gareth Morris-Stiff, Gavin A Falk, Kevin El-Hayek, Sricharan Chalikonda, R Matthew Walsh, Department of General Surgery, Digestive Disease Institute, Cleveland Clinic, Cleveland, OH 44195, United States.
authors.forename: Gavin A
authors.initials: GA
authors.lastname: Falk
authors.affiliation: Daniel Joyce, Gareth Morris-Stiff, Gavin A Falk, Kevin El-Hayek, Sricharan Chalikonda, R Matthew Walsh, Department of General Surgery, Digestive Disease Institute, Cleveland Clinic, Cleveland, OH 44195, United States.
authors.forename: Kevin
authors.initials: K
authors.lastname: El-Hayek
authors.affiliation: Daniel Joyce, Gareth Morris-Stiff, Gavin A Falk, Kevin El-Hayek, Sricharan Chalikonda, R Matthew Walsh, Department of General Surgery, Digestive Disease Institute, Cleveland Clinic, Cleveland, OH 44195, United States.
authors.forename: Sricharan
authors.initials: S
authors.lastname: Chalikonda
authors.affiliation: Daniel Joyce, Gareth Morris-Stiff, Gavin A Falk, Kevin El-Hayek, Sricharan Chalikonda, R Matthew Walsh, Department of General Surgery, Digestive Disease Institute, Cleveland Clinic, Cleveland, OH 44195, United States.
authors.forename: R Matthew
authors.initials: RM
authors.lastname: Walsh
mesh_terms: D006801:Humans; D010180:Pancreatectomy / Q000009:adverse effects / Q000379:methods*; D010182:Pancreatic Diseases / Q000175:diagnosis / Q000601:surgery*; D016577:Pancreaticoduodenectomy / Q000009:adverse effects / Q000379:methods*; D011183:Postoperative Complications / Q000517:prevention & control; D065287:Robotic Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D016896:Treatment Outcome
keywords: Minimally invasive surgery; Pancreatectomy; Pancreatic cancer; Pancreatoduodenectomy; Robotic surgery