title: Robotic pancreaticoduodenectomy in a case of duodenal gastrointestinal stromal tumor.
abstract: BACKGROUND
  Laparoscopic pancreaticoduodenectomy is rarely performed, and it has not been particularly successful due to its technical complexity. The objective of this study is to highlight how robotic surgery could improve a minimally invasive approach and to expose the usefulness of robotic surgery even in complex surgical procedures.
  
  
  METHODS
  The surgical technique employed in our center to perform a pancreaticoduodenectomy, which was by means of the da Vinci™ robotic system in order to remove a duodenal gastrointestinal stromal tumor, is reported.
  
  
  CONCLUSIONS
  Robotic technology has improved significantly over the traditional laparoscopic approach, representing an evolution of minimally invasive techniques, allowing procedures to be safely performed that are still considered to be scarcely feasible or reproducible.
authors.forename: Amilcare
authors.initials: A
authors.lastname: Parisi
authors.forename: Jacopo
authors.initials: J
authors.lastname: Desiderio
authors.forename: Stefano
authors.initials: S
authors.lastname: Trastulli
authors.forename: Veronica
authors.initials: V
authors.lastname: Grassi
authors.forename: Francesco
authors.initials: F
authors.lastname: Ricci
authors.forename: Federico
authors.initials: F
authors.lastname: Farinacci
authors.forename: Alban
authors.initials: A
authors.lastname: Cacurri
authors.forename: Elisa
authors.initials: E
authors.lastname: Castellani
authors.forename: Alessia
authors.initials: A
authors.lastname: Corsi
authors.affiliation: Department of General and Oncologic Surgery, University of Perugia, Piazzale Gambuli 1, Perugia, 06157, Italy. renzicla@virgilio.it.
authors.forename: Claudio
authors.initials: C
authors.lastname: Renzi
authors.forename: Francesco
authors.initials: F
authors.lastname: Barberini
authors.forename: Vito
authors.initials: V
authors.lastname: D'Andrea
authors.forename: Alberto
authors.initials: A
authors.lastname: Santoro
authors.forename: Roberto
authors.initials: R
authors.lastname: Cirocchi
mesh_terms: D000368:Aged; D000714:Anastomosis, Surgical; D004379:Duodenal Neoplasms / Q000473:pathology / Q000601:surgery*; D005260:Female; D046152:Gastrointestinal Stromal Tumors / Q000473:pathology / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy; D059351:Organ Sparing Treatments; D016577:Pancreaticoduodenectomy / Q000379:methods*; D011379:Prognosis; D011708:Pylorus; D012371:Robotics / Q000379:methods*