title: Robotic pylorus-preserving pancreaticoduodenectomy: Technical considerations.
abstract: Laparoscopy has revolutionized the way of thinking abdominal surgery, however, to date there are still limitations making it difficult to apply this technique to some types of surgical procedures considered technically demanding even when performed by open surgery, such as the pancreaticoduodenectomy. This technical note provides a complete description of the surgical procedure performed for the execution of a robotic pancreaticoduodenectomy through the use of the "Da Vinci Si" robotic system. Robotic systems represent a real evolution in minimally invasive surgery. We wish to emphasize this concept, highlighting the application of this technology to complex procedures in digestive surgery.
authors.affiliation: Department of Digestive Surgery and Liver Unit, St. Maria Hospital, Terni, Italy.
authors.forename: Amilcare
authors.initials: A
authors.lastname: Parisi
authors.affiliation: Department of Digestive Surgery and Liver Unit, St. Maria Hospital, Terni, Italy. Electronic address: djdesi85@hotmail.it.
authors.forename: Jacopo
authors.initials: J
authors.lastname: Desiderio
authors.affiliation: Department of Digestive Surgery and Liver Unit, St. Maria Hospital, Terni, Italy.
authors.forename: Stefano
authors.initials: S
authors.lastname: Trastulli
authors.affiliation: Department of Digestive Surgery and Liver Unit, St. Maria Hospital, Terni, Italy.
authors.forename: Roberto
authors.initials: R
authors.lastname: Cirocchi
authors.affiliation: Department of General and Oncologic Surgery, University of Perugia, Perugia, Italy.
authors.forename: Caudio
authors.initials: C
authors.lastname: Renzi
authors.affiliation: Department of General and Oncologic Surgery, University of Perugia, Perugia, Italy.
authors.forename: Carlo
authors.initials: C
authors.lastname: Boselli
authors.affiliation: Department of General and Oncologic Surgery, University of Perugia, Perugia, Italy.
authors.forename: Francesco
authors.initials: F
authors.lastname: De Santis
authors.affiliation: Department of General and Oncologic Surgery, University of Perugia, Perugia, Italy.
authors.forename: Adolfo
authors.initials: A
authors.lastname: Petrina
authors.affiliation: Division of Oncological and Robotic Surgery, Department of Oncology, Careggi University Hospital, Florence, Italy.
authors.forename: Mario
authors.initials: M
authors.lastname: Annecchiarico
authors.affiliation: Division of Oncological and Robotic Surgery, Department of Oncology, Careggi University Hospital, Florence, Italy.
authors.forename: Michele
authors.initials: M
authors.lastname: Di Marino
authors.affiliation: Division of Oncological and Robotic Surgery, Department of Oncology, Careggi University Hospital, Florence, Italy.
authors.forename: Lapo
authors.initials: L
authors.lastname: Bencini
authors.affiliation: Division of Oncological and Robotic Surgery, Department of Oncology, Careggi University Hospital, Florence, Italy.
authors.forename: Federico
authors.initials: F
authors.lastname: Perna
authors.affiliation: Department of Surgical Sciences, Sapienza University of Rome, Rome, Italy.
authors.forename: Daniele
authors.initials: D
authors.lastname: Pironi
authors.affiliation: Department of Surgical Sciences, Sapienza University of Rome, Rome, Italy.
authors.forename: Alberto
authors.initials: A
authors.lastname: Santoro
authors.affiliation: Division of Oncological and Robotic Surgery, Department of Oncology, Careggi University Hospital, Florence, Italy.
authors.forename: Andrea
authors.initials: A
authors.lastname: Coratti
mesh_terms: D000714:Anastomosis, Surgical; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D059351:Organ Sparing Treatments / Q000379:methods; D010180:Pancreatectomy / Q000379:methods; D016577:Pancreaticoduodenectomy / Q000379:methods*; D011708:Pylorus / Q000601:surgery*; D065287:Robotic Surgical Procedures / Q000379:methods*