title: [Robot-assisted Pylorus-Preserving Partial Pancreaticoduodenectomy (Kausch-Whipple Procedure)].
abstract: BACKGROUND
  The surgical treatment of pancreatic head tumours is one of the most complex procedures in general surgery. In contrast to colorectal surgery, minimally-invasive techniques are not very commonly applied in pancreatic surgery. Both the delicate dissection along peri- and retropancreatic vessels and the extrahepatic bile ducts and subsequent reconstruction are very demanding with rigid standard laparoscopic instruments. The 4-arm robotic surgery system with angled instruments, unidirectional movement of instruments with adjustable transmission, tremor elimination and a stable, surgeon-controlled 3D-HD view is a promising platform to overcome the limitations of standard laparoscopic surgery regarding precise dissection and reconstruction in pancreatic surgery.
  
  
  METHODS
  Pancreatic head resection for mixed-type IPMN of the pancreatic head.
  
  
  METHODS
  Robot-assisted, minimally-invasive pylorus-preserving pancreaticoduodenectomy (Kausch-Whipple procedure).
  
  
  CONCLUSIONS
  The robotic approach is particularly suited for complex procedures such as pylorus-preserving pancreatic head resections. The fully robotic Kausch-Whipple procedure is technically feasible and safe. The advantages of the robotic system are apparent in the delicate dissection near vascular structures, in lymph node dissection, the precise dissection of the uncinate process and, especially, bile duct and pancreatic anastomosis.
authors.affiliation: Klinik für Allgemeine Chirurgie, Viszeral-, Thorax-, Transplantations- und Kinderchirurgie, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Deutschland.
authors.forename: H
authors.initials: H
authors.lastname: Aselmann
authors.affiliation: Klinik für Allgemeine Chirurgie, Viszeral-, Thorax-, Transplantations- und Kinderchirurgie, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Deutschland.
authors.forename: J-H
authors.initials: JH
authors.lastname: Egberts
authors.affiliation: Klinik für Allgemeine Chirurgie, Viszeral-, Thorax-, Transplantations- und Kinderchirurgie, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Deutschland.
authors.forename: S
authors.initials: S
authors.lastname: Hinz
authors.affiliation: Klinik für Urologie und Kinderurologie, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Deutschland.
authors.forename: K-P
authors.initials: KP
authors.lastname: Jünemann
authors.affiliation: Klinik für Allgemeine Chirurgie, Viszeral-, Thorax-, Transplantations- und Kinderchirurgie, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Deutschland.
authors.forename: T
authors.initials: T
authors.lastname: Becker
mesh_terms: D000368:Aged; D000714:Anastomosis, Surgical / Q000295:instrumentation / Q000379:methods; D021441:Carcinoma, Pancreatic Ductal / Q000601:surgery*; D004210:Dissection / Q000295:instrumentation / Q000379:methods; D005240:Feasibility Studies; D005260:Female; D005774:Gastrostomy / Q000295:instrumentation / Q000379:methods; D006801:Humans; D007582:Jejunostomy / Q000295:instrumentation / Q000379:methods; D010535:Laparoscopy / Q000295:instrumentation* / Q000379:methods*; D010190:Pancreatic Neoplasms / Q000601:surgery*; D016577:Pancreaticoduodenectomy / Q000295:instrumentation* / Q000379:methods*; D011708:Pylorus / Q000601:surgery; D065287:Robotic Surgical Procedures / Q000295:instrumentation* / Q000379:methods*; D013523:Surgical Equipment; D013525:Surgical Instruments