Marcel Autran Machado, Augusto C Carvalho, Fabio Makdissi

Ann Surg Oncol

Robot is the Missing Link for Vascular Resection During Minimally Invasive Pancreatoduodenectomy

Pancreatoduodenectomy (PD) is a major challenge in oncologic surgery, especially in cases with vascular invasion. While open surgery has traditionally been the standard, recent advances have enabled a shift to minimally invasive techniques. Robotic PD has proven to be a promising alternative as it achieves better results compared to laparoscopic and open procedures, especially in terms of reducing conversion rates and improving survival. However, the full potential of robotic PD, particularly in vascular resections, has yet to be fully explored. Future trends suggest growing adoption of robotic platforms as costs decrease and expertise increases, with optimization of outcomes predicted after a critical number of procedures. The mastery of robotic PD promises to change the landscape of pancreatic surgery by providing a safe and viable option for complex procedures, ultimately improving patient care and surgical expertise.