Robotic pancreaticoduodenectomy: Where do we stand?

doi:10.37126/aige.v2.i4.103

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Aug 28, 2021 (publication date) through Feb 27, 2026

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Artificial Intelligence in Gastrointestinal Endoscopy

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2689-7164

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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Artif Intell Gastrointest Endosc. Aug 28, 2021; 2(4): 103-109
Published online Aug 28, 2021. doi: 10.37126/aige.v2.i4.103

Robotic pancreaticoduodenectomy: Where do we stand?

Hussein H Khachfe, Joseph R Habib, Mohamad A Chahrour, Ibrahim Nassour

Hussein H Khachfe, Ibrahim Nassour, Surgery Department, University of Pittsburgh Medical Center, Pittsburgh, PA 15261, United States

Joseph R Habib, Surgery Department, Johns Hopkins University, Balitmore, MD 21287, United States

Mohamad A Chahrour, Surgery Department, Henry Ford Health System, Detroit, MI 48202, United States

Author contributions: Khachfe HH conceived the idea for the manuscript; Khachfe HH, Habib JR, Chahrour MA, and Nassour I reviewed the literature and drafted the manuscript; Nassour I critically reviewed the manuscript.

Conflict-of-interest statement: The authors report no conflict of interest.

Corresponding author: Hussein H Khachfe, MD, Doctor, Research Fellow, Surgery Department, University of Pittsburgh Medical Center, 3550 Terrace St, Pittsburgh, PA 15261, United States. khachfehh@upmc.edu

Received: May 18, 2021
Peer-review started: May 18, 2021
First decision: June 22, 2021
Revised: June 24, 2021
Accepted: August 19, 2021
Article in press: August 19, 2021
Published online: August 28, 2021
Processing time: 110 Days and 23.1 Hours

Abstract

Pancreaticoduodenectomy (PD) is a complex operation accompanied by significant morbidity rates. Due to this complexity, the transition to minimally invasive PD has lagged behind other abdominal surgical operations. The safety, feasibility, favorable post-operative outcomes of robotic PD have been suggested by multiple studies. Compared to open surgery and other minimally invasive techniques such as laparoscopy, robotic PD offers satisfactory outcomes, with a non-inferior risk of adverse events. Trends of robotic PD have been on rise with centers substantially increasing the number the operation performed. Although promising, findings on robotic PD need to be corroborated in prospective trials.

Keywords: Pancreaticoduodenectomy; Whipple Procedure; Pancreas; Robotic; Surgery

Core Tip: The robotic Whipple procedure is a safe and technically feasible surgical operation. Robotic pancreaticoduodenectomy has shown favorable outcomes and is currently increasing in widespread implementation. Prospective trials are needed before this relatively new approach can be fully adopted as a standard of care in patients with pancreatic neoplasms.