Robotic Whipple Procedure for Pancreatic Cancer: The Moffitt Cancer Center Pathway

Cancer Control : Journal of the Moffitt Cancer Center
Omar M RashidMokenge P Malafa

Abstract

Resection of malignancies in the head and uncinate process of the pancreas (Whipple procedure) using a robotic approach is emerging as a surgical option. Although several case series of the robotic Whipple procedure have been reported, detailed descriptions of operative techniques and a clear pathway for adopting this technology are lacking. We present a focused review of the procedure as it applies to pancreatic cancer and describe our clinical pathway for the robotic Whipple procedure used in pancreatic cancer and review the outcomes of our early experience. A systematic review of the literature is provided, focusing on the indications, variations in surgical techniques, complications, and oncological results of the robotic Whipple procedure. A clinical pathway has been defined for preoperative training of surgeons, the requirements for hospital privileges, patient selection, and surgical techniques for the robotic Whipple procedure. The robotic technique for managing malignant lesions of the pancreas head is safe when following well-established guidelines for adopting the technology. Preliminary data demonstrate that perioperative convalescence may exceed end points when compared with the open technique. The robotic Whipple ...Continue Reading

References

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Citations

Apr 9, 2017·Surgical Endoscopy·Michail KornaropoulosAlexandros Papalampros
Sep 19, 2019·Journal of Hepato-biliary-pancreatic Sciences·Chih-Yuan WangRong Liu
Sep 18, 2018·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·David Caba MolinaRodrigo Arrangoiz Majul
Dec 15, 2015·Annals of Surgical Oncology·Omar M RashidMokenge P Malafa
Mar 12, 2016·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Brian EzekianJohn Migaly
Nov 18, 2020·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·A Floortje van OostenJin He
May 1, 2021·International Journal of Molecular Sciences·Judith PapeUmber Cheema

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