Robotic Pancreatoduodenectomy: Patient Selection, Volume Criteria, and Training Programs

L. R. Jones, M. J. W. Zwart, I. Q. Molenaar, B. Groot Koerkamp, M. E. Hogg, M. A. Hilal, M. G. Besselink

Research output: Contribution to journalReview articlepeer-review

Abstract

Introduction: There has been a rapid development in minimally invasive pancreas surgery in recent years. The most recent innovation is robotic pancreatoduodenectomy. Several studies have suggested benefits as compared to the open or laparoscopic approach. This review provides an overview of studies concerning patient selection, volume criteria, and training programs for robotic pancreatoduodenectomy and identified knowledge gaps regarding barriers for safe implementation of robotic pancreatoduodenectomy. Materials and methods: A Pubmed search was conducted concerning patient selection, volume criteria, and training programs in robotic pancreatoduodenectomy. Results: A total of 20 studies were included. No contraindications were found in patient selection for robotic pancreatoduodenectomy. The consensus and the Miami guidelines advice is a minimum annual volume of 20 robotic pancreatoduodenectomy procedures per center, per year. One training program was identified which describes superior outcomes after the training program and shortening of the learning curve in robotic pancreatoduodenectomy. Conclusion: Robotic pancreatoduodenectomy is safe and feasable for all indications when performed by specifically trained surgeons working in centers who can maintain a minimum volume of 20 robotic pancreatoduodenectomy procedures per year. Large proficiency-based training program for robotic pancreatoduodenectomy seem essential to facilitate a safe implementation and future research on robotic pancreatoduodenectomy.

Original languageEnglish
Pages (from-to)29-33
Number of pages5
JournalScandinavian Journal of Surgery
Volume109
Issue number1
DOIs
Publication statusPublished - 1 Mar 2020

Keywords

  • Whipple
  • pancreatoduodenectomy
  • patient selection
  • robot
  • robot-assisted
  • robotic
  • training
  • volume criteria

Fingerprint

Dive into the research topics of 'Robotic Pancreatoduodenectomy: Patient Selection, Volume Criteria, and Training Programs'. Together they form a unique fingerprint.

Cite this