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WJOLS

Is Robotic Pancreatic Surgery expected Access by the Minimal Access Pancreatic Surgeons?

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11. Gagner M, Pomp A. Laparoscopic pylorus-preserving pancreato-
Hybrid approaches have been reported during the last
duodenectomy. Surg Endosc May 1994;8(5):408-10.
years. 18-20 The initial approach is made by laparoscopy and 12. Gagner M, Pomp A. Laparoscopic pancreatic resection: Is it
the reconstruction with the anastomosis is performed with worthwhile? J Gastrointest. Surg Feb 1997;1(1):20-25; discussion
a surgical robot system. The outcomes are acceptable in 25-26.
safety and maintenance of the standard of care for the 13. Kendrick ML, Cusati D. Total laparoscopic pancreatico-
duodenectomy: Feasibility and outcome in an early experience.
management of the disease process. In spite of a very few
Arch Surg Ene 2010;145(1):19-23.
experience, (five patients in one series and 24 patients in 14. Ammori BJ, Ayiomamitis GD. Laparoscopic pancreaticoduo-
other) this hybrid approach showed the feasibility of denectomy and distal pancreatectomy: A UK experience and a
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2084-99.
possibility to improve along the learning curve with both
15. Yohannes P, Rotariu P, Pinto P, Smith AD, Lee BR. Comparison
approaches.
of robotic versus laparoscopic skills: Is there a difference in the
learning curve? Urology July 2002;60(1):39-45; discussion 45.
CONCLUSION
16. Davies B. A review of robotics in surgery. Proc Inst Mech
This is the first review in the literature which compares Eng H 2000;214(1):129-40.
17. Buchs NC, Addeo P, Bianco FM, Gangemi A, Ayloo SM,
total laparoscopic PD with total robotic PD and can not
Giulianotti PC. Outcomes of robot-assisted pancreaticoduo-
demonstrate any clear differences between both in spite of denectomy in patients older than 70 years: A comparative study.
the scant literature available. The use of robotics in this World J Surg Sep 2010;34(9):2109-14.
patient population is limited, making it difficult to get the 18. Zureikat AH, Nguyen KT, Bartlett DL, Zeh HJ, Moser AJ.
possibility of prospective or randomized trials. However Robotic-assisted major pancreatic resection and reconstruction.
Arch Surg Mar 2011;146(3):256-61.
one might expect that the different groups would improve
19. Narula VK, Mikami DJ, Melvin WS. Robotic and laparoscopic
their outcomes once past the learning curve, and minimal pancreaticoduodenectomy: A hybrid approach. Pancreas Mar
access pancreatic surgery would clearly demonstrate its real 2010;39(2):160-64.
face with regard to open approach. 20. Vibert E, Denet C, Gayet B. Major digestive surgery using a
remote-controlled robot: The next revolution. Arch Surg Sep
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ultrasonography in the TNM staging of pancreatic carcinoma.
World J Surg Sep 1999;23(9):870-81. RJ Orti-Rodríguez
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diagnosis and management of pancreatic carcinoma. Gut July Department of General Surgery, Reina Sofía University Hospital, Avda
1978;19(7):672-77. Menéndez Pidal s/n 14004, Córdoba, Spain

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