Vascular control for difficult uncinate process dissection in robotic pancreatoduodenectomy: A case report
Year: 2026
Type: article
Study design: Case Report
Abstract: Since its first report in 2003, interest in robotic pancreatoduodenectomy (RPD) has grown by pancreatic surgeons because of three-dimensional (3D) vision, wristed instruments, and improved ergonomics. In the video, we show vascular control techniques to facilitate the dissection of the uncinate process, especially useful when venous vascular infiltration is suspected. This maneuver provides crucial exposure, enabling safe, high-quality oncologic dissection. A 72-year-old man presented with obstructive jaundice of 1 month’s evolution. Imaging and histological studies demonstrated it to be likely a neoplastic process in the head of the pancreas. RPD was performed with intraoperative vascular control. The final histopathology report showed a moderately differentiated adenocarcinoma (pT2, pN1), with all resection margins free. The external retraction and vascular control techniques described in this video are helpful to mitigate limitations of the current robotic surgery platform and can improve the safety and quality of RPD.
Source: Formosan Journal of Surgery
Institution: Hospital Universitario Río Hortega
Language: English
Subfield: Oncology
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W7131237130