spracticeХирургическая практикаSurgical practice (Russia)2223-2427АНО "Консорциум "Медицинская техника"spractice-536Research ArticleОБЗОРЫ ЛИТЕРАТУРЫТекущий статус робот-ассистированной хирургии в лечении опухолей поджелудочной железыhttps://orcid.org/0000-0001-8673-0554НартайлаковМажит Ахметович

д.м.н., профессор, зав. кафедрой общей хирургии с курсами трансплантологии и лучевой диагностики

nart-m@mail.ruhttps://orcid.org/0000-0002-8338-2766НагаевФарит Робертович

зав. хирургическим отделением Клиники БГМУ,  ассистент кафедры общей хирургии с курсами трансплантологии и лучевой диагностики ИДПО ФГБОУ ВО БГМУ Минздрава России

farit.nagaev.85@bk.ruhttps://orcid.org/0000-0002-4292-1831МинигалинДаниил Масхутович

к.м.н., доцент кафедры хирургических болезней лечебного факультета, врач-хирург хирургического отделения Клиники БГМУ

danusikm90@mail.ruhttps://orcid.org/0000-0002-4160-2820БакеевМарат Радикович

Клинический ординатор, кафедра хирургических болезней лечебного факультета

m.r.bakeev@bk.ruhttps://orcid.org/0000-0002-0148-4559СафаргалинаАйгуль Гирфановна

ассистент кафедры хирургических болезней лечебного факультета, врач-хирург хирургического отделения Клиники БГМУ

safargalinaaa@icloud.comФГБОУ ВО "Башкирский государственный медицинский университет" Министерства здравоохранения Российской Федерации; Россия 450008, республика Башкортостан, Уфа, Ленина, 320261602202600Принято в печать536Copyright © Нартайлаков М.А., Нагаев Ф.Р., Минигалин Д.М., Бакеев М.Р., Сафаргалина А.Г., 20262026Нартайлаков М.А., Нагаев Ф.Р., Минигалин Д.М., Бакеев М.Р., Сафаргалина А.Г.Нартайлаков М.А., Нагаев Ф.Р., Минигалин Д.М., Бакеев М.Р., Сафаргалина А.Г.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.spractice.ru/jour/article/view/536Цель

Цель. Проведение анализа актуальных литературных данных о значении робот-ассистированных операций в структуре оперативного лечения доброкачественных и злокачественных образований поджелудочной железы.

Материалы и методы

Материалы и методы. Для анализа были отобраны статьи за последние 25 лет из международных и отечественных электронных баз данных (PubMed, Cochrane, elibrary.ru). После оценки и сортировки источников в обзор вошли 48 статей.

Результаты

Результаты. Опухоли поджелудочной железы составляют серьезную проблему для мирового здравоохранения. Развитие хирургии поджелудочной железы сопровождалось постоянным совершенствованием техники оперативных вмешательств. Ключевое значение приобрели прецизионность работы с тканями данного органа при его резекции и формировании панкреато-дигестивных анастомозов. В настоящее время малоинвазивные технологии активно применяются для удаления доброкачественных и злокачественных образований поджелудочной железы. Лапароскопические операции предстают наиболее доступными методами резекционных радикальных вмешательств на поджелудочной железе. Лапароскопическая дистальная резекция поджелудочной железы приобрела статус безопасного, эффективного и технически доступного метода лечения образований тела и хвоста органа. Робот-ассистированные способы оперативного лечения опухолей поджелудочной железы предстают перспективными методами, доказавшими свою эффективность и безопасность по результатам первых крупных исследований. Данная опция доступна не во всех клиниках, однако технические преимущества роботической платформы позволяют достигать удовлетворительных и обнадеживающих результатов лечения.

Заключение

Заключение. Происходит накопление доказательной базы по робот-ассистированным операциям в хирургической панкреатологии, что в последующем укрепит позиции данных подходов в структуре лечения образований поджелудочной железы. В настоящее время представленная технология демонстрирует убедительные результаты эффективности и безопасности при лечении доброкачественных и злокачественных опухолей данного органа.

рак поджелудочной железыдоброкачественные опухоли поджелудочной железымалоинвазивные операции при опухолях поджелудочной железылапароскопическая хирургия поджелудочной железыробот-ассистированная хирургия поджелудочной железыReferencesLiu R, Abu Hilal M, Besselink MG, et al. International consensus guidelines on robotic pancreatic surgery in 2023. Hepatobiliary Surg Nutr. 2024;13(1):89-104. . https://doi:10.21037/hbsn-23-132Liu R, Abu Hilal M, Besselink MG, et al. International consensus guidelines on robotic pancreatic surgery in 2023. Hepatobiliary Surg Nutr. 2024;13(1):89-104. . https://doi:10.21037/hbsn-23-132Giulianotti PC, Mangano A, Bustos RE, et al. Educational step-by-step surgical video about operative technique in robotic pancreaticoduodenectomy (RPD) at University of Illinois at Chicago (UIC): 17 steps standardized technique-Lessons learned since the first worldwide RPD performed in the year 2001. Surg Endosc. 2020;34(6):2758-2762. https://doi:10.1007/s00464-020-07383-0Giulianotti PC, Mangano A, Bustos RE, et al. Educational step-by-step surgical video about operative technique in robotic pancreaticoduodenectomy (RPD) at University of Illinois at Chicago (UIC): 17 steps standardized technique-Lessons learned since the first worldwide RPD performed in the year 2001. Surg Endosc. 2020;34(6):2758-2762. https://doi:10.1007/s00464-020-07383-0Abu Hilal M, van Ramshorst TME, Boggi U, et al. The Brescia Internationally Validated European Guidelines on Minimally Invasive Pancreatic Surgery (EGUMIPS). Ann Surg. 2024;279(1):45-57. https://doi:10.1097/SLA.0000000000006006Abu Hilal M, van Ramshorst TME, Boggi U, et al. The Brescia Internationally Validated European Guidelines on Minimally Invasive Pancreatic Surgery (EGUMIPS). Ann Surg. 2024;279(1):45-57. https://doi:10.1097/SLA.0000000000006006Asbun HJ, Moekotte AL, Vissers FL, et al. The Miami International Evidence-based Guidelines on Minimally Invasive Pancreas Resection. Ann Surg. 2020;271(1):1-14. https://doi:10.1097/SLA.0000000000003590Asbun HJ, Moekotte AL, Vissers FL, et al. The Miami International Evidence-based Guidelines on Minimally Invasive Pancreas Resection. Ann Surg. 2020;271(1):1-14. https://doi:10.1097/SLA.0000000000003590Knab LM, Zureikat AH, Zeh HJ 3rd, Hogg ME. Towards standardized robotic surgery in gastrointestinal oncology. Langenbecks Arch Surg. 2017;402(7):1003-1014. https://doi:10.1007/s00423-017-1623-4Knab LM, Zureikat AH, Zeh HJ 3rd, Hogg ME. Towards standardized robotic surgery in gastrointestinal oncology. Langenbecks Arch Surg. 2017;402(7):1003-1014. https://doi:10.1007/s00423-017-1623-4Duan H, Li L, He S. Advances and Prospects in the Treatment of Pancreatic Cancer. Int J Nanomedicine. 2023;18:3973-3988. Published 2023 Jul 19. https://doi:10.2147/IJN.S413496Duan H, Li L, He S. Advances and Prospects in the Treatment of Pancreatic Cancer. Int J Nanomedicine. 2023;18:3973-3988. Published 2023 Jul 19. https://doi:10.2147/IJN.S413496Stoffel EM, Brand RE, Goggins M. Pancreatic Cancer: Changing Epidemiology and New Approaches to Risk Assessment, Early Detection, and Prevention. Gastroenterology. 2023;164(5):752-765. https://doi:10.1053/j.gastro.2023.02.012Stoffel EM, Brand RE, Goggins M. Pancreatic Cancer: Changing Epidemiology and New Approaches to Risk Assessment, Early Detection, and Prevention. Gastroenterology. 2023;164(5):752-765. https://doi:10.1053/j.gastro.2023.02.012Набока М.В., Отмахова А.В., Богданчикова П.В., Вьюшков Д.М. Эпидемиология рака поджелудочной железы. Экспериментальная и клиническая гастроэнтерология. 2023;(3):17-21. https://doi.org/10.31146/1682-8658-ecg-211-3-17-21Naboka M.V., Otmakhova A.V., Bogdanchikova P.V., Viushkov D.M. Epidemiology of pancreatic cancer. Experimental and Clinical Gastroenterology. 2023;(3):17-21. (In Russ.) https://doi.org/10.31146/1682-8658-ecg-211-3-17-21Torphy RJ, Fujiwara Y, Schulick RD. Pancreatic cancer treatment: better, but a long way to go. Surg Today. 2020;50(10):1117-1125. https://doi:10.1007/s00595-020-02028-0Torphy RJ, Fujiwara Y, Schulick RD. Pancreatic cancer treatment: better, but a long way to go. Surg Today. 2020;50(10):1117-1125. https://doi:10.1007/s00595-020-02028-0Goggins M, Overbeek KA, Brand R, et al. Management of patients with increased risk for familial pancreatic cancer: updated recommendations from the International Cancer of the Pancreas Screening (CAPS) Consortium [published correction appears in Gut. 2020 Jun;69(6):e3. doi: 10.1136/gutjnl-2019-319352corr1.]. Gut. 2020;69(1):7-17. https://doi:10.1136/gutjnl-2019-319352Goggins M, Overbeek KA, Brand R, et al. Management of patients with increased risk for familial pancreatic cancer: updated recommendations from the International Cancer of the Pancreas Screening (CAPS) Consortium [published correction appears in Gut. 2020 Jun;69(6):e3. doi: 10.1136/gutjnl-2019-319352corr1.]. Gut. 2020;69(1):7-17. https://doi:10.1136/gutjnl-2019-319352Ballehaninna UK, Chamberlain RS. The clinical utility of serum CA 19-9 in the diagnosis, prognosis and management of pancreatic adenocarcinoma: An evidence based appraisal. J Gastrointest Oncol. 2012;3(2):105-119. https://doi:10.3978/j.issn.2078-6891.2011.021Ballehaninna UK, Chamberlain RS. The clinical utility of serum CA 19-9 in the diagnosis, prognosis and management of pancreatic adenocarcinoma: An evidence based appraisal. J Gastrointest Oncol. 2012;3(2):105-119. https://doi:10.3978/j.issn.2078-6891.2011.021Collisson EA, Sadanandam A, Olson P, et al. Subtypes of pancreatic ductal adenocarcinoma and their differing responses to therapy. Nat Med. 2011;17(4):500-503. https://doi:10.1038/nm.2344Collisson EA, Sadanandam A, Olson P, et al. Subtypes of pancreatic ductal adenocarcinoma and their differing responses to therapy. Nat Med. 2011;17(4):500-503. https://doi:10.1038/nm.2344GBD 2017 Pancreatic Cancer Collaborators. The global, regional, and national burden of pancreatic cancer and its attributable risk factors in 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017 [published correction appears in Lancet Gastroenterol Hepatol. 2020 Mar;5(3):e2. https://doi: 10.1016/S2468-1253(20)30018-2.]. Lancet Gastroenterol Hepatol. 2019;4(12):934-947. https://doi:10.1016/S2468-1253(19)30347-4GBD 2017 Pancreatic Cancer Collaborators. The global, regional, and national burden of pancreatic cancer and its attributable risk factors in 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017 [published correction appears in Lancet Gastroenterol Hepatol. 2020 Mar;5(3):e2. https://doi: 10.1016/S2468-1253(20)30018-2.]. Lancet Gastroenterol Hepatol. 2019;4(12):934-947. https://doi:10.1016/S2468-1253(19)30347-4Ore AS, Barrows CE, Solis-Velasco M, Shaker J, Moser AJ. Robotic enucleation of benign pancreatic tumors. J Vis Surg. 2017;3:151. Published 2017 Oct 28. https://doi:10.21037/jovs.2017.08.15Ore AS, Barrows CE, Solis-Velasco M, Shaker J, Moser AJ. Robotic enucleation of benign pancreatic tumors. J Vis Surg. 2017;3:151. Published 2017 Oct 28. https://doi:10.21037/jovs.2017.08.15Zhang T, Xu J, Wang T, Liao Q, Dai M, Zhao Y. Enucleation of pancreatic lesions: indications, outcomes, and risk factors for clinical pancreatic fistula. J Gastrointest Surg. 2013;17(12):2099-2104. https://doi:10.1007/s11605-013-2355-6Zhang T, Xu J, Wang T, Liao Q, Dai M, Zhao Y. Enucleation of pancreatic lesions: indications, outcomes, and risk factors for clinical pancreatic fistula. J Gastrointest Surg. 2013;17(12):2099-2104. https://doi:10.1007/s11605-013-2355-6Howard JM. History of pancreatic head resection- the evaluation of surgical technique. Am J Surg. 2007;194(Suppl):S6–10. https://doi: 10.1016/j.amjsurg.2007.05.029Howard JM. History of pancreatic head resection- the evaluation of surgical technique. Am J Surg. 2007;194(Suppl):S6–10. https://doi: 10.1016/j.amjsurg.2007.05.029Whipple AO, Parsons WB, Mullins CR. TREATMENT OF CARCINOMA OF THE AMPULLA OF VATER. Ann Surg. 1935;102(4):763-779. https://doi:10.1097/00000658-193510000-00023Whipple AO, Parsons WB, Mullins CR. TREATMENT OF CARCINOMA OF THE AMPULLA OF VATER. Ann Surg. 1935;102(4):763-779. https://doi:10.1097/00000658-193510000-00023Torphy RJ, Friedman C, Halpern A, et al. Comparing Short-term and Oncologic Outcomes of Minimally Invasive Versus Open Pancreaticoduodenectomy Across Low and High Volume Centers. Ann Surg. 2019;270(6):1147-1155. https://doi:10.1097/SLA.0000000000002810Torphy RJ, Friedman C, Halpern A, et al. Comparing Short-term and Oncologic Outcomes of Minimally Invasive Versus Open Pancreaticoduodenectomy Across Low and High Volume Centers. Ann Surg. 2019;270(6):1147-1155. https://doi:10.1097/SLA.0000000000002810Hata T, Motoi F, Ishida M, et al. Effect of Hospital Volume on Surgical Outcomes After Pancreaticoduodenectomy: A Systematic Review and Meta-analysis. Ann Surg. 2016;263(4):664-672. https://doi:10.1097/SLA.0000000000001437Hata T, Motoi F, Ishida M, et al. Effect of Hospital Volume on Surgical Outcomes After Pancreaticoduodenectomy: A Systematic Review and Meta-analysis. Ann Surg. 2016;263(4):664-672. https://doi:10.1097/SLA.0000000000001437Griffin JF, Poruk KE, Wolfgang CL. Pancreatic cancer surgery: past, present, and future. Chin J Cancer Res. 2015;27(4):332-348. https://doi:10.3978/j.issn.1000-9604.2015.06.07Griffin JF, Poruk KE, Wolfgang CL. Pancreatic cancer surgery: past, present, and future. Chin J Cancer Res. 2015;27(4):332-348. https://doi:10.3978/j.issn.1000-9604.2015.06.07Vecchio R, MacFayden BV, Palazzo F. History of laparoscopic surgery. Panminerva Med. 2000;42(1):87-90.Vecchio R, MacFayden BV, Palazzo F. History of laparoscopic surgery. Panminerva Med. 2000;42(1):87-90.Lefor AK. Robotic and laparoscopic surgery of the pancreas: an historical review. BMC Biomed Eng. 2019;1:2. Published 2019 Jan 30. https://doi:10.1186/s42490-019-0001-4Lefor AK. Robotic and laparoscopic surgery of the pancreas: an historical review. BMC Biomed Eng. 2019;1:2. Published 2019 Jan 30. https://doi:10.1186/s42490-019-0001-4Gagner M, Pomp A. Laparoscopic pylorus-preserving pancreatoduodenectomy. Surg Endosc. 1994;8:408–410. https://doi: 10.1007/BF00642443.Gagner M, Pomp A. Laparoscopic pylorus-preserving pancreatoduodenectomy. Surg Endosc. 1994;8:408–410. https://doi: 10.1007/BF00642443.Liang S, Hameed U, Jayaraman S. Laparoscopic pancreatectomy: indications and outcomes. World J Gastroenterol. 2014;20(39):14246–14254. https://doi: 10.3748/wjg.v20.i39.14246Liang S, Hameed U, Jayaraman S. Laparoscopic pancreatectomy: indications and outcomes. World J Gastroenterol. 2014;20(39):14246–14254. https://doi: 10.3748/wjg.v20.i39.14246Guerrini GP, Lauretta A, Belluco C, et al. Robotic versus laparoscopic distal pancreatectomy: an up-to-date meta-analysis. BMC Surg. 2017;17(1):105. Published 2017 Nov 9. https://doi:10.1186/s12893-017-0301-3Guerrini GP, Lauretta A, Belluco C, et al. Robotic versus laparoscopic distal pancreatectomy: an up-to-date meta-analysis. BMC Surg. 2017;17(1):105. Published 2017 Nov 9. https://doi:10.1186/s12893-017-0301-3Bassi C, Andrianello S. Identifying key outcome metrics in pancreatic surgery, and how to optimally achieve them. HPB (Oxford). 2017;19(3):178–181. https://doi: 10.1016/j.hpb.2016.12.002Bassi C, Andrianello S. Identifying key outcome metrics in pancreatic surgery, and how to optimally achieve them. HPB (Oxford). 2017;19(3):178–181. https://doi: 10.1016/j.hpb.2016.12.002Jiang Q, Li T, Liu D, Tang C. Total robotic surgery for pancreaticoduodenectomy combined with rectal cancer anterior resection: A case report and literature review. Medicine (Baltimore) 2018;97(19):e0540. https://doi: 10.1097/MD.0000000000010540Jiang Q, Li T, Liu D, Tang C. Total robotic surgery for pancreaticoduodenectomy combined with rectal cancer anterior resection: A case report and literature review. Medicine (Baltimore) 2018;97(19):e0540. https://doi: 10.1097/MD.0000000000010540Patti JC, Ore AS, Barrows C, Velanovich V, Moser AJ. Value-based assessment of robotic pancreas and liver surgery. Hepatobiliary Surg Nutr. 2017;6(4):246-257. https://doi:10.21037/hbsn.2017.02.04Patti JC, Ore AS, Barrows C, Velanovich V, Moser AJ. Value-based assessment of robotic pancreas and liver surgery. Hepatobiliary Surg Nutr. 2017;6(4):246-257. https://doi:10.21037/hbsn.2017.02.04Müller PC, Kuemmerli C, Cizmic A, et al. Learning Curves in Open, Laparoscopic, and Robotic Pancreatic Surgery: A Systematic Review and Proposal of a Standardization. Ann Surg Open. 2022;3(1):e111. Published 2022 Jan 27. https://doi:10.1097/AS9.0000000000000111Müller PC, Kuemmerli C, Cizmic A, et al. Learning Curves in Open, Laparoscopic, and Robotic Pancreatic Surgery: A Systematic Review and Proposal of a Standardization. Ann Surg Open. 2022;3(1):e111. Published 2022 Jan 27. https://doi:10.1097/AS9.0000000000000111Riviere D, Gurusamy KS, Kooby DA, Vollmer CM, Besselink MG, Davidson BR, van Laarhoven CJ. Laparoscopic versus open distal pancreatectomy for pancreatic cancer. Cochrane Database Syst Rev. 2016;4:CD011391. https://doi: 10.1002/14651858.CD011391.pub2Riviere D, Gurusamy KS, Kooby DA, Vollmer CM, Besselink MG, Davidson BR, van Laarhoven CJ. Laparoscopic versus open distal pancreatectomy for pancreatic cancer. Cochrane Database Syst Rev. 2016;4:CD011391. https://doi: 10.1002/14651858.CD011391.pub2Leung K, Perez A. Minimally invasive pancreaticoduodenectomy at high volume centers. J of the Pancreas. 2016;S1:119–124Leung K, Perez A. Minimally invasive pancreaticoduodenectomy at high volume centers. J of the Pancreas. 2016;S1:119–124Asbun HJ, Stauffer JA. Laparoscopic vs open pancreaticoduodenectomy: overall outcomes and severity of complications using the accordion severity grading system. J Am Coll Surg. 2012;215:810–819. https://doi: 10.1016/j.jamcollsurg.2012.08.006Asbun HJ, Stauffer JA. Laparoscopic vs open pancreaticoduodenectomy: overall outcomes and severity of complications using the accordion severity grading system. J Am Coll Surg. 2012;215:810–819. https://doi: 10.1016/j.jamcollsurg.2012.08.006Kantor O, Talamonti MS, Sharpe S, Lutfi W, Winchester DJ, Roggin KK, Bentrem DJ, Prinz RA, Baker MS. Laparoscopic pancreaticoduodenectomy for adenocarcinoma provides short-term oncologic outcomes and long-term overall survival rates similar to those for open pancreaticoduodenectomy. Am J Surg. 2017;213(3):512–515. https://doi: 10.1016/j.amjsurg.2016.10.030Kantor O, Talamonti MS, Sharpe S, Lutfi W, Winchester DJ, Roggin KK, Bentrem DJ, Prinz RA, Baker MS. Laparoscopic pancreaticoduodenectomy for adenocarcinoma provides short-term oncologic outcomes and long-term overall survival rates similar to those for open pancreaticoduodenectomy. Am J Surg. 2017;213(3):512–515. https://doi: 10.1016/j.amjsurg.2016.10.030Kendrick ML, van Hilst J, Boggi U, de Rooij T, Walsh RM, Zeh HJ, Hughes SJ, Nakamura Y, Vollmer CM, Kooby DA, Asbun HJ, Minimally Invasive Pancreatic Resection Organizing Committee Minimally invasive pancreatoduodenectomy. HPB (Oxford) 2017;19(3):215–224. https://doi: 10.1016/j.hpb.2017.01.023Kendrick ML, van Hilst J, Boggi U, de Rooij T, Walsh RM, Zeh HJ, Hughes SJ, Nakamura Y, Vollmer CM, Kooby DA, Asbun HJ, Minimally Invasive Pancreatic Resection Organizing Committee Minimally invasive pancreatoduodenectomy. HPB (Oxford) 2017;19(3):215–224. https://doi: 10.1016/j.hpb.2017.01.023Kantor O, Pitt HA, Talamonti MS, Roggin KK, Bentrem DJ, Prinz RA, Baker MS. Minimally invasive pancreatoduodenectomy: is the incidence of clinically relevant postoperative pancreatic fistula comparable to that after open pancreatoduodenectomy? Surgery. 2018;163(3):587–593. https://doi: 10.1016/j.surg.2017.12.001Kantor O, Pitt HA, Talamonti MS, Roggin KK, Bentrem DJ, Prinz RA, Baker MS. Minimally invasive pancreatoduodenectomy: is the incidence of clinically relevant postoperative pancreatic fistula comparable to that after open pancreatoduodenectomy? Surgery. 2018;163(3):587–593. https://doi: 10.1016/j.surg.2017.12.001Nota CL, Zwart MJ, Fong Y, Hagendoorn J, Hogg ME, Koerkamp BG, Besselink MG, Molenaar IQ, Dutch Pancreatic Cancer Group Developing a robotic pancreas program: the Dutch experience. J Vis Surg. 2017;3:106. https://doi: 10.21037/jovs.2017.07.02Nota CL, Zwart MJ, Fong Y, Hagendoorn J, Hogg ME, Koerkamp BG, Besselink MG, Molenaar IQ, Dutch Pancreatic Cancer Group Developing a robotic pancreas program: the Dutch experience. J Vis Surg. 2017;3:106. https://doi: 10.21037/jovs.2017.07.02Kim K, Hagen ME, Buffington C. Robotics in advanced gastrointestinal surgery: the bariatric experience. Cancer J. 2013;19(2):177–182. https://doi: 10.1097/PPO.0b013e318289dd15Kim K, Hagen ME, Buffington C. Robotics in advanced gastrointestinal surgery: the bariatric experience. Cancer J. 2013;19(2):177–182. https://doi: 10.1097/PPO.0b013e318289dd15Hogg ME, Besselink MG, Clavien PA, Fingerhut A, Jeyarajah DR, Kooby DA, Moser AJ, Pitt HA, Varban OA, Vollmer CM, Zeh HJ, 3rd, Hansen P. Training in Minimally Invasive Pancreatic Resections: a paradigm shift away from “See one, Do one, Teach one”. Minimally Invasive Pancreatic Resection Organizing Committee. HPB (Oxford) 2017;19(3):234–245. https://doi: 10.1016/j.hpb.2017.01.016Hogg ME, Besselink MG, Clavien PA, Fingerhut A, Jeyarajah DR, Kooby DA, Moser AJ, Pitt HA, Varban OA, Vollmer CM, Zeh HJ, 3rd, Hansen P. Training in Minimally Invasive Pancreatic Resections: a paradigm shift away from “See one, Do one, Teach one”. Minimally Invasive Pancreatic Resection Organizing Committee. HPB (Oxford) 2017;19(3):234–245. https://doi: 10.1016/j.hpb.2017.01.016Jung MK, Hagen ME, Buchs NC, Buehler LH, Morel P. Robotic bariatric surgery: A general review of the current status. Int J Med Robot. 2017;13(4):10.1002/rcs.1834. https://doi:10.1002/rcs.1834Jung MK, Hagen ME, Buchs NC, Buehler LH, Morel P. Robotic bariatric surgery: A general review of the current status. Int J Med Robot. 2017;13(4):10.1002/rcs.1834. https://doi:10.1002/rcs.1834Friedrich DT, Scheithauer MO, Greve J, Hoffmann TK, Schuler PJ. Recent advances in robot-assisted head and neck surgery. Int J Med Robot. 2017;13(2):10.1002/rcs.1744. https://doi:10.1002/rcs.1744Friedrich DT, Scheithauer MO, Greve J, Hoffmann TK, Schuler PJ. Recent advances in robot-assisted head and neck surgery. Int J Med Robot. 2017;13(2):10.1002/rcs.1744. https://doi:10.1002/rcs.1744Agcaoglu O, Aliyev S, Karabulut K, Siperstein A, Berber E. Robotic vs laparoscopic posterior retroperitoneal adrenalectomy. Arch Surg. 2012;147(3):272–275. https://doi: 10.1001/archsurg.2011.2040Agcaoglu O, Aliyev S, Karabulut K, Siperstein A, Berber E. Robotic vs laparoscopic posterior retroperitoneal adrenalectomy. Arch Surg. 2012;147(3):272–275. https://doi: 10.1001/archsurg.2011.2040Hikage M, Tokunaga M, Makuuchi R, Irino T, Tanizawa Y, Bando E, Kawamura T, Terashima M. Comparison of Surgical Outcomes Between Robotic and Laparoscopic Distal Gastrectomy for cT1 Gastric Cancer. World J Surg. 2018;42(6):1803–1810. https://doi: 10.1007/s00268-017-4345-4Hikage M, Tokunaga M, Makuuchi R, Irino T, Tanizawa Y, Bando E, Kawamura T, Terashima M. Comparison of Surgical Outcomes Between Robotic and Laparoscopic Distal Gastrectomy for cT1 Gastric Cancer. World J Surg. 2018;42(6):1803–1810. https://doi: 10.1007/s00268-017-4345-4Wang J, Hu K, Wang Y, et al. Robot-assisted versus open radical prostatectomy: a systematic review and meta-analysis of prospective studies. J Robot Surg. 2023;17(6):2617-2631. https://doi:10.1007/s11701-023-01714-8Wang J, Hu K, Wang Y, et al. Robot-assisted versus open radical prostatectomy: a systematic review and meta-analysis of prospective studies. J Robot Surg. 2023;17(6):2617-2631. https://doi:10.1007/s11701-023-01714-8Liu R, Zhao GD, Tang WB, et al. Nan Fang Yi Ke Da Xue Xue Bao. 2018;38(2):130-134. https://doi:10.3969/j.issn.1673-4254.2018.02.02Liu R, Zhao GD, Tang WB, et al. Nan Fang Yi Ke Da Xue Xue Bao. 2018;38(2):130-134. https://doi:10.3969/j.issn.1673-4254.2018.02.02Liu Z, Chen H, Li Z, et al. Clinical efficacy of enhanced recovery surgery in Da Vinci robot-assisted pancreatoduodenectomy. Sci Rep. 2024;14(1):21539. Published 2024 Sep 15. https://doi:10.1038/s41598-024-72835-9Liu Z, Chen H, Li Z, et al. Clinical efficacy of enhanced recovery surgery in Da Vinci robot-assisted pancreatoduodenectomy. Sci Rep. 2024;14(1):21539. Published 2024 Sep 15. https://doi:10.1038/s41598-024-72835-9Jin JB, Qin K, Li H, et al. Robotic Enucleation for Benign or Borderline Tumours of the Pancreas: A Retrospective Analysis and Comparison from a High-Volume Centre in Asia. World J Surg. 2016;40(12):3009-3020. https://doi:10.1007/s00268-016-3655-2Jin JB, Qin K, Li H, et al. Robotic Enucleation for Benign or Borderline Tumours of the Pancreas: A Retrospective Analysis and Comparison from a High-Volume Centre in Asia. World J Surg. 2016;40(12):3009-3020. https://doi:10.1007/s00268-016-3655-2Shi Y, Peng C, Shen B, et al. Pancreatic enucleation using the da Vinci robotic surgical system: a report of 26 cases. Int J Med Robot. 2016;12(4):751-757. https://doi:10.1002/rcs.1719Shi Y, Peng C, Shen B, et al. Pancreatic enucleation using the da Vinci robotic surgical system: a report of 26 cases. Int J Med Robot. 2016;12(4):751-757. https://doi:10.1002/rcs.1719Tian F, Hong XF, Wu WM, et al. Propensity score-matched analysis of robotic versus open surgical enucleation for small pancreatic neuroendocrine tumours. Br J Surg. 2016;103(10):1358-1364. https://doi:10.1002/bjs.10220Tian F, Hong XF, Wu WM, et al. Propensity score-matched analysis of robotic versus open surgical enucleation for small pancreatic neuroendocrine tumours. Br J Surg. 2016;103(10):1358-1364. https://doi:10.1002/bjs.10220

The authors declare that there are no conflicts of interest present.