Pancreatic head clockwise devascularization technique during robotic pancreaticoduodenectomy to minimize intraoperative bleeding.

ABSTRACT:

Background

Pancreaticoduodenectomy (PD) is a complex procedure, and robotic PD (RPD) has been reported to have benefits in reducing postoperative complications. However, the timing and order for dividing arteries and veins remain unstandardized. We developed a novel technique, pancreatic head clockwise devascularization, to minimize intraoperative bleeding in RPD.

Methods

We retrospectively analyzed 39 patients who underwent RPD between April 2022 and September 2024. The clockwise devascularization technique divides 1) the gastroduodenal artery, 2) the 1st-jejunal vein branches, and 3) the inferior pancreatoduodenal artery + 1st-jejunal artery. Outcomes were compared with the conventional superior mesenteric artery (SMA)-first approach.

Results

Of the 39 patients, 14

SUBMITTER: Ito K 

PROVIDER: S-EPMC12618361 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature