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A 75 year old woman presented with recurrent pancreatitis and endoscopic evidence of a duodenal papillary mass that did not show high grade dysplasia extending up the common bile duct. Follow up after endoscopic ampullectomy demonstrated recurrence of the lesion. The adenoma was then resected using a robotic-assisted transduodenal approach with bile and pancreatic duct reconstruction. This case demonstrates the ability to establish precise excisional margins and to remove lesions that cannot be resected endoscopically via the use of robotic assistance. This method demonstrates an alternative option to avoid the morbidity associated with pancreaticoduodenectomy for benign lesions.