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Robotic Pancreaticoduodenectomy With Cholecystectomy
Sharona B. Ross^*, TY a. Bowman, Alexander S. Rosemurgy
General Surgery, Florida Hospital Tampa, Tampa, FL

This video demonstrates a robotic pylorus-sparing pancreaticoduodenectomy. Laparoscopic technique is used to accomplish extended Kocher maneuver. After robot docking, sharp dssection, clips, linear staplers, and bipolar cautery were used to dissect the duodenum and head of pancreas from surrounding tissue. The pancreatic neck was divided, and the mesentery of the pancreas and duodenum were dissected free of the portal vein and superior mesenteric artery with subsequent specimen extraction. Pneumoperitoneum was reestablished and the reconstruction was undertaken: 2-layer pancreaticojejunostomy, 1-layer hepaticojejunostomy, and 2-layer duodenojejunostomy are demonstrated.

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