Objective To evaluate the safety and feasibility of robotic pancreatectomy with vascular reconstruction. Methods The data of 15 patients who underwent robotic pancreatectomy combined with vascular reconstruction were reviewed. There were 8 cases of pancreatoduodenectomy with portal vein (PV) and superior mesenteric vein reconstruction. One case had pancreatoduodenectomy with variant right hepatic artery reconstruction. Four cases had distal pancreatectomy including 2 case with PV reconstruction and 2 cases with common hepatic artery reconstruction. Two cases had total pancreatectomy with PV or SMV reconstruction. Results The operative time was (343+80)(210-540) min with blood loss (573+310)(200-1 100) mL. The postoperative hospital stay was (29.8+27.7)(14-122) d. Pancreatic fistula occurred in 2 cases (13.3%) without mortality. Conclusions Robotic pancreatectomy with vascular reconstruction could be safe and feasible, however, extensive experience with technical support should be needed.
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