The application of minimally invasive techniques for pancreatic surgery remains in its infancy. Since the first endocrine pancreatic tumor resection was reported by Gagner and Sussman in 1996 [15, 16], only one robotic-assisted pancreatic tumor resection case was reported by Melvin in 2003 . Melvin's group has also reported the experience of pancreatic duct reconstruction after open pancreaticoduodenectomy. Although there are no reported data available, Giulianotti et al. from Italy have performed more than 20 robotic Whipple resections with very good results. Robotic pancreatic resection is feasible, but further advances in techniques and technology are necessary and future experience will determine the real benefits of this approach.
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