Robotic-Assisted Laparoscopic Pancreatoduodenectomy (RPD)

As early as the beginning of the twentieth century, for tumors located at pancreatic head, pancreaticoduodenectomy (PD) was gradually developed. Due to the difficulty of PD, the surgical procedure was more complicated and the morbidity and mortality rate were also higher than other techniques. In the early stage, usually PD is performed by open surgery. With the invention and development of laparoscopic minimally invasive techniques in the 1990s, the first laparoscopic pancreaticoduodenectomy (LPD) was first reported in 1994. At that time, only a few centers in the world were able to complete the minimally invasive PD. The main reason for this is that the complexity of the surgical procedure, especially the technical difficulties encountered during reconstruction, largely limits the development of minimally invasive pancreaticoduodenectomy.