Historical development of the da Vinci robotic surgical system in pancreaticoduodenectomy

Abstract

To examine the historical development of robotic pancreaticoduodenectomy (RPD) and evaluate its clinical applicability and future directions. This review article synthesizes the evolution of robotic pancreaticoduodenectomy by reviewing key clinical studies and advancements in robotic technology, with a focus on the da Vinci system. Robotic pancreaticoduodenectomy has demonstrated clear advantages in precision, lymph node dissection, and postoperative recovery, although it remains associated with longer operative time and higher costs compared to open pancreaticoduodenectomy. The rapid technological advances in robotic surgery have transformed the landscape of pancreatic surgery, but challenges such as high costs, longer operation time, and the lack of haptic feedback remain significant. Emerging trends like AI integration and single-port surgery hold promise for future developments. While RPD provides immediate clinical benefits in terms of recovery and complication rates, further studies on long-term oncologic outcomes and cost-effectiveness are necessary for a comprehensive understanding of its role in pancreatic surgery.