Procedure-specific Training for Robot-assisted Distal Pancreatectomy.

Objective: To train practicing surgeons in robot-assisted distal pancreatectomy (RADP) and assess the impact on 5 domains of healthcare quality.

Background: RADP may reduce the treatment burden compared with open distal pancreatectomy (ODP), but studies on institutional training and implementation programs are scarce.

Methods: A retrospective, single-center, cohort study evaluating surgical performance during a procedure-specific training program for RADP (January 2006 to September 2017).

Modern Air Combat Developments and Their Influence on Neck and Back Pain in F-16 Pilots.

Introduction: Neck and back pain in fighter pilots remains a serious occupational problem. We hypothesized that recent advances such as the joint helmet mounted cueing system (JHMCS) in modern air combat might contribute to the development of spinal complaints in F-16 pilots.

Methods: Surveyed were 59 F-16 pilots of the Royal Netherlands Air Force who were compared to 49 F-16 pilots who filled in a similar questionnaire in 2007.

Technique and outcomes of robot-assisted median arcuate ligament release for celiac artery compression syndrome.

Objective: Celiac artery compression by the median arcuate ligament (MAL) is a potential cause of postprandial abdominal pain and weight loss that overlaps with other common syndromes. Robotic technology may alter the current paradigm for surgical intervention. Open MAL release is often performed with concurrent bypass for celiac stenosis due to the morbidity of reintervention, whereas the laparoscopic approach is associated with high rates of conversion to open due to bleeding.

Robotic surgery for benign duodenal tumors.

Introduction: Benign duodenal and periampullary tumors are uncommon lesions requiring careful attention to their complex anatomic relationships with the major and minor papillae as well as the gastric outlet during surgical intervention. While endoscopy is less morbid than open resection, many lesions are not amenable to endoscopic removal. Robotic surgery offers technical advantages above traditional laparoscopy, and we demonstrate the safety and feasibility of this approach for a variety of duodenal lesions.