Counter-Clockwise Approach for Robotic Pylorus-Preserving Pancreatoduodenectomy.

Purpose: This multi-media article aims to describe a counter-clockwise approach for pancreatoduodenectomy (CCA-PD) in robotic surgery.

Methods: A CCA-PD was used as a strategy for robotic surgery to treat a 69-year-old woman without comorbidities who presented a ductal adenocarcinoma of the head of the pancreas (2.7 cm) in contact with the portal vein (less than 180°), preoperatively treated with FOLFIRINOX.

Robotic approach as a valid strategy to improve the access to posterosuperior hepatic segments-Case series and review of literature.

Introduction: Although the laparoscopy liver resection (LLR) has become a useful approach for minor resections, it seems that lesions in posterosuperior (PS) segments still represent technical challenges. We report a series of robotic approach as an alternative option for these lesions, and a systematic review of the literature to show its feasibility.

Methods: Consecutive patients who underwent liver resection for solitary lesions in PS segments by da Vinci SI robot, and by the same team.