Robotic Whipple for Biliary Neuroendocrine Tumor

Yee L. Cheah, MD; Caroline J. Simon, MD; Roger L. Jenkins, MD, FACS; Mohamed E. Akoad, MD

Product Details
Product ID: ACS-5661
Year Produced: 2018
Length: 10 min.


47-year-old previously healthy male presented with obstructive jaundice. CT showed a hypervascular mass in distal CBD. EUS with biopsy was inconclusive. ERCP stenting was performed with plastic stent. We performed a robotic pancreaticoduodenectomy (Whipple). Exploratory laparoscopy revealed no metastasis. Four robotic trocars, two laparoscopic assistant trocars, and one trocar for the liver retractor were inserted. The video will display the pertinent steps involved in a robotic Whipple procedure including Kocherization of the duodenum, division of small bowel and distal stomach, hilar dissection, transection of pancreatic neck, and dissection of uncinate process. The superior visualization of the hilum and uncinate area using the robot is shown. All 3 intracorporeal robotic anastomoses are demonstrated as well. Final pathology revealed an unusual biliary neuroendocrine tumor. Patient did well postoperatively.