Marcucci, FrancescaCarillo, GiovannaSánchez Velázquez, Patricia, 1985-García Picazo, AlbertoBurdío Pinilla, FernandoIelpo, Benedetto2025-06-132025-06-132025Marcucci F, Carillo G, Sánchez-Velázquez P, Garcia-Picazo A, Burdio F, Ielpo B. Practical approaches to high-risk anastomoses in robotic pancreatoduodenectomy. Ann Surg Oncol. 2025 May 6. DOI: 10.1245/s10434-025-17402-w1068-9265http://hdl.handle.net/10230/70679Data de publicació electrònica: 06-05-2025Background: Pancreatoduodenectomy (PD) is performed for the treatment of pancreatic head and periampullary tumors and is associated with relatively high postoperative morbidity and mortality. Traditionally conducted as open surgery, PD has evolved with the advent of minimally invasive techniques, including robotic-assisted approaches. Results: As reported in the literature, minimally invasive PD is becoming a safe and effective alternative surgical approach. Clinically relevant postoperative pancreatic complications, such as fistulas and hemorrhage, remain among the most challenging issues after PD, particularly in high-risk cases. There are several maneuvers that may reduce their incidence and mitigate their postoperative clinical impact. Conclusions: In this video, we describe strategies implemented at our center for high-risk PD cases, including some key tips and tricks.application/pdfeng© The Author(s) 2025, corrected publication 2025. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.info:eu-repo/semantics/articlehttp://dx.doi.org/10.1245/s10434-025-17402-wMinimally invasive surgeryPancreasPancreatic cancerPancreatic fistulaPancreatoduodenectomyinfo:eu-repo/semantics/openAccess