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"The fully robotic Whipple procedure represents a significant advancement in pancreatic cancer treatment," says Akhil Chawla, MD, a surgical oncologist at Northwestern Medicine. "It allows us to perform this complex operation in a minimally invasive way, which can lead to better outcomes for our patients."

What Is a Whipple Procedure?

The Whipple procedure, also known as pancreaticoduodenectomy, is a surgical treatment for pancreatic cancer and other conditions affecting the pancreas, bile duct and small intestine. During this operation, surgeons remove:

• The head of the pancreas
• First part of the small intestine (duodenum)
• The gallbladder
• Part of the bile duct
• Nearby lymph nodes
• Sometimes, a portion of the stomach

Traditionally, this surgery is performed through a large incision in the abdomen. But with robotic technology, surgeons can now perform the entire procedure using small incisions and robotic instruments.

Benefits of the Fully Robotic Approach

"When we look at the robotic approach, it's a better patient experience for such a large procedure,” says Dr. Chawla. “Patients who undergo a fully robotic Whipple procedure typically leave the hospital feeling better and in less pain compared to those who have traditional open operations."

Benefits may include:

• Smaller incisions, less scarring
• Less pain
• Shorter hospital stays
• Quicker recovery times
• Potentially fewer complications

"We're not taking any shortcuts with regard to what's required for that operation to be completed successfully," Dr. Chawla emphasizes. "The robotic technology simply allows us to perform the same procedure in a less invasive way."

How Does It Work?

During a robotic Whipple procedure, the surgeon sits at a console near the operating table, controlling robotic arms that hold specialized surgical instruments. A powerful camera provides a magnified, high-definition, 3D view inside your body.

"The robotic system gives us enhanced precision and control," says Dr. Chawla. "We can see extremely close details and make very fine movements that would be difficult to achieve with minimally invasive traditional techniques."

Who Is a Candidate?

Not all people diagnosed with pancreatic cancer are candidates for the robotic Whipple procedure. Factors that determine eligibility include:

• The size and location of the tumor
• Your overall health
• Previous abdominal surgeries

"We carefully evaluate each patient to determine the best surgical approach," Dr. Chawla notes. "For those who qualify, the robotic option can offer significant benefits."

The Future of Pancreatic Cancer Surgery

As robotic technology continues to advance, Dr. Chawla sees a bright future for pancreatic cancer treatment, offering new hope for patients to have better outcomes and quality of life after surgery.

If you or a loved one has been diagnosed with pancreatic cancer, talk to your care team about all available treatment options, including the possibility of robotic surgery.