{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T09:43:13Z","timestamp":1785577393508,"version":"3.56.0"},"reference-count":39,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2021,4,15]],"date-time":"2021-04-15T00:00:00Z","timestamp":1618444800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Robotics Computer Surgery"],"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Pancreaticoduodenectomy (PD) is one of the most demanding interventions for digestive surgeons. R0 resection is a key point for the overall survival and disease\u2010free survival. Total mesopancreas excision (TMpE) has been described by laparotomy but laparoscopy did not provide good results probably because of the technical difficulties of the approach. We propose a standardised total robotic approach.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In this step\u2010by\u2010step technical description, we propose as example, a case of a 53\u2010year\u2010old man with a pancreatic head adenocarcinoma with doubts about the invasion of the mesopancreas surrounding superior mesenteric artery. The mesopancreas hanging manoeuver allows us to perform a TMpE.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The surgery performed was a robotic artery first pancreaticoduodenectomy with TMpE. The pathological result was pancreatic ductal adenocarcinoma pT2, N1 (1\/23), M0, V0, L0, Pn0, R0.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Robotic approach is safe, effective and reproductible. Through a standardised technique, it may overcome some of the technical difficulties of laparoscopic PD.<\/jats:p><\/jats:sec>","DOI":"10.1002\/rcs.2259","type":"journal-article","created":{"date-parts":[[2021,4,7]],"date-time":"2021-04-07T07:51:24Z","timestamp":1617781884000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Real robotic total mesopancreas excision (TMpE) assisted\u00a0by\u00a0hanging manoeuver (HM): Standardised technique"],"prefix":"10.1002","volume":"17","author":[{"given":"Juan Santiago","family":"Azagra","sequence":"first","affiliation":[{"name":"Department of General and Minimally Invasive Surgery (Laparoscopy and Robotic) Centre Hospitalier de Luxembourg  Luxembourg Luxembourg"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edoardo","family":"Rosso","sequence":"additional","affiliation":[{"name":"Department of General and Minimally Invasive Surgery (Laparoscopy and Robotic) 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Luxembourg"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4616-6108","authenticated-orcid":false,"given":"Lucia","family":"Gonz\u00e1lez Gonz\u00e1lez","sequence":"additional","affiliation":[{"name":"Department of General and Minimally Invasive Surgery (Laparoscopy and Robotic) Centre Hospitalier de Luxembourg  Luxembourg 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