{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T18:27:27Z","timestamp":1787077647455,"version":"build-2736575974"},"reference-count":16,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,16]],"date-time":"2026-08-16T00:00:00Z","timestamp":1786838400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,16]],"date-time":"2026-08-16T00:00:00Z","timestamp":1786838400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Pancreaticoduodenectomy (Whipple procedure) is rarely required in children, but remains the standard of care for resectable pancreatic head tumors. Robotic pancreaticoduodenectomy (RPD) has been increasingly performed in adults, demonstrating safety, feasibility, and in some series, superior perioperative outcomes compared with open surgery. In children, however, there are only three published case reports worldwide.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We describe two adolescent females with pancreatic head solid pseudopapillary neoplasms (SPNs) who underwent RPD at high-volume U.S. centers. Both cases were managed by multidisciplinary teams including pediatric surgeons and adult surgical oncologists experienced in robotic pancreatic surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Case 1: A 13-year-old underwent robotic pylorus-preserving pancreaticoduodenectomy utilizing intraoperative Indocyanine Green Firefly and ultrasound to assess critical anatomy. Reconstruction was performed with Blumgart pancreaticojejunostomy and hepaticojejunostomy. She advanced to diet by postoperative day (POD) 3 and was discharged on POD 3. Case 2: A 17-year-old underwent RPD with pylorus preservation in a similar fashion at an adult hospital. Her recovery was uncomplicated, drains were removed on POD 4, and she was discharged on POD 5. Final pathology in both patients confirmed SPN with negative margins.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>These represent the first pediatric RPDs reported in the United States and the first using the da Vinci Xi platform. Our experience demonstrates that pediatric RPD is feasible and safe when performed in collaboration with high-volume adult robotic pancreatic programs. Given the rarity of pediatric pancreatic tumors, collaborative registries and continued reporting are essential to define outcomes and guide best practice.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10926429261478780","type":"journal-article","created":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T02:25:11Z","timestamp":1786933511000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Robotic Pancreaticoduodenectomy in Pediatric Patients: First Two Reported Cases in the United States"],"prefix":"10.1177","author":[{"given":"Irving J.","family":"Zamora","sequence":"first","affiliation":[{"name":"Department of Pediatric Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica K.","family":"Sims","sequence":"additional","affiliation":[{"name":"Vanderbilt University School of Medicine, Nashville, Tennessee, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vikas S.","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roshan J.","family":"D\u2019Cruz","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Medical College of Georgia, Augusta, Georgia, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jillian","family":"Jacobson","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-0408-0830","authenticated-orcid":false,"given":"Alejandro O.","family":"Chara","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin N.","family":"Johnson","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony M.","family":"Gamboa","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Vanderbilt University Medical Center, Nashville, Tennessee, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1524-3518","authenticated-orcid":false,"given":"Daniel J.","family":"Benedetti","sequence":"additional","affiliation":[{"name":"Department of Pediatric Hematology\/Oncology, Vanderbilt University Medical Center, Nashville, Tennessee, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricio M.","family":"Polanco","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology, University of Texas Southwestern Medical Center, Dallas, Texas, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"III","given":"Herbert J.","family":"Zeh","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology, University of Texas Southwestern Medical Center, Dallas, Texas, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sekhar","family":"Padmanaban","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology, Vanderbilt University Medical Center, Nashville, Tennessee, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"III","given":"Harold N.","family":"Lovvorn","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samir","family":"Pandya","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,16]]},"reference":[{"key":"e_1_3_2_2_1","first-page":"1181","article-title":"Robotics in general surgery: Robotic pancreaticoduodenectomy","volume":"17","author":"Giulianotti PC","year":"2003","unstructured":"1.Giulianotti PC, , Coratti A, , Angelini M, et al. Robotics in general surgery: Robotic pancreaticoduodenectomy. Surg Endosc 2003;17:1181\u20131185.","journal-title":"Surg Endosc"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000003550"},{"key":"e_1_3_2_4_1","first-page":"1881","article-title":"Comparison of open and robotic pancreaticoduodenectomy: A meta-analysis","volume":"107","author":"Shyr BU","year":"2020","unstructured":"3.Shyr BU, , Chen SC, , Shyr YM, et al. Comparison of open and robotic pancreaticoduodenectomy: A meta-analysis. Br J Surg 2020;107:1881\u20131890.","journal-title":"Br J Surg"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2023.10.046"},{"key":"e_1_3_2_6_1","first-page":"e29167","article-title":"Solid pseudopapillary neoplasm of the pancreas in children and adolescents: Clinical features and outcomes","volume":"68","author":"D\u2019Souza MA","year":"2021","unstructured":"5.D\u2019Souza MA, , Kiran S, , Goel R, et al. Solid pseudopapillary neoplasm of the pancreas in children and adolescents: Clinical features and outcomes. Pediatr Blood Cancer 2021;68:e29167.","journal-title":"Pediatr Blood Cancer"},{"issue":"9","key":"e_1_3_2_7_1","first-page":"1129","article-title":"Robotic pancreaticoduodenectomy in a 10-year-old child with SPN","volume":"28","author":"Napoli N","year":"2018","unstructured":"6.Napoli N, , Ljungqvist O, , Del Chiaro M, et al. Robotic pancreaticoduodenectomy in a 10-year-old child with SPN. J Laparoendosc Adv Surg Tech A 2018;28(9):1129\u20131132.","journal-title":"J Laparoendosc Adv Surg Tech A"},{"key":"e_1_3_2_8_1","first-page":"32","article-title":"Minimally invasive pancreaticoduodenectomy in a 14-year-old child: Case report","volume":"36","author":"Hagendoorn J","year":"2018","unstructured":"7.Hagendoorn J, , van Rijssen LB, , van Hilst J, et al. Minimally invasive pancreaticoduodenectomy in a 14-year-old child: Case report. 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J Gastrointest Surg 2009;13(5):901\u2013908.","journal-title":"J Gastrointest Surg"},{"key":"e_1_3_2_12_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2015.17"},{"key":"e_1_3_2_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2024.07.042"},{"key":"e_1_3_2_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-022-09106-z"},{"key":"e_1_3_2_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2022.11.019"},{"key":"e_1_3_2_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsurg.2024.01.004"},{"key":"e_1_3_2_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-024-11035-y"}],"container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10926429261478780","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10926429261478780","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10926429261478780","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T17:49:29Z","timestamp":1787075369000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10926429261478780"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,16]]},"references-count":16,"alternative-id":["10.1177\/10926429261478780"],"URL":"https:\/\/doi.org\/10.1177\/10926429261478780","relation":{},"ISSN":["1092-6429","1557-9034"],"issn-type":[{"value":"1092-6429","type":"print"},{"value":"1557-9034","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,16]]},"article-number":"10926429261478780"}}