Pancreaticoduodenectomy (PD) with or without pylorus preservation remain the gold standard in pancreatic head tumour's treatment. Uncinate process dissection represents one of the most challenging steps of the PD and in open surgery the discussion about the “uncinate first” or “superior mesenteric artery first” approches is animating the surgical debate. Ten years after the introduction of the robotic technology in minimally invasive PD, we herein describe the role of this approach in the uncinate process dissection.
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