ArticleSurgical endoscopy2026
Robotic pancreaticoduodenectomy with modified Blumgart anastomosis with self-locking barbed wires: technical aspects and initial results.
Article in Surgical endoscopy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
2 citing papers in PubMed.
- Robotic Hepatectomy for Primary Liver Cancer.Annals of surgical oncology · 2026Review
- From racetracks to operating rooms: parallels between Formula 1 racing and robotic surgery.Surgical endoscopy · 2026Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPostoperative pancreatic fistula (POPF) is a serious complication after pancreaticoduodenectomy (PD). We present a standardized and reproducible technique (IDEAL stage 2a) to perform a robotic modified Blumgart anastomosis with self-locking barbed wires.
methodsBetween October 2023 and March 2025, 22 patients underwent a robotic pancreaticoduodenectomy with a modified Blumgart anastomosis median pancreatic duct diameter measured 3 mm. Fifteen patients had a soft pancreas (68%). Sixteen patients (73%) had a high risk for POPF (ua-FRS ≥ 20%).
resultsSevere postoperative complications (Clavien-Dindo grade ≥ 3) were observed in two patients (9%). There was no clinically relevant postoperative pancreatic fistula (cPOPF). Median blood loss was 40 cc (IQR 123 cc) and median operative time was 300 min (IQR 48 min). Median length of hospital stay after surgery was 12 days (IQR 7 days).
conclusionOur initial experience suggests that a robotic modified Blumgart anastomosis with self-locking barbed wires is safe and reproducible.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.