Evidence map›Paper›PMID 42271309›Full record

ReviewBMC surgery2026

The rebirth of pancreas transplantation: an innovative, fully robotic, reproducible surgical technique.

Phillipe Abreu, Haaris Kadri, Simone Zaragoza, Giselle Guerra, Mariella Ortigosa-Goggins, Michelle C Nguyen, Adeel S Khan, Mohamed Eltemamy, Juliano Riella, Jose Figueiro and 4 more

Abstract readReview
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In one paragraph

Review in BMC surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Phillipe Abreu *Department of Surgery, University of Colorado Anschutz Medical Campus, Aurora, CO, USA. Phillipe.Abreu@cuanschutz.edu.
Haaris Kadri *School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Simone ZaragozaDepartment of Surgery, Indiana University School of Medicine, Indianapolis, IN, USA.
Giselle GuerraDepartment of Medicine, Miami Transplant Institute, Miami, FL, USA.
Mariella Ortigosa-GogginsDepartment of Medicine, Miami Transplant Institute, Miami, FL, USA.
Michelle C NguyenDepartment of Surgery, Mayo Clinic Arizona, Phoenix, AZ, USA.
Adeel S KhanDepartment of Surgery, University of Washington in St. Louis, St. Louis, MO, USA.
Mohamed EltemamyGlickman Urologic Institute, Cleveland Clinic, Cleveland, OH, USA.
Juliano RiellaDepartment of Surgery, Emory University, Atlanta, GA, USA.
Jose FigueiroDepartment of Surgery, District of Columbia, MedStar Georgetown University Hospital, Washington, USA.
Rodrigo ViannaDepartment of Surgery, Miami Transplant Institute, Miami, FL, USA.
Dieter BroeringOrgan Transplant Center of Excellence, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
Ugo BoggiDivision of General and Transplant Surgery, University of Pisa, Pisa, PI, Italy.
Mario SpaggiariDepartment of Surgery, University of Illinois at Chicago, Chicago, IL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPancreas transplantation remains the only definitive therapy for restoring endogenous insulin secretion and physiologic glycemic control in patients with insulin-dependent diabetes mellitus. Utilization in the United States has declined, however, in part due to morbidity associated with open simultaneous pancreas-kidney transplantation (SPKT), secondary to the incision or bowel manipulation, and procedural concentration within high-volume centers. The dissemination of robotic kidney transplantation has demonstrated the feasibility of minimally invasive transplant surgery and provides a platform to reconsider pancreas transplantation using standardized robotic principles.

methodsWe describe a reproducible technique for robotic pancreas transplantation (RPT), applicable to SPKT, pancreas-after-kidney transplantation, and pancreas-transplant-alone. Patient selection follows established criteria with multidisciplinary evaluation and preoperative vascular imaging. The operative workflow includes back-table vascular construction, limited iliac vessel dissection, extraperitoneal graft placement in a head-down orientation on the left iliac fossa, tension-free portal vein anastomosis to the external iliac vein, arterial anastomosis to the external iliac artery, controlled reperfusion, and side-to-side duodeno-ileostomy. Port placement mirrors robotic kidney transplantation to promote procedural standardization.

resultsEarly experiences from high-volume centers demonstrate technical feasibility of RPT. Published series report successful implementation without routine need for hand assistance, and institutional experience supports reproducibility. Data remain limited, however, and are not powered to assess comparative outcomes or cost-effectiveness.

conclusionsA standardized approach to RPT is technically feasible and may reduce the surgical burden associated with open SPKT. While larger multicenter studies are required to define safety, graft outcomes, and economic impact, dissemination of a reproducible operative framework represents an essential first step toward broader adoption.

Indexed as

Diabetes Mellitus, Type 1Kidney TransplantationPancreas TransplantationRobotic Surgical ProceduresHumansPancreas-after-kidney transplantPancreas-transplant-aloneRobotic pancreas transplantationRobotic transplantSimultaneous pancreas-kidney transplant

Identifiers

PMID42271309

What Socratic holds

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Registered trials

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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.