OLVG 4 articles published in JoVE Medicine Robotic D3 Partial Duodenal Resection with Primary Side-to-Side Anastomosis Roberto Maria Montorsi1,2,3, Sofia Xenaki1,2,4, Sebastiaan Festen5, Paul Fockens2,6, Barbara A. J. Bastiaansen2,6, Freek Daams2,7, Olivier R. Busch1,2, M. G. Besselink1,2, HPB-Amsterdam, 1Amsterdam UMC, Department of Surgery, University of Amsterdam, 2Cancer Center Amsterdam, 3Department of General and Pancreatic Surgery, The Pancreas Institute, University of Verona Hospital Trust, 4Department of General Surgery, University Hospital of Heraklion Crete, 5Department of Surgery, OLVG, 6Amsterdam UMC, Department of Gastroenterology, University of Amsterdam, 7Amsterdam UMC, Department of Surgery, Vrije Universiteit This protocol presents a case of a robotic partial duodenal resection with primary side-to-side duodeno-jejunal reconstruction in a patient with a 5 cm duodenal stenosis. This is done at the third duodenal segment (D3) after an endoscopic mucosal resection (EMR) for a duodenal polyp. Cancer Research Robotic Pancreatoduodenectomy for Pancreatic Head Cancer: a Case Report of a Standardized Technique Maurice J. W. Zwart*1,2, Leia R. Jones*1,2,3, Melissa E. Hogg4, Johanna A. M. G. Tol1,2, Mohammad Abu Hilal3, Freek Daams5, Sebastiaan Festen6, Olivier R. Busch1,2, Marc G. Besselink1,2, HPB-Amsterdam, 1Department of Surgery, Amsterdam, the Netherlands, Amsterdam UMC, location University of Amsterdam, 2Cancer Center Amsterdam, the Netherlands, 3Department of General Surgery, Istituto Ospedaliero Fondazione Poliambulanza, 4Department of Surgery, Northshore University Health System, 5Department of Surgery, Amsterdam UMC, Vrije Universiteit, Cancer Center Amsterdam, 6Department of Surgery, OLVG Robotic pancreatoduodenctomy (RPD) has been highly standardized in recent years and may be used in selected patients with pancreatic head cancer, including those with a replaced right hepatic artery. This case report describes a standardized and reproducible technique for RPD, which includes the approach of the Dutch LAELAPS-3 training program to an aberrant vasculature. Medicine Robotic Central Pancreatectomy with Roux-en-Y Pancreaticojejunostomy Tess M.E. van Ramshorst1, Maurice J.W. Zwart1, Rogier P. Voermans2, Sebastiaan Festen3, Freek Daams4, Olivier R. Busch1, Matthijs W.N. Oomen5, Marc G. Besselink1, HPB-Amsterdam, 1Department of Surgery, Amsterdam UMC, University of Amsterdam, Cancer Center Amsterdam, 2Department of Gastroenterology, Amsterdam UMC, University of Amsterdam, Amsterdam Gastroenterology Endocrinology Metabolism, 3Department of Surgery, OLVG, 4Department of Surgery, Amsterdam UMC, Vrije Universiteit, 5 Robotic central pancreatectomy may be used in selected patients in experienced centers. This protocol presents all steps and the feasibility of a robotic central pancreatectomy with Roux-en-Y pancreaticojejunostomy in a 16-year-old adolescent patient. Cancer Research Laparoscopic Pancreatoduodenectomy With Modified Blumgart Pancreaticojejunostomy Matteo De Pastena1,2, Jony van Hilst1, Thijs de Rooij1, Olivier R Busch1, Michael F Gerhards3, Sebastiaan Festen3, Marc G Besselink1 1Department of Surgery, Cancer Center Amsterdam, Academic Medical Center, 2General and Pancreatic Surgery Department, Pancreas Institute, University and Hospital Trust of Verona, 3Department of Surgery, OLVG Laparoscopic pancreatoduodenctomy (LPD) may offer advantages over open pancreatoduodenectomy, including early postoperative mobilization, less delayed gastric emptying and a shorter hospital stay. However, LPD is technically challenging and not well-standardized, especially regarding the pancreatic anastomosis. We describe a standardized technique for the pancreatic anastomosis during LPD: modified Blumgart pancreaticojejunostomy.