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Jiao et al. Art Int Surg 2023;3:98-110  https://dx.doi.org/10.20517/ais.2023.03                                                              Page 102




























                Figure 1. (A)Port positioning for pancreatoduodenectomy using the Da Vinci Xi and X; (B) port positioning for pancreatoduodenectomy
                using the Da Vinci Si.








































                                                  Figure 2. Division of GDA stump.

               Hilar dissection/division of the gastroduodenal artery
               This is the first step in the RPD. The hilum is exposed after retracting the liver with Cadiere forceps in arm
               4. Then lymph node dissection is performed along the coeliac axis, common hepatic, proper hepatic, right
               hepatic, left hepatic arteries and retro portal area using hook diathermy. The tissue and lymphatics around
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