1285 Reporting of Robotic Pancreaticoduodenectomy As A Surgical Innovation: Systematic Review and Narrative Synthesis

Abstract Aim Pancreaticoduodenectomy (PD) is most commonly performed using open surgical techniques. Minimal access approaches have reduced the morbidity of many types surgery, however technical limitations hindered widespread adoption laparoscopic methods for PD. There has been increasing use robots to facilitate a minimal approach, motivated by improved visualisation, ergonomics and dexterity compared standard methods. Methods safe introduction novel techniques are lacking, way in which innovations reported may affect into clinical practice. The aim this study understand how robotic PD as innovation. Method A systematic review being conducted trainee led RoboSurg Collaborative. literature search was identify primary research reporting outcomes Articles screened duplicate title abstract, then full text review. following data will be extracted: methodology rationale; centre, surgeons patient details; governance ethical considerations; learning curves; details intervention, including modifications; were reported, core outcome sets. analysed narrative synthesis method. Results identified 1305 articles on pancreas surgery. An interim report progress presented. Conclusions rich enable innovators reported. This encourage transparent, methodical, meaningful PD, quality evidence.