This operative video demonstrates a robotic pancreaticoduodenectomy (Whipple procedure) performed for a duodenal neuroendocrine tumor causing gastric outlet obstruction in an 83-year-old patient.

Robotic techniques were used to facilitate precise dissection of the pancreatic head, duodenum, and surrounding vascular structures while maintaining oncologic principles of complete tumor resection and regional lymph node evaluation.

The patient recovered well following surgery and was discharged home on postoperative day four.

Final pathology demonstrated a well-differentiated neuroendocrine tumor, grade 2 (pT3 pN1) with 3 of 15 lymph nodes involved and negative surgical margins.

This case illustrates the application of robotic minimally invasive techniques in complex pancreatic surgery within a multidisciplinary hepatopancreatobiliary oncology program.