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About

Dr. Cesare Gianfaldoni is a leading figure in the advancement of robotic pancreatic surgery, with a focused expertise in complex hepatopancreatobiliary procedures. His major contributions center on refining and expanding the technical frontiers of robotic pancreatoduodenectomy (RPD), particularly for cases involving vascular involvement. Dr. Gianfaldoni pioneered the development of the PD-ROBOSCORE, a validated difficulty scoring system (34 citations) that enables the safe, stepwise implementation of RPD by predicting postoperative complications. He has also provided the first detailed technical descriptions for robotic vein resection and reconstruction (37 citations), a procedure previously reserved for open surgery, and demonstrated its non-inferiority to the open approach in a propensity score-matched analysis (11 citations). His work on the "cold" triangle technique (17 citations) and modified Blumgart pancreaticojejunostomy (14 citations) has further improved oncologic radicality and reduced leak rates. With a growing body of work that includes feasibility studies on robotic total pancreatectomy and refined biliary reconstruction techniques, Dr. Gianfaldoni’s research has collectively garnered over 130 citations, establishing him as a key innovator in making minimally invasive pancreatic surgery safer and more reproducible.