Robotic Total Pancreatectomy: A Novel Pancreatic Head-First Approach (with Video).
Robot
Total pancreatectomy
Journal
Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract
ISSN: 1873-4626
Titre abrégé: J Gastrointest Surg
Pays: United States
ID NLM: 9706084
Informations de publication
Date de publication:
06 2021
06 2021
Historique:
received:
22
09
2020
accepted:
12
01
2021
pubmed:
12
2
2021
medline:
10
7
2021
entrez:
11
2
2021
Statut:
ppublish
Résumé
The development of the Da Vinci robotic platform has drastically altered the paradigm of minimal invasive pancreatic surgery. However, the evidence of robotic total pancreatectomy (RTP) is still limited. Here we report an alternative approach of RTP, starting with pancreatoduodenectomy (the pancreatic head-first approach). The patient was a 55-year-old female with a diagnosis of diffuse PNET in the head, body, and tail of the pancreas. The da Vinci Xi robotic system was used for RTP. Our technique of RTP consists of three steps: (1) pancreatoduodenectomy, (2) (en bloc) distal pancreatectomy, and (3) reconstructions. The operative time was 490 min with an estimated blood loss of 100 ml. The postoperative course was uneventful, and the patient was discharged on postoperative day 10. RTP is a technically challenging procedure; however, the pancreatic head-first approach of RTP has several advantages.
Sections du résumé
BACKGROUND
The development of the Da Vinci robotic platform has drastically altered the paradigm of minimal invasive pancreatic surgery. However, the evidence of robotic total pancreatectomy (RTP) is still limited. Here we report an alternative approach of RTP, starting with pancreatoduodenectomy (the pancreatic head-first approach).
METHODS
The patient was a 55-year-old female with a diagnosis of diffuse PNET in the head, body, and tail of the pancreas. The da Vinci Xi robotic system was used for RTP. Our technique of RTP consists of three steps: (1) pancreatoduodenectomy, (2) (en bloc) distal pancreatectomy, and (3) reconstructions.
RESULTS
The operative time was 490 min with an estimated blood loss of 100 ml. The postoperative course was uneventful, and the patient was discharged on postoperative day 10.
CONCLUSIONS
RTP is a technically challenging procedure; however, the pancreatic head-first approach of RTP has several advantages.
Identifiants
pubmed: 33570722
doi: 10.1007/s11605-021-04922-5
pii: 10.1007/s11605-021-04922-5
doi:
Types de publication
Journal Article
Video-Audio Media
Langues
eng
Sous-ensembles de citation
IM
Pagination
1649-1650Références
Strijker M, van Santvoort HC, Besselink MG, et al (2013) Robot-assisted pancreatic surgery: a systematic review of the literature. HPB (Oxford) 15:1-10
doi: 10.1111/j.1477-2574.2012.00589.x
Konstantinidis IT, Jutric Z, Eng OS, et al (2018) Robotic total pancreatectomy with splenectomy: technique and outcomes. Surg Endosc 32:3691-3696
doi: 10.1007/s00464-017-6003-1
de Mesquita Neto JWB, Macedo FI, Liu Y, et al (2019) Fully robotic total pancreatectomy: technical aspects and outcomes. J Robot Surg 13:77-82
doi: 10.1007/s11701-018-0818-1