Robotic resection of extrahepatic cholangiocarcinoma: Institutional outcomes of bile duct cancer surgery using a minimally invasive technique.
extrahepatic cholangiocarcinoma resection
postoperative outcomes
robotic Klatskin resection
Journal
Journal of surgical oncology
ISSN: 1096-9098
Titre abrégé: J Surg Oncol
Pays: United States
ID NLM: 0222643
Informations de publication
Date de publication:
Feb 2022
Feb 2022
Historique:
revised:
09
08
2021
received:
12
07
2021
accepted:
28
08
2021
pubmed:
16
9
2021
medline:
18
1
2022
entrez:
15
9
2021
Statut:
ppublish
Résumé
The purpose of this study is to report our early experience and outcomes, the first in North America, of Extrahepatic Cholangiocarcinoma (EHC) resection with Roux-en Y Hepaticojejunostomy reconstruction via the robotic approach. With Institutional Review Board approval, 15 patients who underwent robotic resection of EHC were studied. Patients were 74 (73 ± 8.9) years of age. There were 9 men and 6 women. Average body mass index was 24 (27 ± 6.3) kg·m Robotic resection of EHC is safe, feasible, and reproducible with excellent clinical outcomes. Consequently, the robotic technique should be considered in some patients requiring EHC resection.
Sections du résumé
BACKGROUND AND OBJECTIVES
OBJECTIVE
The purpose of this study is to report our early experience and outcomes, the first in North America, of Extrahepatic Cholangiocarcinoma (EHC) resection with Roux-en Y Hepaticojejunostomy reconstruction via the robotic approach.
METHODS
METHODS
With Institutional Review Board approval, 15 patients who underwent robotic resection of EHC were studied.
RESULTS
RESULTS
Patients were 74 (73 ± 8.9) years of age. There were 9 men and 6 women. Average body mass index was 24 (27 ± 6.3) kg·m
DISCUSSION
CONCLUSIONS
Robotic resection of EHC is safe, feasible, and reproducible with excellent clinical outcomes. Consequently, the robotic technique should be considered in some patients requiring EHC resection.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
161-167Informations de copyright
© 2021 Wiley Periodicals LLC.
Références
Poruk, KE, Pawlik TM, Weiss MJ. Perioperative management of hilar cholangiocarcinoma. J Gastrointest Surg. 2015;19:1889-1899.
Singhal D, Van Gulik TM, Gouma DJ. Palliative management of hilar cholangiocarcinoma. Surg Oncol. 2005;14:59-74.
Blechacz B. Cholangiocarcinoma: current knowledge and new developments. Gut Liver. 2017;11:13-26.
Sucandy I, Luberice K, Rivera-Espineira G, et al. Robotic major hepatectomy: influence of age on clinical outcomes. Am Surg. 2021;87:114-119.
Sucandy I, Luberice K, Lippert T, et al. Robotic major hepatectomy: an institutional experience and clinical outcomes. Ann Surg Oncol. 2020;27:4970-4979.
Sucandy I, Giovannetti A, Spence J, Ross S, Rosemurgy A. Robotic partial right hepatectomy for intrahepatic cholangiocarcinoma: how we do it. Am Surg. 2020;86:389-390.
Sucandy I, Wecowski J, Schlosser S, et al. Institutional experience of robotic liver resection: outcome comparison with NSQIP data. Am Surg. 2020;86:e156-e158.
Xu Y, Wang H, Ji W, et al. Robotic radical resection for hilar cholangiocarcinoma: perioperative and long-term outcomes of an initial series. Surg Endosc. 2016;30:3060-3070.
Swaid F, Sucandy I, Tohme S, et al. Changes in performance of more than 1000 minimally invasive liver resections. JAMA Surg. 2020;155:986-988.
Ciria R, Berardi G, Alconchel F, et al. The impact of robotics in liver surgery: a worldwide systematic review and short-term outcomes meta-analysis on 2,728 cases. J Hepatobiliary Pancreat Sci. Published online November 17, 2020. https://doi.org/10.1002/jhbp.869
Wang W, Fei Y, Liu J, Yu T, Tang J, Wei F. Laparoscopic surgery and robotic surgery for hilar cholangiocarcinoma: an updated systematic review. ANZ J Surg. 2021;91:42-48.
Chou S, Chang ZY, Zhao GD, et al. [Robotic hilar cholangiocarcinoma radical resection compared with laparotomy in prognosis]. Zhonghua Wai Ke Za Zhi [Chinese Journal of Surgery]. 2020;58:230-234.
Li J, Tan X, Zhang X, et al. Robotic radical surgery for hilar cholangiocarcinoma: a single-centre case series. Int J Med Robot. 2020;16:e2076.