Real robotic total mesopancreas excision (TMpE) assisted by hanging manoeuver (HM): Standardised technique.
Int J Med Robot
; 17(4): e2259, 2021 Aug.
Article
en En
| MEDLINE
| ID: mdl-33825351
ABSTRACT
BACKGROUND:
Pancreaticoduodenectomy (PD) is one of the most demanding interventions for digestive surgeons. R0 resection is a key point for the overall survival and disease-free survival. Total mesopancreas excision (TMpE) has been described by laparotomy but laparoscopy did not provide good results probably because of the technical difficulties of the approach. We propose a standardised total robotic approach.METHODS:
In this step-by-step technical description, we propose as example, a case of a 53-year-old man with a pancreatic head adenocarcinoma with doubts about the invasion of the mesopancreas surrounding superior mesenteric artery. The mesopancreas hanging manoeuver allows us to perform a TMpE.RESULTS:
The surgery performed was a robotic artery first pancreaticoduodenectomy with TMpE. The pathological result was pancreatic ductal adenocarcinoma pT2, N1 (1/23), M0, V0, L0, Pn0, R0.CONCLUSIONS:
Robotic approach is safe, effective and reproductible. Through a standardised technique, it may overcome some of the technical difficulties of laparoscopic PD.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Neoplasias Pancreáticas
/
Laparoscopía
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Procedimientos Quirúrgicos Robotizados
Límite:
Humans
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Male
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Middle aged
Idioma:
En
Revista:
Int J Med Robot
Año:
2021
Tipo del documento:
Article
País de afiliación:
Luxemburgo