Robotic Pancreatoduodenectomy in Portal Annular Pancreas Using a Hanging Maneuver with Indocyanine Green Fluorescence Imaging.
Ann Surg Oncol
; 31(3): 1933-1936, 2024 Mar.
Article
em En
| MEDLINE
| ID: mdl-38055095
ABSTRACT
BACKGROUND:
Sufficient knowledge and surgical management of portal annular pancreas (PAP) are essential for pancreatic surgery. As PAP is a relatively rare pancreatic anomaly, few studies have described surgical techniques for patients with PAP undergoing robotic pancreatoduodenectomy (RPD). PATIENTS ANDMETHODS:
An 82-year-old female patient who underwent RPD presented with distal cholangiocarcinoma and type III PAP (the fusion of the uncinate process with the anteportal main pancreatic duct). After the Kocher maneuver and stomach transection, the pancreas was transected into the neck of the anteportal portion. The retroportal portion was dissected, encircled with hanging tape, and compressed. Blood supply from the mesenteric vessels was confirmed using indocyanine green (ICG) fluorescence imaging. Subsequently, the retroportal portion was stapled.CONCLUSIONS:
This study demonstrates a unique surgical technique for type III PAP using the hanging maneuver with ICG fluorescence imaging. Surgeons should decide on the surgical strategy on the basis of the fusion and ductal anatomy of the pancreas.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Pancreatopatias
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Pancreaticoduodenectomia
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Procedimentos Cirúrgicos Robóticos
Limite:
Aged80
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Female
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Humans
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article