Retrocolic versus antecolic gastrointestinal reconstruction in robotic pancreaticoduodenectomy

2019 ◽  
Vol 26 (11) ◽  
pp. 517-523
Author(s):  
Chih‐Yuan Wang ◽  
Ting‐Shuo Huang ◽  
Ke‐Di Zhang ◽  
Zi‐Zheng Wang ◽  
Fei Wang ◽  
...  
Keyword(s):  
Gastrointestinal Reconstruction ◽  
Robotic Pancreaticoduodenectomy

scholarly journals Total laparoscopic transabdominal-transdiaphragmatic approach for treating Siewert II tumors: a prospective analysis of a case series

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Wei Pang ◽  
Gang Liu ◽  
Yan Zhang ◽  
Yun Huang ◽  
Xinpu Yuan ◽  
...  
Keyword(s):  
Surgical Approach ◽  
Mediastinal Lymph Node ◽  
Intraoperative Complications ◽  
Case Series ◽  
Type Ii ◽  
Clinical Trial Registry ◽  
Siewert Type ◽  
Siewert Type Ii ◽  
Estimated Blood Loss ◽  
Gastrointestinal Reconstruction

Abstract Background Although the morbidity of gastric cancer has decreased, the incidence of adenocarcinoma of the esophagogastric junction (AEG) is increasing. Furthermore, no consensus exists on which surgical approach should be applied for Siewert type II AEG. The purpose of our study was to evaluate the technical safety and feasibility of a new surgical approach. Methods Sixty patients with Siewert type II AEG underwent laparoscopic total gastrectomy with the total laparoscopic transabdominal-transdiaphragmatic (TLTT) approach, which needs an incision in the diaphragm. Results The median operative time, reconstruction time, and estimated blood loss were 214.8 ± 41.6 min, 29.40 ± 7.1 min, and 209.0 ± 110.3 ml, respectively. All of the patients had negative surgical margins. Conclusion There were no intraoperative complications or conversions to open surgery. Our surgical procedure provides a unique option for the safe application of laparoscopic lower mediastinal lymph node dissection and gastrointestinal reconstruction. Trial registration Chinese Clinical Trial Registry, ChiCTR1800014336. Registered on 31 December 2017 - Prospectively registered, http://www.chictr.org.cn/edit.aspx?pid=23111&htm=4.

scholarly journals Management and Reconstruction of a Gastroesophageal Junction Adenocarcinoma Patient Three Years after Pancreaticoduodenectomy: A Surgical Puzzle

2016 ◽  
Vol 2016 ◽  
pp. 1-3 ◽  
Author(s):  
Dionysios Dellaportas ◽  
James A. Gossage ◽  
Andrew R. Davies
Keyword(s):  
Gastroesophageal Junction ◽  
Pancreatic Head ◽  
Second Primary ◽  
Primary Cancer ◽  
Head Cancer ◽  
Gastrointestinal Malignancies ◽  
Pancreatic Head Cancer ◽  
Gastroesophageal Junction Adenocarcinoma ◽  
Gastrointestinal Reconstruction ◽  
Gastroesophageal Adenocarcinoma

Introduction. With the improving survival of cancer patients, the development of a secondary primary cancer is an increasingly common phenomenon. Extensive surgery during initial treatment may pose significant challenges to surgeons managing the second primary cancer.Case Presentation. A 69-year-old male, who had a pancreaticoduodenectomy three years ago for pancreatic head adenocarcinoma, underwent an uneventful extended total gastrectomy for gastroesophageal junctional adenocarcinoma. The reconstruction controversies and considerations are highlighted.Discussion. Genetic, environmental, and lifestyle factors are common for several gastrointestinal malignancies. However, the occurrence of a second unfavorable cancer such as gastroesophageal adenocarcinoma after pancreatic head cancer treatment is extremely uncommon. This clinical scenario possesses numerous difficulties for the surgeon, since surgical resection is the mainstay of treatment for both malignancies. Gastrointestinal reconstruction becomes challenging and requires careful planning and meticulous surgical technique along with sound intraoperative judgement.

A policy of omitting an intensive care unit stay after robotic pancreaticoduodenectomy is safe and cost-effective

2016 ◽  
Vol 204 (1) ◽  
pp. 8-14 ◽  
Author(s):  
Kellie E. Cunningham ◽  
Mazen S. Zenati ◽  
Jonathan R. Petrie ◽  
Jennifer L. Steve ◽  
Melissa E. Hogg ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Intensive Care Unit Stay ◽  
Cost Effective ◽  
Robotic Pancreaticoduodenectomy

1285 Reporting of Robotic Pancreaticoduodenectomy As A Surgical Innovation: Systematic Review and Narrative Synthesis

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
D Scroggie ◽  
K S Lee ◽  
R Purves ◽  
E Sewart ◽  
S Van Laarhoven ◽  
...  
Keyword(s):  
Systematic Review ◽  
Synthesis Method ◽  
Surgical Techniques ◽  
Learning Curves ◽  
Narrative Synthesis ◽  
Minimal Access ◽  
Surgical Innovation ◽  
Research Reporting ◽  
Full Text Review ◽  
Robotic Pancreaticoduodenectomy

Abstract Aim Pancreaticoduodenectomy (PD) is most commonly performed using open surgical techniques. Minimal access approaches have reduced the morbidity of many types of surgery, however technical limitations have hindered the widespread adoption of laparoscopic methods for PD. There has been increasing use of surgical robots to facilitate a minimal access approach, motivated by improved visualisation, ergonomics and dexterity compared to standard laparoscopic methods. Methods for the safe introduction of novel techniques are lacking, and the way in which surgical innovations are reported may affect adoption into clinical practice. The aim of this study is to understand how robotic PD has been reported as a surgical innovation. Method A systematic review is being conducted by the trainee led RoboSurg Collaborative. A literature search was performed to identify primary research reporting outcomes of robotic PD. Articles are being screened in duplicate by title and abstract, then by full text review. The following data will be extracted: study methodology and rationale; centre, surgeons and patient details; governance and ethical considerations; learning curves; details of the intervention, including modifications; and how outcomes were reported, including use of core outcome sets. The data will be analysed using a narrative synthesis method. Results The search identified 1305 articles reporting on robotic pancreas surgery. An interim report of progress will be presented. Conclusions A rich narrative synthesis will enable innovators to understand how robotic PD has been reported. This will encourage transparent, methodical, and meaningful reporting of robotic PD, increasing the quality of clinical evidence.

scholarly journals Post-hoc video review of robotic pancreaticoduodenectomy to predict circumferential margin positivity in pancreatic adenocarcinoma

HPB ◽  
2018 ◽  
Vol 20 ◽  
pp. S96
Author(s):  
J.P. Jung ◽  
M.S. Zenati ◽  
A. Hamad ◽  
A.H. Zureikat ◽  
M.E. Hogg ◽  
...  
Keyword(s):  
Pancreatic Adenocarcinoma ◽  
Circumferential Margin ◽  
Video Review ◽  
Robotic Pancreaticoduodenectomy ◽  
Post Hoc

Pancreaticojejunostomy in robotic pancreaticoduodenectomy (RPD)

ASVIDE ◽  
2021 ◽  
Vol 8 ◽  
pp. 032-032
Author(s):  
Ronggui Lin ◽  
Xianchao Lin ◽  
Maoen Pan ◽  
Fengchun Lu ◽  
Yuanyuan Yang ◽  
...  
Keyword(s):  
Robotic Pancreaticoduodenectomy
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