학술논문
Robotic Pancreatoduodenectomy for Pancreatic Head Cancer: a Case Report of a Standardized Technique
Document Type
research-article
Author
Maurice J. W. Zwart, author; Leia R. Jones, author; Melissa E. Hogg, author; Johanna A. M. G. Tol, author; Mohammad Abu Hilal, author; Freek Daams, author; Sebastiaan Festen, author; Olivier R. Busch, author; Marc G. Besselink, author; HPB-Amsterdam
Source
Journal of Visualized Experiments. (184)
Subject
Language
English
ISSN
1940-087X
Abstract
Robotic pancreatoduodenectomy (RPD) for pancreatic cancer is a challenging procedure. Aberrant vasculature may increase the technical difficulty. Several studies have described the safety of RPD in case of a replaced or aberrant right hepatic artery, but detailed video descriptions of the approach are lacking. This case report describes a step-by-step technical video in case of a replaced right hepatic artery. A 58-year-old woman presented with an incidental finding of a 1.7 cm pancreatic head mass. RPD was performed using the da Vinci Xi system and involves a robotic-assisted pancreatico- and hepatico-jejunostomy and open gastro-jejunostomy at the specimen extraction site. The operation time was 410 min with 220 mL of blood loss. The patient had an uncomplicated postoperative course and was discharged after 5 days. Pathology revealed a pancreatic head cancer. RPD is a feasible and safe procedure in case of a replaced hepatic artery when performed in selected patients in high-volume centers by experienced surgeons.