Real robotic total mesopancreas excision (TMpE) assisted by hanging manoeuver (HM) : Standardised technique
© 2021 John Wiley & Sons Ltd..
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.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:17 |
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| Enthalten in: |
The international journal of medical robotics + computer assisted surgery : MRCAS - 17(2021), 4 vom: 06. Aug., Seite e2259 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Azagra, Juan Santiago [VerfasserIn] |
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| Links: |
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| Anmerkungen: |
Date Completed 18.08.2021 Date Revised 18.08.2021 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1002/rcs.2259 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| 100 | 1 | |a Azagra, Juan Santiago |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Real robotic total mesopancreas excision (TMpE) assisted by hanging manoeuver (HM) |b Standardised technique |
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| 500 | |a Date Completed 18.08.2021 | ||
| 500 | |a Date Revised 18.08.2021 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2021 John Wiley & Sons Ltd. | ||
| 520 | |a 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 | ||
| 520 | |a 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 | ||
| 520 | |a 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 | ||
| 520 | |a CONCLUSIONS: Robotic approach is safe, effective and reproductible. Through a standardised technique, it may overcome some of the technical difficulties of laparoscopic PD | ||
| 650 | 4 | |a Case Reports | |
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Hepato-Pancreato-Biliary Surgery (HPB) | |
| 650 | 4 | |a Total MesoPancreas Excision (TMpE) | |
| 650 | 4 | |a minimally invasive surgery | |
| 650 | 4 | |a pancreaticoduodenectomy | |
| 650 | 4 | |a robotic Whipple | |
| 650 | 4 | |a robotic surgery | |
| 650 | 4 | |a standardized robotic surgery | |
| 700 | 1 | |a Rosso, Edoardo |e verfasserin |4 aut | |
| 700 | 1 | |a Pascotto, Beniamino |e verfasserin |4 aut | |
| 700 | 1 | |a de Blasi, Vito |e verfasserin |4 aut | |
| 700 | 1 | |a Henrard, Alexandre |e verfasserin |4 aut | |
| 700 | 1 | |a González González, Lucia |e verfasserin |4 aut | |
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