TY - JOUR
T1 - Robotic Central Pancreatectomy with Roux-en-Y Pancreaticojejunostomy
AU - van Ramshorst, Tess M. E.
AU - Zwart, Maurice J. W.
AU - Voermans, Rogier P.
AU - Festen, Sebastiaan
AU - Daams, Freek
AU - Busch, Olivier R.
AU - Oomen, Matthijs W. N.
AU - HPB-Amsterdam
AU - Besselink, Marc G.
PY - 2021/11/20
Y1 - 2021/11/20
N2 - Central pancreatectomy is a parenchyma-sparing alternative to distal pancreatectomy in patients with a benign or low-grade malignant tumor in the body of the pancreas. The aim of central pancreatectomy is to prevent postoperative life-long endocrine and exocrine insufficiency. The downside of central pancreatectomy is the high rate of postoperative pancreatic fistula, which is the main reason that many surgeons do not routinely use central pancreatectomy in eligible patients. Most studies report open or laparoscopic central pancreatectomy with a pancreatico-gastrostomy anastomosis in adults. This is the first description of a standardized approach to robotic central pancreatectomy with Roux-en-Y pancreaticojejunostomy reconstruction in an adolescent (16-year-old boy) with a pseudopapillary tumor in the body of the pancreas. The operation time was 248 min with 20 mL of blood loss. The postoperative course was uneventful except for the short-term medical treatment for a grade B pancreatic fistula. Robotic central pancreatectomy can be safely applied in selected patients in experienced centers.
AB - Central pancreatectomy is a parenchyma-sparing alternative to distal pancreatectomy in patients with a benign or low-grade malignant tumor in the body of the pancreas. The aim of central pancreatectomy is to prevent postoperative life-long endocrine and exocrine insufficiency. The downside of central pancreatectomy is the high rate of postoperative pancreatic fistula, which is the main reason that many surgeons do not routinely use central pancreatectomy in eligible patients. Most studies report open or laparoscopic central pancreatectomy with a pancreatico-gastrostomy anastomosis in adults. This is the first description of a standardized approach to robotic central pancreatectomy with Roux-en-Y pancreaticojejunostomy reconstruction in an adolescent (16-year-old boy) with a pseudopapillary tumor in the body of the pancreas. The operation time was 248 min with 20 mL of blood loss. The postoperative course was uneventful except for the short-term medical treatment for a grade B pancreatic fistula. Robotic central pancreatectomy can be safely applied in selected patients in experienced centers.
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85123660616&origin=inward
UR - https://www.ncbi.nlm.nih.gov/pubmed/35030159
U2 - https://doi.org/10.3791/62862
DO - https://doi.org/10.3791/62862
M3 - Article
C2 - 35030159
SN - 1940-087X
JO - Journal of visualized experiments : JoVE
JF - Journal of visualized experiments : JoVE
IS - 177
ER -