Robotic Pancreatoduodenectomy for Pancreatic Head Cancer: a Case Report of a Standardized Technique

Maurice J. W. Zwart; Leia R. Jones; Melissa E. Hogg; Johanna A. M. G. Tol; Mohammad Abu Hilal; Freek Daams; Sebastiaan Festen; Olivier R. Busch; Marc G. Besselink

doi:https://doi.org/10.3791/62863

Robotic Pancreatoduodenectomy for Pancreatic Head Cancer: a Case Report of a Standardized Technique

Maurice J. W. Zwart, Leia R. Jones, Melissa E. Hogg, Johanna A. M. G. Tol, Mohammad Abu Hilal, Freek Daams, Sebastiaan Festen, Olivier R. Busch, Marc G. Besselink

Research output: Contribution to journal › Article › Academic › peer-review

2 Citations (Scopus)

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.

Original language	English
Article number	e62863
Journal	Journal of Visualized Experiments
Volume	2022
Issue number	184
DOIs	https://doi.org/10.3791/62863
Publication status	Published - 1 Jun 2022

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title = "Robotic Pancreatoduodenectomy for Pancreatic Head Cancer: a Case Report of a Standardized Technique",

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.",

author = "Zwart, {Maurice J. W.} and Jones, {Leia R.} and Hogg, {Melissa E.} and Tol, {Johanna A. M. G.} and Hilal, {Mohammad Abu} and Freek Daams and Sebastiaan Festen and Busch, {Olivier R.} and Besselink, {Marc G.}",

note = "Funding Information: We would like to acknowledge Amer Zureikat, Melissa Hogg, Olivier Saint-Marc, Ugo Boggi, and Herbert Zeh III who supported and trained us in robotic pancreatic surgery in the Dutch Pancreatic Cancer Group-LAELAPS-3 program. Publisher Copyright: {\textcopyright} 2022 JoVE Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.",

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AU - Hogg, Melissa E.

AU - Tol, Johanna A. M. G.

AU - Hilal, Mohammad Abu

AU - Daams, Freek

AU - Festen, Sebastiaan

AU - Busch, Olivier R.

AU - Besselink, Marc G.

N1 - Funding Information: We would like to acknowledge Amer Zureikat, Melissa Hogg, Olivier Saint-Marc, Ugo Boggi, and Herbert Zeh III who supported and trained us in robotic pancreatic surgery in the Dutch Pancreatic Cancer Group-LAELAPS-3 program. Publisher Copyright: © 2022 JoVE Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.

PY - 2022/6/1

Y1 - 2022/6/1

N2 - 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.

AB - 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.

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Robotic Pancreatoduodenectomy for Pancreatic Head Cancer: a Case Report of a Standardized Technique

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