Technical details of robotic pancreatojejunostomy using a modified Blumgart anastomosis: Thread manipulation using gauze and an assisted port.

Autor: Uchida Y; Department of Surgery, Fujita Health University, Toyoake, Japan., Takahara T; Department of Surgery, Fujita Health University, Toyoake, Japan., Mizumoto T; Department of Surgery, Fujita Health University, Toyoake, Japan., Nishimura A; Department of Surgery, Fujita Health University, Toyoake, Japan., Mii S; Department of Surgery, Fujita Health University, Toyoake, Japan., Iwama H; Department of Surgery, Fujita Health University, Toyoake, Japan., Kojima M; Department of Surgery, Fujita Health University, Toyoake, Japan., Kato Y; Department of Advanced Laparoscopic and Robotic Surgery, Fujita Health University, Toyoake, Japan., Uyama I; Department of Advanced Laparoscopic and Robotic Surgery, Fujita Health University, Toyoake, Japan., Suda K; Department of Surgery, Fujita Health University, Toyoake, Japan.
Jazyk: angličtina
Zdroj: World journal of surgery [World J Surg] 2024 Jul; Vol. 48 (7), pp. 1721-1729. Date of Electronic Publication: 2024 May 24.
DOI: 10.1002/wjs.12208
Abstrakt: Backgrounds: Pancreatojejunostomy is a technically demanding procedure during robotic pancreaticoduodenectomy (RPD). Modified Blumgart anastomosis (mBA) is a common method for the pancreatojejunostomy; however, the technical details for robotic mBA are not well established. During RPD, we performed a mBA for the pancreatojejunostomy using thread manipulation with gauze and an additional assist port.
Methods: Patients who underwent robotic pancreatoduodenectomy at Fujita Health University from November 2009 to May 2023 were retrospectively investigated, and technical details for the robotic-modified Blumgart anastomosis were demonstrated.
Results: Among 78 patients who underwent RPD during the study period, 33 underwent robotic mBA. Postoperative pancreatic fistula (POPF) occurred in six patients (18%). None of the patients suffered POPF Grade C according to the international study group of pancreatic surgery definition. The anastomotic time for mBA was 80 min (54-125 min).
Conclusion: Robotic mBA resulted in reasonable outcomes. We propose that mBA could be used as one of the standard methods for robotic pancreatojejunosotomy.
(© 2024 International Society of Surgery/Société Internationale de Chirurgie (ISS/SIC).)
Databáze: MEDLINE
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