Robotic-assisted pancreatic enucleation: Posterior uncinate approach.

Autor: Chopra A; Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA., Ranellone N; Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA., Nunns G; Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA., Paniccia A; Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA. panicciaa2@upmc.edu.; Department of Surgery, Division of Surgical Oncology, Digestive Disorder Clinic, University of Pittsburgh, 200 Lothrop St, 3Rd Fl, Suite D380, Pittsburgh, PA, 15213-2536, USA. panicciaa2@upmc.edu.
Jazyk: angličtina
Zdroj: Updates in surgery [Updates Surg] 2024 Dec; Vol. 76 (8), pp. 2969-2972. Date of Electronic Publication: 2024 Nov 15.
DOI: 10.1007/s13304-024-02019-7
Abstrakt: Functional pancreatic neuroendocrine tumors (pNET) necessitate surgical resection. Enucleation is the preferred surgical method for well-differentiated pNETs that measure less than 2 cm in diameter, as it offers a greater likelihood of enhancing post-operative recovery and decreasing morbidity and mortality. Insulinomas are particularly suitable for enucleation when such a procedure is viable. However, enucleating tumors within the uncinate process of the pancreas, especially on its posterior aspect, can present substantial challenges. The accompanying video illustrates a robotic-assisted enucleation of an insulinoma in the uncinate process, performed on a 41-year-old male with recurrent hypoglycemia. This intervention led to the resolution of symptoms and incurred minimal post-operative morbidity.
(© 2024. Italian Society of Surgery (SIC).)
Databáze: MEDLINE
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