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Laparobotic Approach To Pancreatoduodenectomy

Original Case Presentations
View in high definition Video requirements
Yiengpruksawan Anusak,
Bergen Surgical Oncology,
Paramus

PERSONAL COMMENTS:
My approach is somewhat different from the open PD because I found that it is easier to use the robot to work in an organized fashion (in this case, from caudad to cranial approach) and in a defined space (ex. right upper quadrant). I prefer pancreatogastrostomy because of their close proximity to each other.

ABSTRACT:
Pancreatoduodenectomy (PD) is a technically demanding procedure. Although the laparoscopic approach has been done successfully, it reportedly offers no advantages over the open approach due to technical difficulties. We recently used the daVinci robotic surgical system for this procedure and found it to be extremely helpful. This video presents our unique approach to PD.
The patient was a 63 year-old woman with a 5 cm cystic lesion of the head of the pancreas. CT findings and cytology of the fluid suggested serous cystadenoma. She underwent laparobotic PD successfully. The procedure took 290 minutes with minimal blood loss. She was discharged on the 5th postoperative day.
We conclude that laparobotic PD is feasible and reproducible, and may offer a better outcome in selected patients.
Left hemithyroidectomy By Video-Assisted Neck Surgery
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