Robotic D3 Partial Duodenal Resection with Primary Side-to-Side Anastomosis.

Journal: Journal of visualized experiments : JoVE
PMID: 38163262

Abstract

Duodenal stenosis is a condition that can be related to several diseases, being either intrinsic, such as neoplasm and inflammatory stenosis, or extrinsic, such as pancreatic pseudocyst, superior mesenteric artery syndrome, and foreign bodies. Current treatments range from endoscopic approaches, such as endoscopic resection and stent placement, to surgical approaches, including duodenal resection, pancreaticoduodenectomy, and gastrointestinal bypass. Minimally invasive robot-assisted surgery is gaining importance due to its potential to decrease surgical stress, intraoperative blood loss, and postoperative pain, while its instruments and 3D-vision facilitate fine dissection and intra-abdominal suturing, all leading to a reduced time to functional recovery and shorter hospital stay. We present a case of a 75-year-old female who underwent robotic D3 partial duodenal resection with primary side-to-side duodeno-jejunal anastomosis for a 5 cm adenoma with focal high-grade dysplasia.

Authors

  • Roberto Maria Montorsi
    Amsterdam UMC, Department of Surgery, University of Amsterdam; Cancer Center Amsterdam; Department of General and Pancreatic Surgery, The Pancreas Institute, University of Verona Hospital Trust.
  • Sofia Xenaki
    Amsterdam UMC, Department of Surgery, University of Amsterdam; Cancer Center Amsterdam; Department of General Surgery, University Hospital of Heraklion Crete.
  • Sebastiaan Festen
    Department of Surgery, OLVG, Amsterdam, the Netherlands.
  • Paul Fockens
    Department of Gastroenterology and Hepatology, Amsterdam Gastroenterology Endocrinology Metabolism, Amsterdam University Medical Centres, location Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands.
  • Barbara A J Bastiaansen
    Cancer Center Amsterdam; Amsterdam UMC, Department of Gastroenterology, University of Amsterdam.
  • Freek Daams
    Department of Surgery, Cancer Center Amsterdam, Amsterdam UMC, VU University, Amsterdam, The Netherlands.
  • Olivier R Busch
    Department of Surgery, Cancer Center Amsterdam, Amsterdam UMC, University of Amsterdam, the Netherlands.
  • M G Besselink
    Amsterdam UMC, Department of Surgery, University of Amsterdam; Cancer Center Amsterdam; m.g.besselink@amsterdamumc.nl.

Keywords

External Resources

Popular Topics
Recent Journals