Practical Approaches to High-Risk Anastomoses in Robotic Pancreatoduodenectomy.

IF 3.4 2区 医学 Q2 ONCOLOGY
Annals of Surgical Oncology Pub Date : 2025-08-01 Epub Date: 2025-05-06 DOI:10.1245/s10434-025-17402-w
Francesca Marcucci, Giovanna Carillo, Patricia Sánchez-Velázquez, Alberto Garcia-Picazo, Fernando Burdio, Benedetto Ielpo
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引用次数: 0

Abstract

Background: Pancreatoduodenectomy (PD) is performed for the treatment of pancreatic head and periampullary tumors and is associated with relatively high postoperative morbidity and mortality. Traditionally conducted as open surgery, PD has evolved with the advent of minimally invasive techniques, including robotic-assisted approaches.

Results: As reported in the literature, minimally invasive PD is becoming a safe and effective alternative surgical approach. Clinically relevant postoperative pancreatic complications, such as fistulas and hemorrhage, remain among the most challenging issues after PD, particularly in high-risk cases. There are several maneuvers that may reduce their incidence and mitigate their postoperative clinical impact.

Conclusions: In this video, we describe strategies implemented at our center for high-risk PD cases, including some key tips and tricks.

机器人胰十二指肠切除术中高危吻合的实用方法。
背景:胰十二指肠切除术(PD)用于治疗胰头和壶腹周围肿瘤,其术后发病率和死亡率相对较高。PD传统上以开放手术进行,随着微创技术的出现,包括机器人辅助方法,PD也在不断发展。结果:据文献报道,微创PD正在成为一种安全有效的替代手术方法。临床相关的术后胰腺并发症,如瘘和出血,仍然是PD后最具挑战性的问题,特别是在高危病例中。有几种方法可以减少其发生率并减轻其术后临床影响。结论:在这个视频中,我们描述了在我们中心实施的高危帕金森病例的策略,包括一些关键的提示和技巧。
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来源期刊
CiteScore
5.90
自引率
10.80%
发文量
1698
审稿时长
2.8 months
期刊介绍: The Annals of Surgical Oncology is the official journal of The Society of Surgical Oncology and is published for the Society by Springer. The Annals publishes original and educational manuscripts about oncology for surgeons from all specialities in academic and community settings.
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