Robotic hepatectomy and cholecystectomy in the management of intraductal papillary mucinous neoplasm of the biliary tract: A case report and literature review

IF 2.3 3区 医学 Q2 SURGERY
Kush Savsani, Katrina Hansen-Artache, Anjelica Alfonso, Seung Lee, Bryce Hatfield, Daisuke Imai, Aamir Khan, Amit Sharma, Irfan Saeed, Vinay Kumaran, Adrian Cotterell, Marlon Levy, David A. Bruno
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Abstract

Background

In the Western Hemisphere, Intraductal papillary mucinous neoplasm of the biliary tract (IPMN-B) is a rare lesion with uncertain aetiology. This report outlines a scarcely documented instance of IPMN-B treated using robotic hepatectomy and cholecystectomy supplemented with intraoperative imagery aimed at informing future robotic procedures.

Methods

A healthy person with acute cholangitis symptoms underwent diagnostic imaging followed by successful robotic hepatectomy and cholecystectomy. Pathological examination confirmed IPMN-B.

Results

The patient was consulted regarding the proposed procedure of robotic left hepatectomy, cholecystectomy, and potential hepaticojejunostomy, to which she provided consent. Subsequent surgical intervention resulted in clear margins for malignancy, and the patient recovered without complications.

Conclusions

This case emphasises the importance of early diagnosis and intervention in managing IPMN. The use of a robotic approach, specifically through robotic left hepatectomy combined with cholecystectomy, offers minimally invasive surgery that provides exceptional visualisation and precise control.

Abstract Image

机器人肝切除术和胆囊切除术治疗胆道导管内乳头状黏液性肿瘤:一例报告和文献复习。
背景:在西半球,胆道导管内乳头状黏液性肿瘤(IPMN-B)是一种罕见的病因不确定的病变。该报告概述了一个几乎没有记录的IPMN-B使用机器人肝切除术和胆囊切除术治疗的例子,并补充了旨在为未来机器人手术提供信息的术中图像。方法:一名有急性胆管炎症状的健康人接受了诊断性影像学检查,随后成功地进行了机器人肝切除术和胆囊切除术。病理检查证实IPMN-B。结果:就机器人左肝切除术、胆囊切除术和潜在肝肠造口术的拟议程序咨询了患者,她对此表示同意。随后的手术干预使恶性肿瘤的边缘清晰,患者康复,没有并发症。结论:该病例强调了早期诊断和干预在IPMN管理中的重要性。机器人方法的使用,特别是通过机器人左肝切除术和胆囊切除术相结合,提供了微创手术,提供了卓越的可视化和精确控制。
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来源期刊
CiteScore
4.50
自引率
12.00%
发文量
131
审稿时长
6-12 weeks
期刊介绍: The International Journal of Medical Robotics and Computer Assisted Surgery provides a cross-disciplinary platform for presenting the latest developments in robotics and computer assisted technologies for medical applications. The journal publishes cutting-edge papers and expert reviews, complemented by commentaries, correspondence and conference highlights that stimulate discussion and exchange of ideas. Areas of interest include robotic surgery aids and systems, operative planning tools, medical imaging and visualisation, simulation and navigation, virtual reality, intuitive command and control systems, haptics and sensor technologies. In addition to research and surgical planning studies, the journal welcomes papers detailing clinical trials and applications of computer-assisted workflows and robotic systems in neurosurgery, urology, paediatric, orthopaedic, craniofacial, cardiovascular, thoraco-abdominal, musculoskeletal and visceral surgery. Articles providing critical analysis of clinical trials, assessment of the benefits and risks of the application of these technologies, commenting on ease of use, or addressing surgical education and training issues are also encouraged. The journal aims to foster a community that encompasses medical practitioners, researchers, and engineers and computer scientists developing robotic systems and computational tools in academic and commercial environments, with the intention of promoting and developing these exciting areas of medical technology.
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