Abstract
BackgroundSuturing the proximal pancreatic stump and performing pancreaticoenterostomy for the distal pancreatic stump following central pancreatectomy is a conventional procedure. This reconstruction after resection of the pathological pancreatic lesion brings changes in anatomy and physiology. In this study, an innovative one-stage robotic end-to-end pancreatic anastomosis was reported to replace the conventional pancreaticoenterostomy following central pancreatectomy.Materials and methodsThe clinical data of 11 consecutive patients who underwent robotic central pancreatectomy with end-to-end pancreatic anastomosis between August 2017 and December 2017 were analyzed retrospectively.ResultsAll operations were completed successfully without any conversion to open surgery. Nine patients had benign tumors, one had a mass-forming chronic pancreatitis, and one had an isolated pancreatic metastasis from a renal cancer. The mean gap left after central pancreatectomy was 4.3 ± 1.0 cm. The median operative time was 121 (range, 105 to 199) min. The median blood loss was 50 (range, 20 to 100) ml. Seven (63.6%) patients developed complications which included Clavien–Dindo Grade I complications in five patients, a Grade II complication in one patient, and a Grade IIIa complication in one patient. Seven patients developed a Grade B postoperative pancreatic fistula, and two patients a biochemical leak. There was no Grade C or worse pancreatic fistula. Magnetic resonance cholangiopancreatography at postoperative 6 months showed no stricture in any of the main pancreatic ducts. Three patients had an asymptomatic and small pancreatic pseudocyst.ConclusionRobotic central pancreatectomy with end-to-end pancreatic anastomosis was safe and feasible. It restores the normal anatomy of the pancreas. With its good short-and long-term outcomes, it could be an alternative reconstructive method to pancreaticoenterostomy following central pancreatectomy.
Highlights
Various operative approaches have been attempted to resect pathological lesions in the neck and body of the pancreas [1, 2]
Patients From August 2017 to December 2017, consecutive patients who met the inclusion criteria were treated with robotic central pancreatectomy at the Second Department of Hepatopancreatobiliary Surgery, the Chinese People’s Liberation Army (PLA) General Hospital
From August 2017 to December 2017, 11 patients underwent robotic central pancreatectomy followed by end-to-end pancreatic anastomosis
Summary
Various operative approaches have been attempted to resect pathological lesions in the neck and body of the pancreas [1, 2]. In 1982, Dagradi and Serio reported on central pancreatectomy followed by reconstruction of the pancreas by oversewing the cephalic stump and performing an end-to-end pancreaticojejunostomy for the distal pancreatic stump [6]. Since this method of reconstruction became the conventional procedure following open, laparoscopic, and robotic central pancreatectomy [7,8,9]. Suturing the proximal pancreatic stump and performing pancreaticoenterostomy for the distal pancreatic stump following central pancreatectomy is a conventional procedure This reconstruction after resection of the pathological pancreatic lesion brings changes in anatomy and physiology. An innovative onestage robotic end-to-end pancreatic anastomosis was reported to replace the conventional pancreaticoenterostomy following central pancreatectomy
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