Publications by authors named "Fabio Asta"
Background: Difficulty scoring systems are important for the safe, stepwise implementation of new procedures. We designed a retrospective observational study for building a difficulty score for robotic pancreatoduodenectomy.
Methods: The difficulty score (PD-ROBOSCORE) aims at predicting severe postoperative complications after robotic pancreatoduodenectomy.
Article Synopsis
- - Open pancreatoduodenectomy with vein resection (OPD-VR) is now standard for patients who respond to neoadjuvant therapies, and the feasibility of robotic pancreatoduodenectomy with vein resection (RPD-VR) has been demonstrated, yet detailed challenges have not been thoroughly addressed.
- - The study outlines various vascular techniques adopted from OPD-VR and robotic transplant procedures, providing a detailed classification of vein resections into four types, with video demonstrations of each.
- - Out of 783 pancreatoduodenectomies performed over 13 years, 36 were RPD-VR, showing a 90-day mortality of 8.3% and low conversion to open surgery
Background: This study aims to describe the technique and the results of double-layer continuous suture hepaticojejunostomy (HJ) following pancreatoduodenectomy (PD) and total pancreatectomy (TP).
Methods: A prospectively maintained database was analyzed retrospectively to identify incidence and severity of biliary leaks (BL) (ISGLS definition), as well as of HJ stenosis (HJS), cholangitis, and need for redo-HJ (in patients with a follow-up ≥3 years) in a consecutive series of 800 procedures (PD = 603; TP = 197). Predictors of biliary complications were also identified.