Publications by authors named "G Amorese"

Objective: This study aimed to compare robotic pancreatoduodenectomy with vein resection (PD-VR) based on the incidence of severe postoperative complications (SPC).

Background: Robotic pancreatoduodenectomy has been gaining momentum in recent years. Vein resection is frequently required in this operation, but no study has compared robotic and open PD-VR using a matched analysis.

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Background: Newer chemotherapy regimens are reviving the role of pancreatectomy with arterial resection (PAR) in locally advanced pancreatic cancer. However, concerns about the early outcomes and learning curve of PAR remain. This study aimed to define the postoperative results and learning curve of PAR and provide preliminary data on oncologic outcomes.

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Careful preoperative planning is key in minimally invasive radical antegrade modular pancreatosplenectomy (MI-RAMPS). This retrospective study aims to show the practical implications of computed tomography distance between the right margin of the tumor and either the left margin of the spleno-mesenteric confluence (d-SMC) or the gastroduodenal artery (d-GDA). Between January 2011 and June 2022, 48 minimally invasive RAMPS were performed for either pancreatic cancer or malignant intraductal mucinous papillary neoplasms.

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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
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