Publications by authors named "T Pencavel"
Aims: To evaluate the safety profile of robotic cholecystectomy performed within the United Kingdom (UK) Robotic Hepatopancreatobiliary (HPB) training programme.
Methods: A retrospective evaluation of prospectively collected data from eleven centres participating in the UK Robotic HPB training programme was conducted. All adult patients undergoing robotic cholecystectomy for symptomatic gallstone disease or gallbladder polyp were considered.
What are the true benefits of robotic pancreaticoduodenectomy for patients with pancreatic cancer?
Expert Rev Gastroenterol Hepatol
May 2024
Article Synopsis
- Pancreatic ductal adenocarcinoma (PDAC) treatment can improve survival rates with multimodal approaches, particularly through high-quality surgeries like pancreaticoduodenectomy (PD), which has advanced to include robotic-assisted procedures (RPD).
- A literature review compared RPD and open pancreaticoduodenectomy (OPD), assessing factors like surgery duration, blood loss, postoperative pain, complications, and oncological outcomes.
- Findings indicate that RPD has similar or longer operation times but better outcomes in blood loss, pain management, and some postoperative complications, with comparable or enhanced oncological results, suggesting RPD’s safer and potentially superior role in PD treatment as experience grows.
Increasing use of cross-sectional abdominal imaging such as CT colonography (CTC), has resulted in increased identification of incidental pancreatic cystic lesions. Such incidental findings are a cause for anxiety amongst patients and clinicians and can result in increased cost to healthcare delivery resultant from referral to subsequent investigations. Our study explored the prevalence of incidental cystic pancreatic lesions on CTC at a tertiary pancreatic centre, and their management.
View Article and Find Full Text PDFBackground And Aims: Malnutrition in chronic pancreatitis is complex and multifactorial, with malabsorption, pain, toxic dependencies and co-morbidities, such as diabetes, each playing a role. The aims of this systematic review were to assess the impact of nutritional intervention on markers of nutritional status in this complex patient group.
Materials And Methods: A systematic review of EMBASE and PubMed was carried out in February 2020, identifying 2620 articles.
Background And Aims: Patients with pancreatic cancer often experience significant deterioration in nutritional status over time. Malnutrition is complex and multifactorial, with malabsorption, pain, toxic dependencies, co-morbidities and malignant processes all playing a role. The aims of this systematic review were to assess nutritional changes over time and identify tolerance of nutritional intervention, thus identifying potential areas for further research to improve patient outcomes.
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