AI Article Synopsis
- Pancreatojejunostomy is a complex surgery often performed during robotic pancreaticoduodenectomy (RPD), and the modified Blumgart anastomosis (mBA) method lacks established technical guidelines for robotic use.
- A study at Fujita Health University analyzed data from 78 RPD patients between 2009 and 2023, focusing on the implementation of robotic mBA.
- Results showed a postoperative pancreatic fistula rate of 18%, with no severe complications, and an average anastomotic time of 80 minutes, suggesting that robotic mBA can be a viable standard method for this procedure.
Article Abstract
Backgrounds: Pancreatojejunostomy is a technically demanding procedure during robotic pancreaticoduodenectomy (RPD). Modified Blumgart anastomosis (mBA) is a common method for the pancreatojejunostomy; however, the technical details for robotic mBA are not well established. During RPD, we performed a mBA for the pancreatojejunostomy using thread manipulation with gauze and an additional assist port.
Methods: Patients who underwent robotic pancreatoduodenectomy at Fujita Health University from November 2009 to May 2023 were retrospectively investigated, and technical details for the robotic-modified Blumgart anastomosis were demonstrated.
Results: Among 78 patients who underwent RPD during the study period, 33 underwent robotic mBA. Postoperative pancreatic fistula (POPF) occurred in six patients (18%). None of the patients suffered POPF Grade C according to the international study group of pancreatic surgery definition. The anastomotic time for mBA was 80 min (54-125 min).
Conclusion: Robotic mBA resulted in reasonable outcomes. We propose that mBA could be used as one of the standard methods for robotic pancreatojejunosotomy.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1002/wjs.12208 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!