Challenge in optimizing robotic pancreaticoduodenectomy including nerve plexus hanging maneuver: a Japanese single center experience of 76 cases

Mizumoto, Takuya; Takahara, Takeshi; Nishimura, Akihiro; Mii, Satoshi; Uchida, Yuichiro; Iwama, Hideaki; Kojima, Masayuki; Kato, Yutaro; Uyama, Ichiro; Suda, Koichi

doi:10.1007/s00464-023-10653-2

Cited by 2 publications

(1 citation statement)

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“…Notably, as the mBA technique was later introduced, the learning curve of the overall surgery influenced the significant reduction in the incidence rate of complications. 15 In the other method group, occurrences of postoperative port-site hernias were observed in multiple cases, and the prolonged duration of surgery might have led to a lack of concentration during closure. The switch to a simpler anastomotic method that shortened surgical time could have contributed to the favorable outcomes.…”

Section: Resultsmentioning

confidence: 97%

Technical details of robotic pancreatojejunostomy using a modified Blumgart anastomosis: Thread manipulation using gauze and an assisted port

Uchida,

Takahara,

Mizumoto

et al. 2024

World j. surg.

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BackgroundsPancreatojejunostomy 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.MethodsPatients 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.ResultsAmong 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).ConclusionRobotic mBA resulted in reasonable outcomes. We propose that mBA could be used as one of the standard methods for robotic pancreatojejunosotomy.

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Section: Resultsmentioning

confidence: 97%