Robotic transduodenal ampullectomy: Case report and review of the literature

Abstract

Ampullary neoplasms are relatively uncommon lesions with a risk of progression to malignancy. Depending on its nature, size and location, it may be best treated with endoscopic papillotomy, pancreaticoduodenectomy or transduodenal ampullectomy. Transduodenal ampullectomy offers a higher chance of complete resection compared to endoscopic papillotomy, and carries lower morbidity than a pancreaticoduodenectomy, making it the ideal choice for localised ampullary tumour not involving the ducts but not amenable to complete endoscopic resection. While traditionally performed via open surgery, it has been attempted via laparoscopic approach and more recently robotic approach. We present a case of a 63-year-old man who underwent a robotic transduodenal ampullectomy for ampullary adenoma with high grade dysplasia, and review the literature surrounding robotic transduodenal ampullectomy.

Duodenaladenome und -karzinome: chirurgische Therapiekonzepte

“…Neben der klassischen offenen Ampullektomie mehren sich derzeit die Fallberichte zu laparoskopischen oder ro- botergestützten Operationen [29,30]. Dabei ist das prinzipielle Vorgehen unverändert (Box OP-Schritte und Tricks).…”

Our Experience With Transduodenal Surgical Ampullectomy

“…Tumors of the ampulla of Vater are relatively uncommon lesions accounting for only 0.5% of gastrointestinal tumors [1]. Owing to the high propensity for malignant transformation, excision of the ampullary tumor (AT) is crucial [2].…”