Robot-Assisted Radical Antegrade Modular Pancreatosplenectomy Including Resection and Reconstruction of the Spleno-Mesenteric Junction Article Swipe
Niccolò Napoli
,
Emanuele F. Kauffmann
,
Francesca Menonna
,
Sara Iacopi
,
Concetta Cacace
,
Ugo Boggi
·
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.3791/60370
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.3791/60370
This article shows the technique of robot-assisted radical antegrade modular pancreatosplenectomy, including resection and reconstruction of the spleno-mesenteric junction, for cancer of the body-tail of the pancreas. The patient is placed supine with the legs parted and a pneumoperitoneum is established and maintained at 10 mmHg. To use the surgical system, four 8 mm ports and one 12 mm port are required. The optic port is placed at the umbilicus. The other ports are placed, on either side, along the pararectal line and the anterior axillary line at the level of the umbilical line. The assistant port (12 mm) is placed along the right pararectal line. Dissection begins by detaching the gastrocolic ligament, thus opening the lesser sac, and by a wide mobilization of the splenic flexure of the colon. The superior mesenteric vein is identified along the inferior border of the pancreas. Lymph node number 8a is removed to permit clear visualization of the common hepatic artery. A tunnel is then created behind the neck of the pancreas. To permit safe resection and reconstruction of the spleno-mesenteric junction, further preemptive dissection is required before dividing the pancreatic neck to bring in clear view all relevant vascular pedicles. Next, the splenic artery is ligated and divided, and the pancreatic neck is divided, with selective ligature of the pancreatic duct. After vein resection and reconstruction, dissection proceeds to complete the clearance of peripancreatic arteries that are peeled off from all lympho-neural tissues. Both celiac ganglia are removed en-bloc with the specimen. The Gerota fascia covering the upper pole of the left kidney is also removed en-bloc with the specimen. Division of short gastric vessels and splenectomy complete the procedure. A drain is left near the pancreatic stump. The round ligament of the liver is mobilized to protect the vessels.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3791/60370
- OA Status
- green
- Cited By
- 12
- References
- 34
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W2997154765
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W2997154765Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.3791/60370Digital Object Identifier
- Title
-
Robot-Assisted Radical Antegrade Modular Pancreatosplenectomy Including Resection and Reconstruction of the Spleno-Mesenteric JunctionWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2020Year of publication
- Publication date
-
2020-01-03Full publication date if available
- Authors
-
Niccolò Napoli, Emanuele F. Kauffmann, Francesca Menonna, Sara Iacopi, Concetta Cacace, Ugo BoggiList of authors in order
- Landing page
-
https://doi.org/10.3791/60370Publisher landing page
- Open access
-
YesWhether a free full text is available
- OA status
-
greenOpen access status per OpenAlex
- OA URL
-
https://arpi.unipi.it/bitstream/11568/1031398/2/Kaufmann.pdfDirect OA link when available
- Concepts
-
Medicine, Surgery, Superior mesenteric artery, Anatomy, Dissection (medical), Pancreas, Hepatoduodenal ligament, Resection, EndocrinologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
12Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 2, 2024: 2, 2023: 1, 2022: 2, 2021: 4Per-year citation counts (last 5 years)
- References (count)
-
34Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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