KuoHsin Chen, MD. Far-Eastern Memorial Hospital
Laparoscopic pancreaticoduodenectomy(PD) has been considered one of the most complicated minimally invasive procedure, not only for the complex resection but also for the reconstruction phase. Only few expert teams published successful case series. Standard approach of laparoscopic PD remains to be established.
With the introduction of robotic surgical system, more and more surgeons have engaged in robotic pancreaticoduodenectomy for its improved dexterity and 3-D image. However, steep learning curve is inherent to this approach even so. Collision of robotic arms is not uncommon in this multiquadrant procedure. On the contrary, laparoscopic dissection and resection through the ports designed for the robotic approach is feasible and reproducible.
Herein, we report this hybrid approach that is laparoscopic resection and robotic reconstruction to take advantage of both these two different techniques.
The patient was a 64 y/o woman with stage I Ampulla of Vater cancer. The patient recovered well after the surgery. All surgical margins are free of tumor involvement. The final pathology stage is pT1N0M0.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 87743
Program Number: V069
Presentation Session: Robotics 1 Session
Presentation Type: Video