Robotic Radical Antegrade Modular Pancreatosplenectomy Using the Supracolic Anterior Superior Mesenteric Artery Approach
Background Radical antegrade modular pancreatosplenectomy (RAMPS) is the standardized approach in open pancreatic resection for pancreatic body and tail cancer. However, few studies have described regarding robotic RAMPS for pancreatic cancer. We herein present our techniques of robotic RAMPS using...
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| Veröffentlicht in: | Journal of gastrointestinal surgery 2021-11, Vol.25 (11), p.3015-3018 |
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| creator | Takagi, Kosei Umeda, Yuzo Yoshida, Ryuichi Yagi, Takahito Fujiwara, Toshiyoshi |
| description | Background
Radical antegrade modular pancreatosplenectomy (RAMPS) is the standardized approach in open pancreatic resection for pancreatic body and tail cancer. However, few studies have described regarding robotic RAMPS for pancreatic cancer. We herein present our techniques of robotic RAMPS using the supracolic anterior superior mesenteric artery (SMA) approach with the ventral view.
Methods
The patient was a 75-year-old female with a diagnosis of pancreatic body cancer. Following neoadjuvant chemotherapy with gemcitabine plus nab-paclitaxel, robotic RAMPS was performed. Our techniques of robotic RAMPS include four steps: (1) gastrocolic ligament division, (2) dissection of superior and inferior border of the pancreas, (3) division of the pancreas, and (4) retroperitoneal dissection.
Results
The operative time was 251 min with an estimated blood loss of 10 mL. The uneventful postoperative course was observed. The final pathology confirmed R0 surgical resection.
Conclusions
Robotic RAMPS using the supracolic anterior SMA approach is safe and feasible for pancreatic body and tail cancer. Standardization and precise anatomical knowledge are key elements of performing robotic RAMPS. |
| doi_str_mv | 10.1007/s11605-021-05112-z |
| format | Article |
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Radical antegrade modular pancreatosplenectomy (RAMPS) is the standardized approach in open pancreatic resection for pancreatic body and tail cancer. However, few studies have described regarding robotic RAMPS for pancreatic cancer. We herein present our techniques of robotic RAMPS using the supracolic anterior superior mesenteric artery (SMA) approach with the ventral view.
Methods
The patient was a 75-year-old female with a diagnosis of pancreatic body cancer. Following neoadjuvant chemotherapy with gemcitabine plus nab-paclitaxel, robotic RAMPS was performed. Our techniques of robotic RAMPS include four steps: (1) gastrocolic ligament division, (2) dissection of superior and inferior border of the pancreas, (3) division of the pancreas, and (4) retroperitoneal dissection.
Results
The operative time was 251 min with an estimated blood loss of 10 mL. The uneventful postoperative course was observed. The final pathology confirmed R0 surgical resection.
Conclusions
Robotic RAMPS using the supracolic anterior SMA approach is safe and feasible for pancreatic body and tail cancer. Standardization and precise anatomical knowledge are key elements of performing robotic RAMPS.</description><identifier>ISSN: 1091-255X</identifier><identifier>EISSN: 1873-4626</identifier><identifier>DOI: 10.1007/s11605-021-05112-z</identifier><identifier>PMID: 34382155</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Adrenal glands ; Aged ; CAS ; Chemotherapy ; Computer assisted surgery ; Dissection ; Female ; Gastroenterology ; Gastrointestinal surgery ; Humans ; Laparoscopy ; Ligaments ; Medicine ; Medicine & Public Health ; Mesenteric Artery, Superior - diagnostic imaging ; Mesenteric Artery, Superior - surgery ; Multimedia Article ; Pancreatectomy ; Pancreatic cancer ; Pancreatic Neoplasms - surgery ; Robotic Surgical Procedures ; Robotics ; Spleen ; Splenectomy ; Surgery ; Surgical techniques ; Veins & arteries</subject><ispartof>Journal of gastrointestinal surgery, 2021-11, Vol.25 (11), p.3015-3018</ispartof><rights>The Society for Surgery of the Alimentary Tract 2021</rights><rights>2021. The Society for Surgery of the Alimentary Tract.</rights><rights>The Society for Surgery of the Alimentary Tract 2021.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-f2fcc12fa073dbf6cf90c04e79a64d524a29809e849c5e41b22366eb5a254c1f3</citedby><cites>FETCH-LOGICAL-c375t-f2fcc12fa073dbf6cf90c04e79a64d524a29809e849c5e41b22366eb5a254c1f3</cites><orcidid>0000-0003-2267-2441</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11605-021-05112-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11605-021-05112-z$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27915,27916,41479,42548,51310</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34382155$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Takagi, Kosei</creatorcontrib><creatorcontrib>Umeda, Yuzo</creatorcontrib><creatorcontrib>Yoshida, Ryuichi</creatorcontrib><creatorcontrib>Yagi, Takahito</creatorcontrib><creatorcontrib>Fujiwara, Toshiyoshi</creatorcontrib><title>Robotic Radical Antegrade Modular Pancreatosplenectomy Using the Supracolic Anterior Superior Mesenteric Artery Approach</title><title>Journal of gastrointestinal surgery</title><addtitle>J Gastrointest Surg</addtitle><addtitle>J Gastrointest Surg</addtitle><description>Background
Radical antegrade modular pancreatosplenectomy (RAMPS) is the standardized approach in open pancreatic resection for pancreatic body and tail cancer. However, few studies have described regarding robotic RAMPS for pancreatic cancer. We herein present our techniques of robotic RAMPS using the supracolic anterior superior mesenteric artery (SMA) approach with the ventral view.
Methods
The patient was a 75-year-old female with a diagnosis of pancreatic body cancer. Following neoadjuvant chemotherapy with gemcitabine plus nab-paclitaxel, robotic RAMPS was performed. Our techniques of robotic RAMPS include four steps: (1) gastrocolic ligament division, (2) dissection of superior and inferior border of the pancreas, (3) division of the pancreas, and (4) retroperitoneal dissection.
Results
The operative time was 251 min with an estimated blood loss of 10 mL. The uneventful postoperative course was observed. The final pathology confirmed R0 surgical resection.
Conclusions
Robotic RAMPS using the supracolic anterior SMA approach is safe and feasible for pancreatic body and tail cancer. Standardization and precise anatomical knowledge are key elements of performing robotic RAMPS.</description><subject>Adrenal glands</subject><subject>Aged</subject><subject>CAS</subject><subject>Chemotherapy</subject><subject>Computer assisted surgery</subject><subject>Dissection</subject><subject>Female</subject><subject>Gastroenterology</subject><subject>Gastrointestinal surgery</subject><subject>Humans</subject><subject>Laparoscopy</subject><subject>Ligaments</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mesenteric Artery, Superior - diagnostic imaging</subject><subject>Mesenteric Artery, Superior - surgery</subject><subject>Multimedia Article</subject><subject>Pancreatectomy</subject><subject>Pancreatic cancer</subject><subject>Pancreatic Neoplasms - surgery</subject><subject>Robotic Surgical Procedures</subject><subject>Robotics</subject><subject>Spleen</subject><subject>Splenectomy</subject><subject>Surgery</subject><subject>Surgical techniques</subject><subject>Veins & arteries</subject><issn>1091-255X</issn><issn>1873-4626</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kUFv1DAQhS1UREvhD3CoIvXCJTBjx45zXFWFIrUCLazEzXKcyTZVNk7tRGL76-ttCkgcOM1o5ntvRnqMvUP4gADlx4ioQObAMQeJyPOHF-wEdSnyQnF1lHqoMOdS_jxmr2O8A8ASUL9ix6IQmqOUJ-zX2td-6ly2tk3nbJ-thom2wTaU3fhm7m3IvtnBBbKTj2NPA7nJ7_bZJnbDNptuKfs-j8E63yePgzZ0PhxmS3NDkZ6GaRlS3WercQzeuts37GVr-0hvn-sp23y6_HFxlV9__fzlYnWdO1HKKW956xzy1kIpmrpVrq3AQUFlZVXRSF5YXmmoSBeVk1RgzblQimppuSwctuKUvV9809n7meJkdl101Pd2ID9Hw6UCLUApSOj5P-idn8OQvktUpbXQSmCi-EK54GMM1JoxdDsb9gbBHHIxSy4m5WKecjEPSXT2bD3XO2r-SH4HkQCxADGthi2Fv7f_Y_sI5R2aqQ</recordid><startdate>20211101</startdate><enddate>20211101</enddate><creator>Takagi, Kosei</creator><creator>Umeda, Yuzo</creator><creator>Yoshida, Ryuichi</creator><creator>Yagi, Takahito</creator><creator>Fujiwara, Toshiyoshi</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-2267-2441</orcidid></search><sort><creationdate>20211101</creationdate><title>Robotic Radical Antegrade Modular Pancreatosplenectomy Using the Supracolic Anterior Superior Mesenteric Artery Approach</title><author>Takagi, Kosei ; Umeda, Yuzo ; Yoshida, Ryuichi ; Yagi, Takahito ; Fujiwara, Toshiyoshi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-f2fcc12fa073dbf6cf90c04e79a64d524a29809e849c5e41b22366eb5a254c1f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adrenal glands</topic><topic>Aged</topic><topic>CAS</topic><topic>Chemotherapy</topic><topic>Computer assisted surgery</topic><topic>Dissection</topic><topic>Female</topic><topic>Gastroenterology</topic><topic>Gastrointestinal surgery</topic><topic>Humans</topic><topic>Laparoscopy</topic><topic>Ligaments</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mesenteric Artery, Superior - diagnostic imaging</topic><topic>Mesenteric Artery, Superior - surgery</topic><topic>Multimedia Article</topic><topic>Pancreatectomy</topic><topic>Pancreatic cancer</topic><topic>Pancreatic Neoplasms - surgery</topic><topic>Robotic Surgical Procedures</topic><topic>Robotics</topic><topic>Spleen</topic><topic>Splenectomy</topic><topic>Surgery</topic><topic>Surgical techniques</topic><topic>Veins & arteries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Takagi, Kosei</creatorcontrib><creatorcontrib>Umeda, Yuzo</creatorcontrib><creatorcontrib>Yoshida, Ryuichi</creatorcontrib><creatorcontrib>Yagi, Takahito</creatorcontrib><creatorcontrib>Fujiwara, Toshiyoshi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Proquest Nursing & Allied Health Source</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of gastrointestinal surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Takagi, Kosei</au><au>Umeda, Yuzo</au><au>Yoshida, Ryuichi</au><au>Yagi, Takahito</au><au>Fujiwara, Toshiyoshi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Robotic Radical Antegrade Modular Pancreatosplenectomy Using the Supracolic Anterior Superior Mesenteric Artery Approach</atitle><jtitle>Journal of gastrointestinal surgery</jtitle><stitle>J Gastrointest Surg</stitle><addtitle>J Gastrointest Surg</addtitle><date>2021-11-01</date><risdate>2021</risdate><volume>25</volume><issue>11</issue><spage>3015</spage><epage>3018</epage><pages>3015-3018</pages><issn>1091-255X</issn><eissn>1873-4626</eissn><abstract>Background
Radical antegrade modular pancreatosplenectomy (RAMPS) is the standardized approach in open pancreatic resection for pancreatic body and tail cancer. However, few studies have described regarding robotic RAMPS for pancreatic cancer. We herein present our techniques of robotic RAMPS using the supracolic anterior superior mesenteric artery (SMA) approach with the ventral view.
Methods
The patient was a 75-year-old female with a diagnosis of pancreatic body cancer. Following neoadjuvant chemotherapy with gemcitabine plus nab-paclitaxel, robotic RAMPS was performed. Our techniques of robotic RAMPS include four steps: (1) gastrocolic ligament division, (2) dissection of superior and inferior border of the pancreas, (3) division of the pancreas, and (4) retroperitoneal dissection.
Results
The operative time was 251 min with an estimated blood loss of 10 mL. The uneventful postoperative course was observed. The final pathology confirmed R0 surgical resection.
Conclusions
Robotic RAMPS using the supracolic anterior SMA approach is safe and feasible for pancreatic body and tail cancer. Standardization and precise anatomical knowledge are key elements of performing robotic RAMPS.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>34382155</pmid><doi>10.1007/s11605-021-05112-z</doi><tpages>4</tpages><orcidid>https://orcid.org/0000-0003-2267-2441</orcidid></addata></record> |
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| subjects | Adrenal glands Aged CAS Chemotherapy Computer assisted surgery Dissection Female Gastroenterology Gastrointestinal surgery Humans Laparoscopy Ligaments Medicine Medicine & Public Health Mesenteric Artery, Superior - diagnostic imaging Mesenteric Artery, Superior - surgery Multimedia Article Pancreatectomy Pancreatic cancer Pancreatic Neoplasms - surgery Robotic Surgical Procedures Robotics Spleen Splenectomy Surgery Surgical techniques Veins & arteries |
| title | Robotic Radical Antegrade Modular Pancreatosplenectomy Using the Supracolic Anterior Superior Mesenteric Artery Approach |
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