Hepato-biliary and pancreaticLive SurgeryVideo Gallery
Robot-Assisted Spleen-Preserving Distal Pancreatectomy
P.C. Giulianotti
SUMMARY: The pneumoperitoneum is induced with the Verres needle.
The abdominal exploration does not show carcinomatosis and liver metastases.
The lesser sac is entered by dividing the gastrocolic ligament and preserving the gastroepiploic artery. The stomach is then retracted cephalad. The splenic flexure is taken down to expose the pancreatic tail and the cystic tumor. The splenic artery and vein branches and tributaries are dissected and divided betwenn sutures.
Live SurgeryVascularVideo Gallery
Fully Robotic Repair of Renal Artery Aneurism
P.C. Giulianotti
SUMMARY: The pneumoperitoneum is induced with the Verres needle and 7 trocars are inserted.
The right renal hilum is exposed mobilizing the right colon and the duodenum. The renal vein is dissected and retracted to expose the artery. The aneurism is identify and carefully dissected. A graft from the right great safena is harvested and introduced in the abdominal cavity. The aneurism is clamped and opened. The renal artery is finally reconstructed with the “Y-shaped” veno us graft.
Hepato-biliary and pancreaticLive SurgeryVideo Gallery
Robot-Assisted Bilio-Enteric Anastomosis
P.C. Giulianotti
SUMMARY: The pneumoperitoneum is induced with the Verres needle.
The abdominal exploration does not show carcinomatosis and liver metastases. An extensive adhesiolysis till complete exposition of the hepatic hilum is carried out laparoscopically and robotically. Identification and preparation of the jejuanl limb anastomosed with the pancreas and the common bile duct (the patient has undergone a Whipple procedure and developed a biliary stenosis). The bilio-enteric anastomosis is taken down and sent for frozen section (negative for malignancy).
The termino-laterl hepaticojejunostomy is completed with PDS 4.0 – posterior running and anterior interrupted suture -.
