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.
Hepato-biliary and pancreaticVideo Gallery
Chicago 2009 Video – Robotic Pancraticoduodenectomy: Experience with 70 Cases
P. Addeo
SUMMARY
This presentation describes a single surgeon ( Prof; PC Giulianotti) experience on robotic pancreaticoduodenectomy over a period of 9 years at two different centers. The intraoperative outcomes of 70 consecutive robotic Whipple’s operation are analyzed and the main technical points of this complex minimally invasive operation underlined.
Background/Hypothesis
Minimally invasive pancreaticoduodenectomy (PD) is a technically demanding procedure performed only in few centers worldwide. Laparoscopy has not gained popularity for this operation due to the technical intrinsic limitations of this approach.
