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Robotic limited local resection of duodenal juxta‐ampullary neoplasms
Author(s) -
Cho Hye Jung,
Jang Jae Young,
Jeong Sung Yub,
Kang In Cheon,
Lee Sung Hwan,
Choi Sung Hoon
Publication year - 2021
Publication title -
the international journal of medical robotics and computer assisted surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.556
H-Index - 53
eISSN - 1478-596X
pISSN - 1478-5951
DOI - 10.1002/rcs.2192
Subject(s) - medicine , ampulla of vater , ectopic pancreas , duodenum , juxta , whipple procedure , resection , surgery , ampulla , duodenoscopy , pancreas , pancreaticoduodenectomy , radiology , carcinoma , pathology
Background The unique and complex anatomical location of duodenal juxta‐ampullary neoplasms complicates selection of the appropriate surgical strategy. For benign or borderline tumours, surgical local resection can be an appropriate treatment option, and robotic surgical systems can help perform minimally invasive local resection of these lesions. Methods Between December 2014 and December 2019, 10 patients who underwent robotic local resections for duodenal juxta‐ampullary tumours were reviewed. Results All patients successfully underwent robotic local resection of the duodenum, preserving the ampulla of Vater without conversion. The mean tumour size was 2.2 cm. Final pathology consisted of gastrointestinal stromal tumour, neuroendocrine tumour, low grade and high grade dysplasia, ectopic pancreas, and well‐differentiated adenocarcinoma (T1a). There were no postoperative complications or recurrences. Conclusion With accurate preoperative diagnosis and careful selection of patients, local resection of the duodenum for juxta‐ampullary benign or borderline tumours using robotic surgical system is an attractive treatment option.