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Robotic pylorus preserving pancreaticoduodenectomy with mini-laparotomy reconstruction in patient with ampullary adenoma

Authors
 Sung Hoon Choi ; Chang Moo Kang ; Hoon Sang Chi ; Woo Jung Lee ; Dong Hyun Kim 
Citation
 Journal of the Korean Surgical Society (대한외과학회지 ), Vol.81(5) : 355~359, 2011 
Journal Title
 Journal of the Korean Surgical Society (대한외과학회지 ) 
ISSN
 1226-0053 
Issue Date
2011
Abstract
Robotic surgical system provides many unique advantages which might compensate the limitations of usual laparoscopic surgery. By using robotic surgical system, we performed robot-assisted laparoscopic pancreaticoduodenectomy (PD). A Sixty-two year old female patient with an ampullary mass underwent robot assisted PD due to imcomplete treatment of endoscopic ampullectomy. The removal of specimen and reconstruction were performed through small upper midline skin incision. Robot working time was about 8 hours, and blood loss was about 800 ml without blood transfusion. She returned to an oral diet on postoperative day 3. Grade B pancreatic leak was noted during the postoperative period, but was successfully managed by conservative management alone. We successfully performed da Vinci-assisted laparoscopic PD, and robot surgical system provided three-dimensional stable visualization and wrist-like motion of instrument facilitated complex operative procedures. More experiences are necessary to address real role of robot in far advanced laparoscopic pancreatic surgery.
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/95066
DOI
10.4174/jkss.2011.81.5.355
Appears in Collections:
1. 연구논문 > 1. College of Medicine > Dept. of Surgery
Yonsei Authors
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