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Chinese Journal of Laparoscopic Surgery(Electronic Edition) ›› 2020, Vol. 13 ›› Issue (05): 288-290. doi: 10.3877/cma.j.issn.1674-6899.2020.05.008

Special Issue:

• Case Report • Previous Articles     Next Articles

Robot-assisted in situ resection of intraductal papillary mucinous adenoma of pancreas combined with main pancreatic duct bridging

Guodong Zhao 1, Xiuping Zhang 1, Zhiming Zhao 1, Yuanxing Gao 1, Xianglong Tan 1, Rong Liu 1 , ( )   

  1. 1. Faculty of Hepato-Biliary-Pancreatic Surgery, The First Medical Center of Chinese People′s Liberation Army (PLA) General Hospital, 100853 Beijing, China
  • Received:2020-09-02 Online:2020-10-30 Published:2020-10-30
  • Contact: Rong Liu
  • About author:
    Corresponding author: Liu Rong, Email:

Abstract:

Objective

To summarize the experience of robot assisted in situ resection of intraductal papillary mucinous adenoma of the pancreas combined with main pancreatic duct bridging.

Methods

The clinical data of patients who underwent in situ resection of pancreatic intraductal papillary mucinous adenoma combined with main pancreatic duct bridge repair in May 2020 in the Department of Hepatobiliary Pancreatic surgery, General Hospital of Chinese PLA were retrospectively analyzed.

Results

The patient successfully completed the operation. The operation time was 135 minutes under the microscope, and the blood loss was about 50 ml. the drainage tube was discharged 6 days after the operation, and the drainage tube was removed about 18 days after the operation. Intraductal papillary myxoma with low grade intraepithelial neoplasia was considered pathologically.

Conclusions

In situ resection combined with main pancreatic duct bridge repair is a new surgical method and surgical concept. While protecting the functional organs, more attention should be paid to the protection of physiological and anatomical integrity. Through the main pancreatic duct bridge repair as the core technology of pancreatic plastic repair, the normal anatomical structure of human body can be reduced, and the quality of life of patients can be significantly improved.

Key words: Robotic surgery, Intraductal papillary mucinous adenoma, Resection in situ, Main pancreatic duct bridge repair

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