The new strategies for side branch intraductal papillary mucinous neoplasm of pancreas surgical treatment: robot-assisted in situ resection of the neoplasm combined with ligation from the root of the side pancreatic duct

doi:10.3877/cma.j.issn.1674-6899.2021.02.009

Abstract

Abstract:

Objective

To introduce a new surgical strategy for side branch pancreatic ductal intraductal papillary mucinous neoplasm (SB-IPMN) in the proximal pancreatic, robot-assisted in situ resection of the tumor combined with ligation from the root of the side pancreatic duct.

Methods

The clinical data of a proximal pancreatic SB-IPMN operation completed in PLA General Hospital in Mar. 2021 were retrospectively analyzed, robot-assisted fine separation of cystic lesions from normal pancreas, dissecting the root of the branch pancreatic duct, robot-assisted in situ resection of the tumor combined with ligation from the root of the side pancreatic duct.

Results

The operation was completed successfully, the operation time was 80 minutes under the microscope, and the blood loss was about 20 ml, the patient was discharged 7 days after the operation.Intraductal papillary mucinous adenoma was considered pathologically.

Conclusions

In situ resection combined with side pancreatic duct in situ ligation is a new surgical strategy, which reveals the concept of protecting organs functional, meantime, more attention paid to physiological and anatomical integrity protection. This new surgical strategy is expected to replace the current standard procedures of extensive excision and digestive tract reconstruction, this procedure will become the standard operation for the SB-IPMN in the future.

Key words: Robotic surgery, Intraductal papillary mucinous neoplasm, Resection in situ, Side branch of pancreatic duct

Guodong Zhao, Xinning Zhang, Xiuping Zhang, Zhiming Zhao, Yuanxing Gao, Qu Liu, Zizheng Wang, Zhipeng Zhou, Rong Liu. The new strategies for side branch intraductal papillary mucinous neoplasm of pancreas surgical treatment: robot-assisted in situ resection of the neoplasm combined with ligation from the root of the side pancreatic duct[J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2021, 14(02): 109-111.

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URL: https://zhqjwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-6899.2021.02.009

https://zhqjwkzz.cma-cmc.com.cn/EN/Y2021/V14/I02/109

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References 9

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