Technical details of robotic pancreatojejunostomy using a modified Blumgart anastomosis: Thread manipulation using gauze and an assisted port

Yuichiro Uchida, Takeshi Takahara, Takuya Mizumoto, Akihiro Nishimura, Satoshi Mii, Hideaki Iwama, Masayuki Kojima, Yutaro Kato, Ichiro Uyama, Koichi Suda

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)

Abstract

Backgrounds: Pancreatojejunostomy is a technically demanding procedure during robotic pancreaticoduodenectomy (RPD). Modified Blumgart anastomosis (mBA) is a common method for the pancreatojejunostomy; however, the technical details for robotic mBA are not well established. During RPD, we performed a mBA for the pancreatojejunostomy using thread manipulation with gauze and an additional assist port. Methods: Patients who underwent robotic pancreatoduodenectomy at Fujita Health University from November 2009 to May 2023 were retrospectively investigated, and technical details for the robotic-modified Blumgart anastomosis were demonstrated. Results: Among 78 patients who underwent RPD during the study period, 33 underwent robotic mBA. Postoperative pancreatic fistula (POPF) occurred in six patients (18%). None of the patients suffered POPF Grade C according to the international study group of pancreatic surgery definition. The anastomotic time for mBA was 80 min (54–125 min). Conclusion: Robotic mBA resulted in reasonable outcomes. We propose that mBA could be used as one of the standard methods for robotic pancreatojejunosotomy.

Original languageEnglish
JournalWorld Journal of Surgery
DOIs
Publication statusAccepted/In press - 2024

All Science Journal Classification (ASJC) codes

  • Surgery

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