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

研究成果: ジャーナルへの寄稿学術論文査読

1 被引用数 (Scopus)

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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.

本文言語英語
ジャーナルWorld Journal of Surgery
DOI
出版ステータス印刷中 - 2024

All Science Journal Classification (ASJC) codes

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