Robotic gastrectomy for remnant gastric cancer after pancreaticoduodenectomy

The utility of robotic surgery for remnant gastric cancer remains unclear. We report a case of a robotic gastrectomy for remnant gastric cancer after pancreaticoduodenectomy and Child reconstruction with Braun enteroenterostomy. Adhesiolysis, lymphadenectomy, and gastrectomy were robotically perform...

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Bibliographic Details
Published in:Asian journal of endoscopic surgery 2023-07, Vol.16 (3), p.537-541
Main Authors: Ito, Sunao, Sagawa, Hiroyuki, Yamamoto, Seiya, Saito, Masaki, Ueno, Shuhei, Hayakawa, Shunsuke, Okubo, Tomotaka, Tanaka, Tatsuya, Ogawa, Ryo, Takahashi, Hiroki, Matsuo, Yoichi, Mitsui, Akira, Kimura, Masahiro, Takiguchi, Shuji
Format: Article
Language:English
Subjects:
Child
gastrectomy
Gastrectomy - methods
Gastric cancer
Gastrointestinal surgery
Humans
Indocyanine Green
Pancreaticoduodenectomy
Robotic surgery
Robotic Surgical Procedures - methods
robotic‐assisted surgery
Stomach Neoplasms - surgery
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Summary:The utility of robotic surgery for remnant gastric cancer remains unclear. We report a case of a robotic gastrectomy for remnant gastric cancer after pancreaticoduodenectomy and Child reconstruction with Braun enteroenterostomy. Adhesiolysis, lymphadenectomy, and gastrectomy were robotically performed. Indocyanine green fluorescence imaging confirmed the tissue perfusion of the reconstructive tract. The patient's postoperative course was uneventful. Robotic surgery facilitates safety for gastrectomy after pancreaticoduodenectomy because of its precise manipulation; its advantages can be further exploited by maximizing usage of the assistant's forceps. Indocyanine green fluorescence imaging capability of the da Vinci Xi Surgical System allows timely evaluation of tissue perfusion at the site of interest, leading to a more reliable procedure.
ISSN:1758-5902
1758-5910
DOI:10.1111/ases.13167