Robotic antrum-pyloric resection with intracorporeal anastomosis in a young woman with ectopic pancreas pyloric stenosis

Introduction Ectopic pancreas is pancreatic tissue sited outside its normal location and lacking anatomic or vascular connection with eutopic pancreatic tissue. We present herein a successful robotic antrum-pyloric resection with intracorporeal Roux-en-Y reconstruction in a 24-year-old woman. Patien...

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Bibliographic Details
Published in:Journal of robotic surgery 2012-06, Vol.6 (2), p.167-170
Main Authors: Langone, A., Gasloli, G., Caristo, I., Monteleone, L., Griseri, G., Bianchi, M., Cosce, U., Aiello, D., Caliendo, L., Schirru, A.
Format: Article
Language:English
Subjects:
Asymptomatic
Biopsy
Case Report
Case reports
Gastrointestinal cancer
Gastrointestinal surgery
Laparoscopy
Medicine
Medicine & Public Health
Minimally Invasive Surgery
Pancreas
Pathogenesis
Robot arms
Robotic surgery
Small intestine
Stereoscopic vision
Stomach
Surgery
Urology
Vomiting
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Summary:Introduction Ectopic pancreas is pancreatic tissue sited outside its normal location and lacking anatomic or vascular connection with eutopic pancreatic tissue. We present herein a successful robotic antrum-pyloric resection with intracorporeal Roux-en-Y reconstruction in a 24-year-old woman. Patient and methods The patient was admitted for recent worsening vomiting, intermittent epigastric pain, and hyporexia that arose some years previous. Endoscopic ultrasonography (EUS) findings suggested the presence of ectopic pancreas but did not exclude the possibility of gastrointestinal stromal tumor (GIST) or other pathogenesis. Totally robotic (three-arm da Vinci ® ) antrum-pyloric resection was decided. Results Final pathologic analysis revealed that the lesion comprised exocrine pancreas located in the submucosal layer. Patient was discharged on the 10th postoperative day. Discussion Robotic antrum-pyloric resection was decided considering its advantages over laparoscopy including stereoscopic vision, loss of tremor, and robotic arm endowrist. These instrumental benefits facilitate procedures such as knot-tying, suturing, organ manipulation, and tissue dissection. Conclusions We show that subtotal gastrectomy for ectopic pancreas can be performed robotically and is a feasible and safe procedure.
ISSN:1863-2483
1863-2491
DOI:10.1007/s11701-011-0280-9