Detailed Abstract
[Video Exhibition - Biliary & Pancreas (Pancreas Disease/Surgery)]
[Biliary & Pancreas Video Exhibition 2] STANDARDIZED ROBOTIC PANCREATICODUODENECTOMY TECHNIQUES IN CHINESE PEOPLE'S LIBERATION ARMY GENERAL HOSPITAL(PLAGH)
Han Sin BOO 1, Xuan ZHANG 2, Zhi Ming ZHAO 2, Rong LIU 2
1 Surgery, Hospital Canselor Tuanku Muhriz,Kuala Lumpur, Malaysia, 2 Hepatopancreatobilioary Surgery, The First Medical Center of Chinese People's Liberation Army General Hospital (Beijing ), China
Background : Robotic pancreaticoduodenectomy(RPD) is a complex procedure limited to specialized centers.Over the years,more than 2000 RPD have been performed in Chinese PLA General Hospital,leading to continuous standardization and refinement of techniques.
Methods : An stepwise protocol was established and standardized, emphasizing innovations such as the 'port-in-port' trocar placement, the 'uncinate-first' dissection approach,and advanced reconstruction techniques,including the "301 techniques" for pancreatojejunostomy and the 'L-port' approach for gastrojejunostomy. A case example of a 51-year-old female diagnosed with ampullary tumour will be presented to illustrate the practical application of these techniques .
Results : The operative time for the case was 235 minutes , with a blood loss of 30 mls.Patient recovered uneventfully and was discharged 8 days after surgery .Final pathology revealed a moderately to poorly differentiated ampullary adenocarcinoma with perineural invasion,0/19 lymph nodes.
Conclusions : The experience of over 2000 robotic PD has enabled the development of a standardized approach to RPD, improving safety, efficiency and reproducibility.The integration of the 'port-in-port" 'uncinate first',"301techniques' and 'L-port" methods establishes a framework for expanding RPD's adoption.The presented case video highlights these advancements in practice.
Methods : An stepwise protocol was established and standardized, emphasizing innovations such as the 'port-in-port' trocar placement, the 'uncinate-first' dissection approach,and advanced reconstruction techniques,including the "301 techniques" for pancreatojejunostomy and the 'L-port' approach for gastrojejunostomy. A case example of a 51-year-old female diagnosed with ampullary tumour will be presented to illustrate the practical application of these techniques .
Results : The operative time for the case was 235 minutes , with a blood loss of 30 mls.Patient recovered uneventfully and was discharged 8 days after surgery .Final pathology revealed a moderately to poorly differentiated ampullary adenocarcinoma with perineural invasion,0/19 lymph nodes.
Conclusions : The experience of over 2000 robotic PD has enabled the development of a standardized approach to RPD, improving safety, efficiency and reproducibility.The integration of the 'port-in-port" 'uncinate first',"301techniques' and 'L-port" methods establishes a framework for expanding RPD's adoption.The presented case video highlights these advancements in practice.
SESSION
Video Exhibition
Exhibition Hall 03/27 ~ 03/29 ALL DAY