The technique of precise and systematic vascular control during robotic pancreaticoduodenectomy for periampullary and pancreatic tumours

Robotic pancreaticoduodenectomy (PD) remains one of the most advanced robotic procedures. Improved ergonomics and stable 3D vision with robotic platform helped overcome the technical challenges of pancreatic reconstruction in minimally invasive PD. However, inadequate understanding of the complex va...

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Main Authors: Raja Kalayarasan, M S Gautham, Senthil Gnanasekaran, Biju Pottakkat
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2021-01-01
Series:Journal of Minimal Access Surgery
Subjects:
Online Access:http://www.journalofmas.com/article.asp?issn=0972-9941;year=2021;volume=17;issue=3;spage=399;epage=404;aulast=Kalayarasan
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author Raja Kalayarasan
M S Gautham
Senthil Gnanasekaran
Biju Pottakkat
author_facet Raja Kalayarasan
M S Gautham
Senthil Gnanasekaran
Biju Pottakkat
author_sort Raja Kalayarasan
collection DOAJ
description Robotic pancreaticoduodenectomy (PD) remains one of the most advanced robotic procedures. Improved ergonomics and stable 3D vision with robotic platform helped overcome the technical challenges of pancreatic reconstruction in minimally invasive PD. However, inadequate understanding of the complex vascular anatomy of the pancreatic head and uncinate process often results in intra-operative bleeding and prolongs the learning curve. The technique of precise identification and systematic control of the vessels supplying the head and the uncinate process is described in this report. A good understanding of the common vascular anatomy and variations along with stepwise precise vascular control described in this report could minimise intra-operative bleeding and shorten the learning curve associated with robotic PD.
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spelling doaj.art-f0432bbaa8164f46840a38f201e888a02022-12-21T22:05:23ZengWolters Kluwer Medknow PublicationsJournal of Minimal Access Surgery0972-99411998-39212021-01-0117339940410.4103/jmas.JMAS_239_20The technique of precise and systematic vascular control during robotic pancreaticoduodenectomy for periampullary and pancreatic tumoursRaja KalayarasanM S GauthamSenthil GnanasekaranBiju PottakkatRobotic pancreaticoduodenectomy (PD) remains one of the most advanced robotic procedures. Improved ergonomics and stable 3D vision with robotic platform helped overcome the technical challenges of pancreatic reconstruction in minimally invasive PD. However, inadequate understanding of the complex vascular anatomy of the pancreatic head and uncinate process often results in intra-operative bleeding and prolongs the learning curve. The technique of precise identification and systematic control of the vessels supplying the head and the uncinate process is described in this report. A good understanding of the common vascular anatomy and variations along with stepwise precise vascular control described in this report could minimise intra-operative bleeding and shorten the learning curve associated with robotic PD.http://www.journalofmas.com/article.asp?issn=0972-9941;year=2021;volume=17;issue=3;spage=399;epage=404;aulast=Kalayarasanlaparoscopicpancreatic cancerpancreaticoduodenectomyperiampullary tumourrobotic
spellingShingle Raja Kalayarasan
M S Gautham
Senthil Gnanasekaran
Biju Pottakkat
The technique of precise and systematic vascular control during robotic pancreaticoduodenectomy for periampullary and pancreatic tumours
Journal of Minimal Access Surgery
laparoscopic
pancreatic cancer
pancreaticoduodenectomy
periampullary tumour
robotic
title The technique of precise and systematic vascular control during robotic pancreaticoduodenectomy for periampullary and pancreatic tumours
title_full The technique of precise and systematic vascular control during robotic pancreaticoduodenectomy for periampullary and pancreatic tumours
title_fullStr The technique of precise and systematic vascular control during robotic pancreaticoduodenectomy for periampullary and pancreatic tumours
title_full_unstemmed The technique of precise and systematic vascular control during robotic pancreaticoduodenectomy for periampullary and pancreatic tumours
title_short The technique of precise and systematic vascular control during robotic pancreaticoduodenectomy for periampullary and pancreatic tumours
title_sort technique of precise and systematic vascular control during robotic pancreaticoduodenectomy for periampullary and pancreatic tumours
topic laparoscopic
pancreatic cancer
pancreaticoduodenectomy
periampullary tumour
robotic
url http://www.journalofmas.com/article.asp?issn=0972-9941;year=2021;volume=17;issue=3;spage=399;epage=404;aulast=Kalayarasan
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