Fully Robotic-Assisted Technique for Total Pancreatectomy with an Autologous Islet Transplant in Chronic Pancreatitis Patients: Results of a First Series

Galvani, Carlos; Rilo, Horacio; Samamé, Julia; Porubsky, Marian; Rana, Abbas; Gruessner, Rainer W.G.

doi:10.1016/j.jamcollsurg.2013.12.006

Cited by 51 publications

(28 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In this study the mean operative time was 456 minutes and the mean length of hospital stay was 7 days. Robotic total pancreatectomies associated with autoislet transplantations have also been described for the treatment of chronic pancreatitis [33, 34]. …”

Section: Resultsmentioning

confidence: 99%

The State of the Art of Robotic Pancreatectomy

Chiaro

Segersvärd

2014

BioMed Research International

View full text Add to dashboard Cite

During the last decades an increasing number of minimally invasive pancreatic resections have been reported in the literature. With the development of robotic surgery a new enthusiasm has not only increased the number of centers approaching minimally invasive pancreatic surgery in general but also enabled the use of this technique for major pancreatic procedures, in particular in minimally invasive pancreatoduodenectomy. The aim of this review was to define the state of the art of pancreatic robotic surgery. No prospective randomized trials have been performed comparing robotic, laparoscopic, and open pancreatic procedures. From the literature one may conclude that robotic pancreatectomies seem to be as feasible and safe as open procedures. The general idea that the overall perioperative costs of robotic surgery would be higher than traditional procedures is not supported. With the current lack of evidence of any oncologic advantages, the cosmetic benefits offered by robotic surgery are not enough to justify extensive use in cancer patients. In contrast, the safety of these procedure can justify the use of the robotic technique in patient with benign/low grade malignant tumors of the pancreas.

show abstract

Section: Resultsmentioning

confidence: 99%

The State of the Art of Robotic Pancreatectomy

Chiaro

Segersvärd

2014

BioMed Research International

View full text Add to dashboard Cite

show abstract

“…Our operative parameters are well within this and other reports. More recently, Galvani et al reported their experience with 6 robotic TP with IAT, with similar operative parameters [14, 18]. …”

Section: Discussionmentioning

confidence: 99%

Robotic total pancreatectomy with or without autologous islet cell transplantation: replication of an open technique through a minimal access approach

et al. 2014

View full text Add to dashboard Cite

Background Total Pancreatectomy (TP) is a morbid but sometimes necessary operation. Robotic TP is not often reported but may harbor some advantages compared to the open approach. This manuscript details a single institutions outcomes and technique of robotic TP. An accompanying video demonstrates a robotic TP with auto islet cell transplantation (IAT) in which: 1) the arterial blood supply and venous drainage are kept intact until the last step of the total pancreatectomy to minimize warm ischemia time and 2) extirpation of the entire pancreas is performed without dividing the pancreatic neck to maximize islet recovery. Methods A retrospective review of a prospective database of perioperative outcomes of all consecutive robotic TPs at a single institution. This included a single robotic TP with IAT performed on a twenty-year-old patient with chronic pancreatitis. Results Between 2010 and January 2014, ten robotic TPs were performed (7 males, mean age 58 years), one of which included an IAT. Median body mass index was 28. Indications were intraductal papillary mucinous neoplasms (6), pancreatic adenocarcinoma (1), and chronic pancreatitis (3). The median operative time was 560 minutes with a median estimated blood loss of 650 ml. One case was converted to laparotomy. Ninety day mortality and Clavien III-IV complication rate was 0 and 20% respectively. The average length of stay was 10 ± 3 days, with only 1 readmission within 90 days. The single TP and IAT was completed successfully without conversion, and was achieved without division of the pancreatic neck thereby maintaining vascular inflow to an entire specimen up until extraction. Conclusion This represents the largest series of robotic TP, demonstrating its safety and feasibility. Additionally, TP and IAT using the technique described above can be recapitulated using the robotic approach.

show abstract

“…Robot‐assisted pancreatico‐duodenectomy with autologous islet cell isolation and transplantation, using either hybrid laparoscopic or fully robotic approaches, has been described …”

Section: Methodsmentioning

confidence: 99%

The use of robotic surgery in abdominal organ transplantation: A literature review

Sandri

Werra

Mascianà

et al. 2016

Clinical Transplantation

View full text Add to dashboard Cite

Minimally invasive surgical approaches in transplantation are gaining increasing interest, and many centers are reporting their, mainly laparoscopic, experiences. Robotic surgery (RS) has some hypothetical advantages over traditional laparoscopy and has been successfully applied, although infrequently to organ transplantation. Our goal was to review and critique the publications reporting RS use in organ transplantation. Most of the RS experience has been with living renal donor organ procurement and, to a lesser extent, with RS procedures in the transplant recipient. The available literature suggests that RS appears to be a safe surgical alternative to standard open procedures. RS in living liver donor surgery remains limited, and more experience is required before commenting on RS-related outcomes RS in pancreatic transplantation is exceedingly rare. The enhanced precision and ergonomics of RS may expand its applicability to liver living donation and pancreas transplantation at some point in the future.

show abstract

Fully Robotic-Assisted Technique for Total Pancreatectomy with an Autologous Islet Transplant in Chronic Pancreatitis Patients: Results of a First Series

Cited by 51 publications

References 27 publications

The State of the Art of Robotic Pancreatectomy

The State of the Art of Robotic Pancreatectomy

Robotic total pancreatectomy with or without autologous islet cell transplantation: replication of an open technique through a minimal access approach

The use of robotic surgery in abdominal organ transplantation: A literature review

Contact Info

Product

Resources

About