Inframesocolic main pancreatic vessels-first approach for minimally invasive radical antegrade modular pancreaticosplenectomy (RAMPS): technical description and first experience

被引：0
作者：
Manuel Barberio
Margherita Pizzicannella
Vittoria Barbieri
Sara Benedicenti
Maria Teresa Mita
Francesco Rubichi
Amedeo Altamura
Gloria Giaracuni
Francesco Crafa
Antonio Milizia
Massimo Giuseppe Viola
机构：
[1] Ospedale Card. G. Panico,Department of Surgery
[2] Institute Against Digestive Cancer (IRCAD),Department of Research
[3] IHU Institute of Image-Guided Surgery,Department of Surgery
[4] Ospedale San G. Moscati,Department of Surgery
[5] Ospedale Universitario,undefined
来源：
Updates in Surgery | 2023年 / 75卷
关键词：
Laparoscopic radical antegrade modular pancreaticosplenectomy; Robotic radical antegrade modular pancreaticosplenectomy; Minimally invasive radical antegrade modular pancreaticosplenectomy; Minimally invasive pancreatic surgery; Artery-first approach;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
Radical modular antegrade pancreaticosplenectomy (RAMPS) improves posterior tumor-free margins during resections of pancreatic neoplasia involving the body or tail. However, minimally invasive RAMPS is technically challenging and has been reported seldom. We present for the first time a minimally invasive RAMPS technique with an innovative approach providing early dissection and control of the main peripancreatic vessels from an inframesocolic embryonal window, suitable for laparoscopy and robotics. Minimally invasive RAMPS with inframesocolic main pancreatic vessels-first approach was performed at the Tricase Hospital (Italy) from May 2017 to April 2022 in 11 consecutive patients with neoplastic lesions of the pancreas (8 laparoscopic RAMPS and 3 robotic RAMPS). Among the laparoscopic cases, 1 included a portal vein tangential resection and 1 a celiac artery resection (modified Appleby procedure). There were no conversions, no Clavien–Dindo complications > 2, all resections’ margins were tumor free, and no 90-day mortality.
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页码：1729 / 1734
页数：5
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