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Southampton University Hospital NHS Foundation Trust

3 ARTICLES PUBLISHED IN JoVE

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Medicine

Laparoscopic Radical Left Pancreatectomy for Pancreatic Cancer: Surgical Strategy and Technique Video
Frederique L. Vissers 1, Maurice J.W. Zwart 1, Alberto Balduzzi 1,3, Maarten Korrel 1, Sanne Lof 2, Mohammad Abu Hilal *2, Marc G. Besselink *1
1Department of Surgery, Cancer Center Amsterdam, Amsterdam UMC, University of Amsterdam, 2Department of Surgery, Southampton University Hospital NHS Foundation Trust, 3General and Pancreatic Surgery Department, Pancreas Institute, University and Hospital Trust of Verona

Oncologically safe left pancreatectomy requires radical resection (R0), Gerota’s (perirenal) fascia resection, and adequate lymph node dissection. This study describes the technical details of laparoscopic radical left pancreatectomy (LRLP), used in the first international multicenter randomized trial comparing minimally invasive with open left pancreatectomy for pancreatic cancer, the DIPLOMA trial.

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Medicine

DIPLOMA Approach for Standardized Pathology Assessment of Distal Pancreatectomy Specimens
Sanne Lof 1, Rushda Rajak 2, Frederique L. I. M. Vissers 3, Maarten Korrel 3, Adrian Bateman 2, Johanna Verheij 4, Caroline Verbeke 5, Ivana Cataldo 6, Marc G. Besselink 3, Mohammed Abu Hilal 1
1Department of Surgery, Southampton University Hospital NHS Foundation Trust, 2Department of Pathology, Southampton University Hospital NHS Foundation Trust, 3Department of Surgery, Cancer Center Amsterdam, Amsterdam UMC, University of Amsterdam, 4Department of Pathology, Cancer Center Amsterdam, Amsterdam UMC, University of Amsterdam, 5Department of Pathology, Oslo University Hospital & University of Oslo, 6Department of Pathology, Ca Foncello Hospital

The current study highlights a standardized approach to the macroscopic assessment of distal pancreatectomy specimens for pancreatic ductal adenocarcinoma, with special emphasis on the measurement of pancreatic dimensions and those of other organs, inking of margins, measurement of tumor size and proximity to margins, lymph node sampling and block selection.

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Cancer Research

Robotic Pancreatoduodenectomy for Pancreatic Head Cancer: a Case Report of a Standardized Technique
Maurice J. W. Zwart *1,2, Leia R. Jones *1,2,3, Melissa E. Hogg 4, Johanna A. M. G. Tol 1,2, Mohammad Abu Hilal 3, Freek Daams 5, Sebastiaan Festen 6, Olivier R. Busch 1,2, Marc G. Besselink 1,2,
1Department of Surgery, Amsterdam, the Netherlands, Amsterdam UMC, location University of Amsterdam, 2Cancer Center Amsterdam, the Netherlands, 3Department of General Surgery, Istituto Ospedaliero Fondazione Poliambulanza, 4Department of Surgery, Northshore University Health System, 5Department of Surgery, Amsterdam UMC, Vrije Universiteit, Cancer Center Amsterdam, 6Department of Surgery, OLVG

Robotic pancreatoduodenctomy (RPD) has been highly standardized in recent years and may be used in selected patients with pancreatic head cancer, including those with a replaced right hepatic artery. This case report describes a standardized and reproducible technique for RPD, which includes the approach of the Dutch LAELAPS-3 training program to an aberrant vasculature.

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