Southampton University Hospital NHS Foundation Trust

3 ARTICLES PUBLISHED IN JoVE

Medicine

Laparoscopic Radical Left Pancreatectomy for Pancreatic Cancer: Surgical Strategy and Technique Video

Frederique L. Vissers¹, Maurice J.W. Zwart¹, Alberto Balduzzi^1,3, Maarten Korrel¹, Sanne Lof², 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.

Medicine

DIPLOMA Approach for Standardized Pathology Assessment of Distal Pancreatectomy Specimens

Sanne Lof¹, Rushda Rajak², Frederique L. I. M. Vissers³, Maarten Korrel³, Adrian Bateman², Johanna Verheij⁴, Caroline Verbeke⁵, Ivana Cataldo⁶, Marc G. Besselink³, Mohammed Abu Hilal¹

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.

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. Hogg⁴, Johanna A. M. G. Tol^1,2, Mohammad Abu Hilal³, Freek Daams⁵, Sebastiaan Festen⁶, 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.