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5 ARTICLES PUBLISHED IN JoVE

Cancer Research

Laparoscopic Pancreatoduodenectomy With Modified Blumgart Pancreaticojejunostomy

Matteo De Pastena^1,2, Jony van Hilst¹, Thijs de Rooij¹, Olivier R Busch¹, Michael F Gerhards³, Sebastiaan Festen³, Marc G Besselink¹

¹Department of Surgery, Cancer Center Amsterdam, Academic Medical Center, ²General and Pancreatic Surgery Department, Pancreas Institute, University and Hospital Trust of Verona, ³Department of Surgery, OLVG

Laparoscopic pancreatoduodenctomy (LPD) may offer advantages over open pancreatoduodenectomy, including early postoperative mobilization, less delayed gastric emptying and a shorter hospital stay. However, LPD is technically challenging and not well-standardized, especially regarding the pancreatic anastomosis. We describe a standardized technique for the pancreatic anastomosis during LPD: modified Blumgart pancreaticojejunostomy.

Medicine

Robotic Central Pancreatectomy with Roux-en-Y Pancreaticojejunostomy

Tess M.E. van Ramshorst¹, Maurice J.W. Zwart¹, Rogier P. Voermans², Sebastiaan Festen³, Freek Daams⁴, Olivier R. Busch¹, Matthijs W.N. Oomen⁵, Marc G. Besselink¹, ¹

¹Department of Surgery, Amsterdam UMC, University of Amsterdam, Cancer Center Amsterdam, ²Department of Gastroenterology, Amsterdam UMC, University of Amsterdam, Amsterdam Gastroenterology Endocrinology Metabolism, ³Department of Surgery, OLVG, ⁴Department of Surgery, Amsterdam UMC, Vrije Universiteit, ⁵Department of Pediatric Surgery, Amsterdam UMC, Emma Children's Hospital

Robotic central pancreatectomy may be used in selected patients in experienced centers. This protocol presents all steps and the feasibility of a robotic central pancreatectomy with Roux-en-Y pancreaticojejunostomy in a 16-year-old adolescent patient.

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.

Robotic Spleen-Preserving Distal Pancreatectomy: The Warshaw and Kimura Techniques

Evgenia Kotsifa^1,2,3, Sebastiaan Festen⁴, Olivier R. Busch^1,3, Marc G. Besselink^1,3, Freek Daams^2,3,

¹Department of Surgery, Amsterdam UMC, location University of Amsterdam, ²Department of Surgery, Amsterdam UMC, location Vrije Universiteit, ³Cancer Center Amsterdam, ⁴Department of Surgery, OLVG

Here, we present a step-by-step protocol of robotic spleen preserving distal pancreatectomy, with and without preserving the splenic vessels (i.e., the Kimura and Warshaw techniques, respectively).

Medicine

Robotic D3 Partial Duodenal Resection with Primary Side-to-Side Anastomosis

Roberto Maria Montorsi^1,2,3, Sofia Xenaki^1,2,4, Sebastiaan Festen⁵, Paul Fockens^2,6, Barbara A. J. Bastiaansen^2,6, Freek Daams^2,7, Olivier R. Busch^1,2, M. G. Besselink^1,2,

¹Amsterdam UMC, Department of Surgery, University of Amsterdam, ²Cancer Center Amsterdam, ³Department of General and Pancreatic Surgery, The Pancreas Institute, University of Verona Hospital Trust, ⁴Department of General Surgery, University Hospital of Heraklion Crete, ⁵Department of Surgery, OLVG, ⁶Amsterdam UMC, Department of Gastroenterology, University of Amsterdam, ⁷Amsterdam UMC, Department of Surgery, Vrije Universiteit

This protocol presents a case of a robotic partial duodenal resection with primary side-to-side duodeno-jejunal reconstruction in a patient with a 5 cm duodenal stenosis. This is done at the third duodenal segment (D3) after an endoscopic mucosal resection (EMR) for a duodenal polyp.