Name: Robotgeassisteerde laterale pancreaticojejunostomie voor chronische pancreatitis (Video) | JoVE Journal
Uploaded: 2025-09-05T14:40:00.000+00:00
Duration: 11 min 7 s
Description: Leer een robotgeassisteerde laterale pancreaticojejunostomie voor chronische pancreatitis. Deze minimaal invasieve techniek behoudt het pancreasparenchym en biedt effectieve verlichting van ductobstructie bij geselecteerde patiënten.

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<li>Iacobone, M., Citton, M., Nitti, D. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Laparoscopic+distal+pancreatectomy%3A+up-to-date+and+literature+review%5BTitle%5D)+AND+%22World+J+Gastroenterol%22%5BJournal%5D)">Laparoscopic distal pancreatectomy: up-to-date and literature review.</a> World J Gastroenterol. 18 (38), 5329-5337 (2012).</li>
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<li>Muaddi, H., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Clinical+outcomes+of+robotic+surgery+compared+to+conventional+surgical+approaches+%28laparoscopic+or+open%29%3A+A+systematic+overview+of+reviews%5BTitle%5D)+AND+%22Ann+Surg%22%5BJournal%5D)">Clinical outcomes of robotic surgery compared to conventional surgical approaches (laparoscopic or open): A systematic overview of reviews.</a> Ann Surg. 273 (3), 467-473 (2021).</li>
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<li>Khachfe, H. H., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Robotic+pancreas+surgery%3A+an+overview+of+history+and+update+on+technique%2C+outcomes%2C+and+financials%5BTitle%5D)+AND+%22J+Robot+Surg%22%5BJournal%5D)">Robotic pancreas surgery: an overview of history and update on technique, outcomes, and financials.</a> J Robot Surg. 16 (3), 483-494 (2022).</li>
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<li>Olesen, S. S., Büyükuslu, A., Køhler, M., Rasmussen, H. H., Drewes, A. M. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Sarcopenia+associates+with+increased+hospitalization+rates+and+reduced+survival+in+patients+with+chronic+pancreatitis%5BTitle%5D)+AND+%22Pancreatology%22%5BJournal%5D)">Sarcopenia associates with increased hospitalization rates and reduced survival in patients with chronic pancreatitis.</a> Pancreatology. 19 (2), 245-251 (2019).</li>
<li>Ahmed Ali, U., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Endoscopic+or+surgical+intervention+for+painful+obstructive+chronic+pancreatitis%5BTitle%5D)+AND+%22Cochrane+Database+Syst+Rev%22%5BJournal%5D)">Endoscopic or surgical intervention for painful obstructive chronic pancreatitis.</a> Cochrane Database Syst Rev. 1, CD007884(2012).</li>
<li>Kleeff, J., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Evidence-based+surgical+treatments+for+chronic+pancreatitis%5BTitle%5D)+AND+%22Dtsch+Arztebl+Int%22%5BJournal%5D)">Evidence-based surgical treatments for chronic pancreatitis.</a> Dtsch Arztebl Int. 113 (29-30), 489-496 (2016).</li>
<li>Rios, G. A., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Outcome+of+lateral+pancreaticojejunostomy+in+the+management+of+chronic+pancreatitis+with+nondilated+pancreatic+ducts%5BTitle%5D)+AND+%22J+Gastrointest+Surg%22%5BJournal%5D)">Outcome of lateral pancreaticojejunostomy in the management of chronic pancreatitis with nondilated pancreatic ducts.</a> J Gastrointest Surg. 2 (3), 223-229 (1998).</li>
<li>Magge, D. R., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Comprehensive+comparative+analysis+of+cost-effectiveness+and+perioperative+outcomes+between+open%2C+laparoscopic%2C+and+robotic+distal+pancreatectomy%5BTitle%5D)+AND+%22HPB+%28Oxford%29%22%5BJournal%5D)">Comprehensive comparative analysis of cost-effectiveness and perioperative outcomes between open, laparoscopic, and robotic distal pancreatectomy.</a> HPB (Oxford). , 1172-1180 (2018).</li>
<li>Menso, J. E., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Cost-analysis+of+Implementing+robot-assisted+Versus+Open+Pancreatoduodenectomy%5BTitle%5D)+AND+%22Ann+Surg%22%5BJournal%5D)">Cost-analysis of Implementing robot-assisted Versus Open Pancreatoduodenectomy.</a> Ann Surg. , (2025).</li>
</ol>

<table><tbody><tr><td>Pneumoclear smoke evacuation tube set</td><td>STRYKER</td><td>620050350</td><td>Smoke evacuator tubing</td></tr><tr><td>Smoke MGMT EXTD Nozzle for 4in electrode</td><td>Medtronic</td><td>VSMEN4</td><td>Electrocautery pencil with smoke evacuation</td></tr><tr><td>Smoke pencil with edge electrode 10Ft</td><td>Medtronic</td><td>VSMP10</td><td>Electrode for electrocautery</td></tr><tr><td>BLAKE Silicone Drain, Size 19 Fr, Round</td><td>Ethicon</td><td>2232</td><td>Abdominal drain</td></tr><tr><td>Jackson-Pratt bulb reservoir 100cc</td><td>McKesson</td><td>SU1301305</td><td>Drainage suction bulb reservoir</td></tr><tr><td>Garment compress Medium, Calf</td><td>Zimmer Biomet</td><td>VG501M</td><td>Sequential compression device applied to calves for deep venous thrombosis prophylaxis</td></tr><tr><td>Suction tube handle, Bulb tip Yankauer</td><td>McKesson</td><td>K86</td><td>Yankauer Suction handle</td></tr><tr><td>Suction Tubing 20FT, 9/32 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Stapler</td><td>Covidien</td><td>8886803712</td><td>Skin stapler</td></tr><tr><td>SURGICEL Absorbable Hemostat</td><td>Ethicon</td><td>1952S</td><td>Hemostatic cellulose</td></tr><tr><td>Laparoscopic Clip applier 5mm</td><td>Covidien</td><td>176630</td><td>Laparoscopic clip applier</td></tr><tr><td>Laparoscopic Clip applier 10mm</td><td>Covidien</td><td>176657</td><td>Laparoscopic clip applier</td></tr><tr><td>Laparoscopic sealer/divider, Maryland, curved Jaw</td><td>Covidien</td><td>LF1944</td><td></td></tr><tr><td>Step insufflation/access needle, 100mm</td><td>Covidien</td><td>S100000</td><td>Laparoscopic blunt tip access needle</td></tr><tr><td>Suction irrigation system, battery operated</td><td>McKesson</td><td>250070520</td><td></td></tr><tr><td>Bladeless Trocar, 15mm size, 100mm length</td><td>Covidien</td><td>NB15STF</td><td></td></tr><tr><td>Bladeless Trocar, 12mm size, 100mm length</td><td>Covidien</td><td>NONB12STF</td><td></td></tr><tr><td>Bladeless Trocar, 5mm size, 100mm 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robotgeassisteerde laterale pancreaticojejunostomie voor chronische pancreatitis

Robotic-assisted Lateral Pancreaticojejunostomy for Chronic Pancreatitis

Robotgeassisteerde laterale pancreaticojejunostomie voor chronische pancreatitis

Chronic pancreatitis is a debilitating, benign inflammatory disorder that significantly alters a patient's quality of life. Pancreatic drainage procedures ...

robotic-assisted-lateral-pancreaticojejunostomy-for-chronic

Research

JoVE Journal

Medicine

Geneeskunde

Laparoscopische pancreatoduodenctomy (LPD) kan bieden voordelen ten opzichte van de open pancreatoduodenectomy, met inbegrip van vroege postoperatieve mobilisatie, minder vertraagde lediging van de maag en een korter verblijf in het ziekenhuis. LPD is echter technisch uitdagende en niet goed gestandaardiseerd, met name wat betreft de alvleesklier anastomose. We beschrijven een gestandaardiseerde techniek voor de alvleesklier wapendrager tijdens LPD: Blumgart pancreaticojejunostomy bewerkt.

Laparoscopische Pancreatoduodenectomy met gemodificeerde Blumgart Pancreaticojejunostomy

Beschrijven we een nieuwe techniek voor pancreaticojejunostomy wederopbouw na pancreaticoduodenectomy dat is gekoppeld aan een zeer laag tarief van postoperatieve alvleesklier fistels.

Koloniale pruik Pancreaticojejunostomy

De techniek van gemodificeerde enkelvoudige-lus reconstructie na pancreaticoduodenectomy scheidt de secretie van alvleesklier van gal, waardoor de ernst van POPF verminderen zonder verlenging van de duur van de operatie.

Gemodificeerde single-loop reconstructie voor Pancreaticoduodenectomy

Het volgende manuscript heeft een stapsgewijze benadering van de door de robot ondersteunde pancreaticoduodenectomy uitgevoerd in het Medical Center van de Universiteit van Pittsburgh.

Technisch detail voor Robot assisted Pancreaticoduodenectomy

Robotic laterale pancreaticojejunostomy (RLPJ) kan worden gebruikt bij patiënten met pijnlijke, morfine afhankelijke, chronische pancreatitis en een verwijde hoofd-pancreas kanaal. We beschrijven een gestandaardiseerde en reproduceerbare techniek voor rlpj, die transect van de gastro-duodenale slagader omvat.

Robotische laterale Pancreaticojejunostomy voor chronische pancreatitis

De robottechniek die hierin wordt getoond, is gericht op het getrouw reproduceren van de open procedure voor radicale behandeling van kanker van het lichaam-staart van de alvleesklier. Het protocol demonstreert ook de mogelijkheid om de betrokkenheid van grote perialvleesklier vaten te beheersen zonder conversie naar open chirurgie.

Robot-geassisteerde radicale Antegrade modulaire Pancreatosplenectomie inclusief resectie en reconstructie van de Spleno-Mesenteric kruising

Robotische centrale pancreatectomie kan worden gebruikt bij geselecteerde patiënten in ervaren centra. Dit protocol presenteert alle stappen en de haalbaarheid van een robotische centrale pancreatectomie met Roux-en-Y pancreaticojejunostomie bij een 16-jarige adolescente patiënt.

Robotic Central Pancreatectomy met Roux-en-Y Pancreaticojejunostomie

Robotische pancreatoduodenctomie (RPD) is de afgelopen jaren sterk gestandaardiseerd en kan worden gebruikt bij geselecteerde patiënten met pancreashoofdkanker, waaronder die met een vervangen rechter leverslagader. Dit casusrapport beschrijft een gestandaardiseerde en reproduceerbare techniek voor RPD, waaronder de benadering van het Nederlandse LAELAPS-3 trainingsprogramma naar een afwijkende vasculatuur.

Robotische pancreatoduodenectomie voor pancreashoofdkanker: een casusrapport van een gestandaardiseerde techniek

Dit protocol presenteert robotische duodenumbehoudende totale pancreashoofdresectie (R-DPPHRt) voor intraductale papillaire mucinéuse neoplasmata (IPMN's). Een video demonstreert de techniek bij een patiënt met hoofdbuis-IPMN, waarbij de haalbaarheid als minimaal invasieve, orgaanbehoudende alternatieve pancreaticoduodenectomie wordt benadrukt.

Robotische duodenumbehoudende totale pancreashoofdresectie voor intraductale papillaire mucineuze neoplasma's

Objectieve beoordeling van de fysiologische mechanismen die ondersteuning bieden voor spraak nodig zijn om de ziekte ontstaan ​​en de progressie bij personen met ALS te monitoren en effecten van de behandeling te kwantificeren in klinische studies. In deze video, presenteren wij een uitgebreide, instrumentatie-gebaseerd protocol voor het kwantificeren van spraak motorische prestatie in klinische populaties.

Een protocol voor de uitvoerige evaluatie van bulbaire dysfunctie in Amyotrofische Lateraal Sclerose (ALS)

Leer een robotgeassisteerde laterale pancreaticojejunostomie voor chronische pancreatitis. Deze minimaal invasieve techniek behoudt het pancreasparenchym en biedt effectieve verlichting van ductobstructie bij geselecteerde patiënten.

Robotgeassisteerde laterale pancreaticojejunostomie voor chronische pancreatitis

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