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Minimally-Invasive Robot-Assisted Modified Appleby Resection for Pancreatic Adenocarcinoma
Joel Baumgartner*, Mehmet F. Can, Herbert Zeh, a. James Moser
University of Pittsburgh Medical Center, Pittsburgh, PA

Selected patients with pancreatic adenocarcinoma involving the celiac trunk may derive prolonged survival benefit from surgical resection. We report two patients who underwent robot-assisted modified Appleby resection after chemoradiation. Median age was 82. Median duration of surgery was 374 minutes, median EBL 225 and 11 day length of stay. Surgical margins were negative in both patients. The most severe morbidity was Clavien grade 3 gastric ischemia that resolved with bowel rest. The other patient had an ISGPF grade C pancreatic leak requiring endoscopic drainage. Robot-assisted minimally invasive modified Appleby resection can be completed safely with acceptable morbidity and mortality.


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