ROBOTIC TRANS-DUODENAL AMPULLECTOMY WITH RECONSTRUCTION
Gabrielle E. Cervoni*, Tori H. Singer, Corinne DeCicco, Jonathan F. Critchlow, Tara S. Kent, A. J. Moser
Surgery, Beth Israel Deaconess Medical Center, Jamaica Plain, MA
Robotic-assisted surgery represents a solution to the shortcomings of endoscopic and open surgical techniques in the management of primary duodenal neoplasms. In this video, we address minimally invasive trans-duodenal resection of ampullary lesions with ampullary reconstruction. We review our institutional experience in robot-assisted trans-duodenal resection for benign and pre-malignant lesions with a median tumor size of 2.9 cm between June 2013 and November 2017. For the sixteen patients in this series, there were no conversions to laparotomy. The average length of stay was 7 days with no re-operations on index hospitalization, pancreatic fistulas, disease recurrences, or death.
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