ROBOTIC PANCREATICODUODENECTOMY IN PATIENT WITH PRIOR ROUX-EN-Y GASTRIC BYPASS
Marcel Autran Machado*1, Fabio F. Makdissi2, Rodrigo C. Surjan1, Tiago Basseres3, Marcel C C. Machado1
1Surgery, University of Sao Paulo, Sao Paulo, Sao Paulo, Brazil; 2Gastroenterology, University of Sao Paulo, Sao Paulo, Brazil; 3Surgery, Hospital Nove de Julho, Sao Paulo, Brazil
Robotic pancreaticoduodenectomy in a patient with prior Roux-en-Y gastric bypass is presented. A 50-year-old man presented progressive jaundice due to periampullary tumor 3 years after bariatric surgery. Robotic pancreaticoduodenectomy was indicated with resection of the remnant stomach. Pancreato and hepatico-jejunostomy were performed using the bilio-pancreatic limb. Operative time was 410 min. Blood loss was minimum, recovery was uneventful, and patient was discharged on the 7th postoperative day. Pathology disclosed duodenal adenocarcinoma. Robotic pancreaticoduodenectomy is feasible and safe in experienced hands even in patients with prior Roux-en-Y gastric bypass.
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