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ROBOTIC DUODENUM-PRESERVING PANCREATIC HEAD RESECTION (R-DPPHR)
PENGFEI WU
*1,2, Jin He
11The Johns Hopkins University School of Medicine, Baltimore, MD; 2The First Affiliated Hospital with Nanjing Medical University, Nanjing, Jiangsu, China
Here we presented a case with a diagnosis of an enlarging cystic lesion in the pancreatic head and recurrent acute pancreatitis. Preoperative imaging and testing suggested a mixed-type IPMN. We performed a robotic duodenum-preserving pancreatic head resection. The final pathology showed a gastric-type IPMN with low-grade dysplasia, involving main and side branch ducts, and a negative pancreatic duct margin. The patient recovered well and was discharged home on POD6 without complications. The video demonstrated the feasibility of a robotic approach to achieve adequate pancreatic head resection and efficient duodenum and common bile duct preservation.
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