ROBOTIC ASSISTED ENUCLEATION OF A BRANCH-DUCT INTRADUCTAL PAPILLARY MUCINOUS NEOPLASM (BD-IPMN)
Alexander M. DeMare*, Mir Shanaz Hossain, R Matthew Walsh
Cleveland Clinic, Cleveland, OH
Intraductal Papillary Mucinous Neoplasms (IPMN) are commonly seen with modern cross-sectional imaging. The decision to surveil or operate on branch-duct (BD) IPMN disease is based on the presence of high-risk stigmata and worrisome imaging features. Pancreas-preserving limited resections (i.e enucleation) are acceptable alernatives to formal pancreatectomy in select patient with favorable cyst characteristics including: uncinate or body location, exophytic nature, and far distance from the main pancreatic duct. The robotic platform allows for precise cyst wall separation from the pancreatic parenchyma and ligation of the dominant draining side-branch.
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