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Robotic D3 Partial Duodenal Resection with Primary Side-to-Side Anastomosis
Published on: December 15, 2023
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Segmental duodenal resection: indications, surgical techniques and postoperative outcomes
D Dorcaratto1, H M Heneghan, B Fiore
1Hepatobiliary and Liver Transplant Surgical Unit, St. Vincent's University Hospital, Elm Park, Dublin 4, Ireland, dorcaratto.dimitri@gmail.com.
Summary
Segmental duodenal resection (DR) is a safe and effective surgical option for primary duodenal tumors. This study reviewed 11 elective DR cases, detailing indications, operative methods, and outcomes for these complex gastrointestinal procedures.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Gastrointestinal Surgery
Background:
- Segmental duodenal resections (DR) are increasingly utilized for primary duodenal tumors.
- Reviewing indications, operative details, and outcomes of elective DR is crucial for optimizing patient care.
Purpose of the Study:
- To evaluate the indications for, clinical and operative details of, and outcomes for patients undergoing elective segmental duodenal resection (DR).
Main Methods:
- Retrospective review of 11 patients undergoing elective segmental DR for primary duodenal tumors between 2007 and 2013.
- Data collected included demographics, clinical presentation, preoperative findings, operative specifics, postoperative complications, mortality, and histopathology.
Main Results:
- Eleven segmental duodenal resections were performed, with adenocarcinoma and adenoma being the most common pathologies.
- Median operative time was 191 minutes with 675 ml blood loss. The 30-day morbidity rate was 82%.
Conclusions:
- Segmental duodenal resection (DR) is a safe and effective surgical approach for primary duodenal tumors.
- The study highlights the feasibility and outcomes of DR in a clinical setting.
