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International Journal of Medical Robotics and Computer Assisted Surgery
Article . 2020 . Peer-reviewed
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Robotic limited local resection of duodenal juxta‐ampullary neoplasms

Authors: Hye Jung Cho; Jae Young Jang; Sung Yub Jeong; In Cheon Kang; Sung Hwan Lee; Sung Hoon Choi;

Robotic limited local resection of duodenal juxta‐ampullary neoplasms

Abstract

ABSTRACTBackgroundThe unique and complex anatomical location of duodenal juxta‐ampullary neoplasms complicates selection of the appropriate surgical strategy. For benign or borderline tumours, surgical local resection can be an appropriate treatment option, and robotic surgical systems can help perform minimally invasive local resection of these lesions.MethodsBetween December 2014 and December 2019, 10 patients who underwent robotic local resections for duodenal juxta‐ampullary tumours were reviewed.ResultsAll patients successfully underwent robotic local resection of the duodenum, preserving the ampulla of Vater without conversion. The mean tumour size was 2.2 cm. Final pathology consisted of gastrointestinal stromal tumour, neuroendocrine tumour, low grade and high grade dysplasia, ectopic pancreas, and well‐differentiated adenocarcinoma (T1a). There were no postoperative complications or recurrences.ConclusionWith accurate preoperative diagnosis and careful selection of patients, local resection of the duodenum for juxta‐ampullary benign or borderline tumours using robotic surgical system is an attractive treatment option.

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Keywords

Pancreatic Neoplasms, Ampulla of Vater, Robotic Surgical Procedures, Duodenal Neoplasms, Common Bile Duct Neoplasms, Humans, Retrospective Studies

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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
2
Average
Average
Average
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