Robotic Lymphadenectomy During Pancreatoduodenectomy with First Superior Mesenteric Artery Dissection
Ann Surg Oncol. 2016 Jul 26.
Memeo R, De Blasi V, Perotto O, Mutter D, Marescaux J, Pessaux P
Hepatocellular carcinoma (HCC) is the most common primary liver tumour (80-90%) and represents more than 5.7% of all cancers. Although in recent years the therapeutic options for these patients have increased, clinical results are yet unsatisfactory and the prognosis remains dismal. Clinical or molecular criteria allowing a more accurate selection of patients are in fact largely lacking.
Hepatocellular carcinoma (HCC) represent actually the fifth most common cancer worldwide, with liver transplantation and hepatic resection who represent the standard of care of curative treatment. Unfortunately, not all patient could benefit of curative treatment. For such patients, locoregional or systemic therapies represent a valid option in order to achieve the best survival possible.
Robotic pancreaticoduodenectomy and distal pancreatectomy: State of the art.
Memeo R, Sangiuolo F, de Blasi V, Tzedakis S, Mutter D, Marescaux J, Pessaux P.
J Visc Surg. 2016
Abstract:Over recent years, minimally invasive pancreatic resections have increasingly been reported in the literature.
Abstract:
Radical (R0 resection) pancreaticoduodenectomy (PD) is the only treatment offering ahope of long-term survival for patients affected from pancreatic head cancer and malig-nant periampullary tumors. A fine dissection of the retroperitoneal margin close to thesuperior mesenteric artery (SMA) with en bloc retroperitoneal pancreatic tissue ablationis crucial to increase the number of R0 resection and to extend the circumferentialmargin.
