Minimally Invasive Surgery of the Pancreas

 

Description:

This book provides a unique and comprehensive overview of minimally invasive (MI) surgical options for the treatment of pancreatic diseases. The opening chapters present the state of the art of MI pancreatic resection according to the 2016 IHPBA Conference, offer information on the safe dissemination of MI pancreatic surgical techniques, and discuss preoperative evaluations protocols and surgical planning options. The book subsequently investigates the full range of currently available minimally invasive techniques, which includes: biliary and gastric bypass, ampullectomy, central and distal pancreatectomy, laparoscopic and robotic pancreatoduodenectomy, and robotic pancreas transplantation. Combining the acknowledged expertise of the Italian school in pancreatic surgery and the contributions of many leading international experts, the book offers a valuable guide for all surgeons who perform this complex surgery, as well as for residents and fellows-in-training.

 

Table of Contents:

Contributors

Acknowledgements

1 State of the Art of Minimally Invasive Pancreatic Resection: IHPBA 2016 Conference

1.1 Introduction

1.2 Conference Development

1.3 Conference Design and Content

1.3.1 Systematic Data Review

1.3.2 Overview of the Day

1.4 Conclusions

References

2 Evolving Technologies in the Operating Room for Minimally Invasive Pancreatic Surgery

2.1 Improvements in Minimally Invasive Vision

2.2 The Role of Indocyanine Green Fluorescence Imaging

2.3 The New da Vinci Xi Surgical System

2.4 Intraoperative Ultrasonography

2.5 Virtual Reality for Surgical Planning and Simulation

2.6 4D Image Fusion

2.7 Augmented Reality

2.8 Conclusions

References

3 Simulation in Laparoscopy and Robotics

3.1 Introduction

3.2 The Advent of VR Surgical Simulators

3.3 VR for Laparoscopy

3.4 VR for Robotic Surgery

3.5 The Future of Surgical Simulators

References

4 Systematic Training for Safe Implementation of Minimally Invasive Pancreatic Surgery

4.1 Introduction

4.2 Nationwide Training and Implementation

4.3 Mastery-Based Simulation Curriculum

4.4 Recommendations for Starting Centers

References

5 Contemporary Outcome Measures in Pancreatic Surgery

5.1 Introduction

5.2 Quality of Care in Pancreatic Surgery

5.3 Outcome Metrics in Pancreatic Surgery

5.4 Requirements for a Pancreatic Surgery Center

5.5 Future Prospects and the Minimally Invasive Approach

References

6 Preoperative Evaluation and Anesthesia in Minimally Invasive Surgery of the Pancreas

6.1 Introduction

6.2 Preoperative Evaluation

6.3 The Case of Robotic Surgery

6.4 Hemodynamic and Respiratory Changes in MIPR

6.5 Monitoring and Preparation for Anesthesia

6.6 Neuromuscular Blockade and Ventilatory Strategy

6.7 Anesthesia

6.8 Practical Considerations

6.9 Conclusions

References

7 Contribution of Radiology as an Enabling Medical Specialty

7.1 Introduction

7.2 Radiology as a Diagnostic Medical Discipline

7.3 Radiology as an Enabling Medical Specialty

References

8 Laparoscopic Staging for Pancreatic Cancer

8.1 Introduction

8.2 Staging Modalities in Pancreatic Cancer

8.2.1 Computed Tomography Scan

8.2.2 Magnetic Resonance Imaging

8.3 Surgical Technique of Laparoscopic Staging

8.3.1 Trocar Placement

8.3.2 Intra-Abdominal Examination

References

8.4 Algorithm

9 Thoracoscopic Splanchnicectomy for the Treatment of Severe Pancreatic Pain

9.1 Introduction

9.2 Anatomical Overview

9.3 Technical Considerations

9.4 Operative Technique

References

10 Minimally Invasive Biliary Bypass

10.1 Introduction

10.2 Minimally Invasive Surgical Biliary Bypass

10.2.1 General Considerations

10.2.2 Preoperative Patient Preparation

10.3 Minimally Invasive Interventional Biliary Bypass

10.3.1 General Considerations

10.3.2 Procedures

References

11 Minimally Invasive Gastric Bypass

11.1 Introduction

11.2 Palliation Strategies

11.3 Personal Experience and Surgical Technique

11.3.1 Operative Technique

References

12 Minimally Invasive Drainage Procedures for Chronic Pancreatitis

12.1 Introduction

12.2 Minimally Invasive Total Pancreatectomy with Auto Islet Transplantation

12.3 Minimally Invasive Lateral Pancreatojejunostomy (Modified Puestow)

12.4 Minimally Invasive Frey Procedure

12.5 Minimally Invasive Beger Procedure

12.6 Conclusions

References

13 Percutaneous Necrosectomy and Sinus Tract Endoscopy for Infected Pancreatic Necrosis

13.1 Introduction

13.2 From Open to Minimally Invasive Necrosectomy

13.3 Minimally Invasive Percutaneous Necrosectomy

13.4 Conclusions

References

14 Minimally Invasive Transduodenal Ampullary Resection

14.1 Introduction

14.2 Diagnosis and Staging

14.3 Selection Factors for TDAR

14.4 Technical Aspects of Minimally Invasive TDAR

14.5 Outcomes of Minimally Invasive TDAR

14.5.1 Postoperative Surveillance

14.5.2 Complications

14.6 Conclusions

References

15 Role of Minimally Invasive Surgery in the Treatment of Pancreatic Neuroendocrine Tumors

15.1 Introduction

15.2 Pancreatic Neuroendocrine Tumors

15.3 Surgical Options

15.4 Technical Aspects

15.5 Surgical Outcomes

15.6 Conclusions

References

16 Minimally Invasive Enucleation of Pancreatic Tumors

16.1 Introduction

16.2 MIPE: Indications and Contraindications

16.2.1 Indications for Performing MIPE

16.2.2 Contraindications to MIPE

16.3 Common Pancreatic Lesions Treated by MIPE

16.3.1 Pancreatic Neuroendocrine Tumors

16.3.2 Mucinous Neoplasms: IPMN and MCN

16.4 Perioperative Outcomes

16.4.1 MIPE Compared to SPR

16.4.2 MIPE Compared to Open PE

16.5 Long-term Outcomes

References

17 Central Pancreatectomy: from Open to Minimally Invasive

17.1 Introduction

17.2 Minimally Invasive Central Pancreatectomy: Laparoscopic and Robotic-Assisted Approaches

17.3 Indications

17.4 Laparoscopy Technique

17.5 Robotic-Assisted Technique

17.6 Conclusions

References

18 Minimally Invasive Distal Pancreatectomy for Pancreatic Cancer

18.1 Introduction

18.2 Surgical Techniques

18.2.1 Laparoscopic Approach

18.2.2 Robotic Approach

18.3 Results

18.3.1 Laparoscopic Distal Pancreatectomy

18.3.2 Robotic Distal Pancreatectomy

References

19 Spleen-reserving Distal Pancreatectomy with and without Preservation of the Splenic Vessels

19.1 Introduction

19.2 Operative Technique

19.3 Issues in Splenic Vessel Resection or Preservation

References

20 Minimally Invasive Pancreatectomy plus Islet Autotransplantation for Benign Tumors of the Pancrea

20.1 The Emerging Surgical Problem of Benign Pancreatic Lesions

20.2 Minimally Invasive Distal Pancreatectomy

20.3 Islet Autotransplantation to Improve Glycemic Controlafter Pancreatic Resections

20.3.1 Methods of Islet Isolation

20.3.2 Results of Distal Pancreatectomy and Islet Autotransplantation

20.4 Discussion and Conclusions

References

21 Laparoscopic Distal Pancreatectomy with En Bloc Splenectomy

21.1 Introduction

21.2 Surgical Technique for Laparoscopic DistalPancreatectomy

21.3 Postoperative Management and Complications

References

22 Robotic Spleen-Preserving Distal Pancreatectomy with and without Preservation of the Splenic Vess

22.1 Introduction

22.2 Robotic Distal Pancreatectomy

22.3 Surgical Technique

22.3.1 Kimura Technique

22.3.2 Warshaw Technique

22.4 Conclusions

References

23 Robotic Distal Pancreatectomy with En Bloc Splenectomy

23.1 Introduction

23.2 Indications for Distal Pancreatectomy with En Bloc Splenectomy

23.3 Surgical Technique

23.3.1 Surgical Equipment

23.3.2 Postoperative Management

23.4 Early and Late Complications

References

24 Laparoscopic Pancreatoduodenectomy

24.1 Introduction

24.2 Patient Selection

24.3 Operative Data and Learning Curve

24.4 Surgical Technique

24.5 Postoperative Outcomes

24.6 Oncologic Outcomes

24.7 Costs and Quality of Life

24.8 Conclusions

References

25 Hybrid Laparoscopic Pancreatoduodenectomy

25.1 Introduction

25.2 Indications and Preoperative Assessment

25.3 Patient Positioning and Technical Requirements

25.4 Surgical Procedure

25.4.1 Initial Steps

25.4.1.1 Trocar Placement

25.5 Specific Intraoperative Complications and their Management

25.6 Conclusions

References

26 Robotic Pancreatoduodenectomy

26.1 Introduction

26.2 Selection of Patients for Robotic Pancreatoduodenectomy

26.3 Techniques for Robotic Pancreatoduodenectomy

26.4 Training and Learning Curve

26.5 Results of Robotic Pancreatoduodenectomy

26.6 Conclusions

References

27 Robotic Pancreatoduodenectomy for Pancreatic Cancer with Superior Mesenteric/Portal Vein Resectio

27.1 Introduction

27.2 Indications to RPD with SM/PV Resection and Reconstruction

27.3 Surgical Technique

27.4 Results

27.4.1 Personal Experience

27.4.2 Literature Review

27.5 Conclusions

References

28 Minimally Invasive Total Pancreatectomy

28.1 Introduction

28.2 Procedure Overview

28.3 Patient Position, Robotic Docking, and Port Placement

28.4 Two-Step Robotic Technique

28.4.1 First Step

28.4.2 Second Step

28.5 Reconstruction

28.6 Discussion

References

29 Robotic Pancreas Transplantation

29.1 Introduction

29.2 Reasons Limiting Earlier Implementation of MI PTx

29.3 Rationale for MI PTx

29.4 Practical Problems of Robotic PTx

29.5 Requirements for Performing Robotic PTx

29.6 Surgical Technique

29.6.1 Donor Procedure

29.6.2 Recipient Procedure

29.7 Other Techniques for Robotic PTX

29.8 Conclusions

References

 

An aparitie	27 Oct. 2017
Autor	Ugo Boggi
Dimensiuni	15.6 x 1.91 x 23.39 cm
Editura	Springer
Format	Hardcover
ISBN	9788847039575
Limba	Engleza
Nr pag	312