Machado MA, Makdissi F, Machado MC, Ardengh JC

Arq Gastroenterol

Robotic redo pancreaticojejunostomy for stenosis following pancreaticoduodenectomy: an alternative technique

Pancreaticoduodenectomy is the procedure of choice for several
diseases from benign or pre-malignant lesions to malignancy.
One of the most frequent late complications is the stenosis of the
pancreato-enteric anastomosis. This complication is observed
in 25%–60% of radiological images during follow-up. Although
frequent, this stenosis is often asymptomatic but in certain circumstances
this stenosis may lead to recurrent acute pancreatitis, pain
and pancreatic exocrine insufficiency. About 2% of all patients will
develop a symptomatic pancreaticojejunostomy stricture needing
treatment. We present an alternative technique for the surgical
revision of pancreaticojejunostomy using robotic approach.