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Robotic Roux-en-Y Duodenojejunostomy for Superior Mesenteric Artery Syndrome: Operative Technique

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Title: Robotic Roux-en-Y Duodenojejunostomy for Superior Mesenteric Artery Syndrome: Operative Technique
Author(s): Ayloo, Subhashini M.; Masrur, Mario A.; Bianco, Francesco M.; Giulianotti, Pier C.
Subject(s): Superior mesenteric artery robotic
Abstract: Background: Superior mesenteric artery (SMA) syndrome, also known as Wilkie's syndrome, is a rare condition characterized by vascular compression of the duodenum that leads to intestinal obstruction. While there have been a few recent case reports of laparoscopic duodenojejunostomy performed as an option for surgical treatment, the role of the da Vinci® robot in superior mesenteric syndrome has been underestimated. The authors report a robotic Roux-en-Y duodenojejunostomy for the treatment of SMA syndrome. Materials and Methods: A 39-year-old man with a history of Amyotrophic lateral sclerosis presented with an upper gastrointestinal obstruction with distended abdomen. A computed tomography scan showed a transition in the third portion of the duodenum where the SMA vessels crossed over, with a decompressed jejunum. He was identified as a candidate for a duodenojejunostomy. The da Vinci Surgical System was used to mobilize the colon and duodenum, and a Roux-en-Y duodenojejunostomy was performed with hand-sewn anastomosis. Results: There were no intraoperative complications. The blood loss was minimal and operative time was 120 minutes. The postoperative course was uneventful with resolution of intestinal obstruction. Conclusion: Robotic Roux-en-Y duodenojejunostomy as a surgical option for treatment of SMA syndrome is safe, feasible, and a valid alternative to open surgery with the added benefits of a minimally invasive approach.
Issue Date: 2011-08-05
Publisher: Mary Ann Liebert
Citation Info: Ayloo, S. M., Masrur, M. A., Bianco, F. M., & Giulianotti, P. C. Robotic Roux-en-Y Duodenojejunostomy for Superior Mesenteric Artery Syndrome: Operative Technique. Journal of Laparoendoscopic and Advanced Surgical Techniques. 2011. Nov;21(9):841-4. DOI: 10.1089/lap.2011.0070.
Type: Article
Description: This is a copy of an article published in the Journal of Laparoendoscopic and Advanced Surgical Techniques © 2011. Copyright Mary Ann Liebert, Inc.; Journal of Laparoendoscopic and Advanced Surgical Techniques is available online at: http://www.liebertonline.com. DOI: 10.1089/lap.2011.0070
URI: http://hdl.handle.net/10027/8387
ISSN: 1092-6429
Date Available in INDIGO: 2012-06-27
 

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