Evidence map›Paper›PMID 39004676›Full record

ArticleUpdates in surgery2024

Rationale and tips and tricks for transgastric robotic pancreaticogastrostomy by the double purse-string technique.

Michael Ginesini, Virginia Viti, Allegra Ripolli, Ugo Boggi

Abstract read
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In one paragraph

Article in Updates in surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Michael GinesiniDivision of General and Transplant Surgery, University of Pisa, Pisa, Italy. m.ginesini1@gmail.com.
Virginia VitiDivision of General and Transplant Surgery, University of Pisa, Pisa, Italy.
Allegra RipolliDivision of General and Transplant Surgery, University of Pisa, Pisa, Italy.
Ugo BoggiDivision of General and Transplant Surgery, University of Pisa, Pisa, Italy.ORCID http://orcid.org/0000-0002-7505-5896

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pancreaticogastrostomy (PG) is a viable option for selected patients needing a pancreatic anastomosis. The double purse-string technique can facilitate the construction of transgastric PG but in a minimally invasive approach can lead to complications due to lack of tactile feedback. We present an adaptation of double purse-string PG for the robotic surgery, with several modifications. Firstly, the inner purse-string suture is tied through the anterior gastrotomy to improve the approximation of gastric and pancreatic serosae. Secondly, all-around-the-clock intragastric interrupted mattress sutures of e-PTFE are used to secure the pancreatic remnant to the stomach, enhancing improve hemostasis. Thirdly, e-PTFE sutures precise tension calibration due to their elastic properties and resistance to robotic manipulation. Fourthly, retroperitoneal vessels are preemptively covered by passing the pancreatic remnant through a small opening in the omentum, which is rotated upward in the omental bursa. This technique was employed in 20 PGs with no grade C postoperative pancreatic fistula. It offers a viable option robotic pancreatic anastomosis.

Indexed as

Anastomosis, SurgicalGastrostomyPancreasRobotic Surgical ProceduresStomachSuture TechniquesAgedFemaleHumansMaleMiddle AgedMinimally invasive central pancreatectomyMinimally invasive pancreaticogastrostomyMinimally invasive pancreatoduodenectomyRobotic central pancreatectomyRobotic pancreaticogastrostomyRobotic pancreatoduodenectomy

Identifiers

PMID39004676

What OpenQuestion holds

Textmetadata
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.