Evidence map›Paper›PMID 40563028›Full record

ArticleAnnals of surgical oncology2025

Robotic Approach to Oncologic Pancreatoduodenectomy in a Case with an Aberrant Hepatic Artery Originating from the Superior Mesenteric Artery.

Kaori Katsumata, Michael P Kim, Jessica E Maxwell, Rebecca A Snyder, Hop S Tran Cao, Ching-Wei D Tzeng, Matthew H G Katz, Naruhiko Ikoma

Abstract readCase Reports
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In one paragraph

Article in Annals of surgical oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Kaori KatsumataDepartment of Surgery, National Hospital Organisation Tokyo Medical Center, Tokyo, Japan.
Michael P KimDepartment of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Jessica E MaxwellDepartment of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Rebecca A SnyderDepartment of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Hop S Tran CaoDepartment of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Ching-Wei D TzengDepartment of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Matthew H G KatzDepartment of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Naruhiko IkomaDepartment of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA. nikoma@mdanderson.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRobotic pancreatoduodenectomy (RPD) has been increasingly performed, but maintaining oncological operative standards and safety remains challenging.

methodsA 77-year-old White woman with cT3N1M0 distal bile duct cancer and an rRHA originating from the SMA underwent RPD. Preoperative CT images showed lymphadenopathy in the posterior hepatic artery station and the presence of the rRHA, necessitating careful intraoperative dissection. The procedure began with identifying and encircling the distal portion of the rRHA. Following pancreatic division, the superior mesenteric vein was retracted to expose the SMA. The rRHA was identified, and a precise periadventitial dissection of the SMA was performed, completing en bloc resection.

resultsThe patient was discharged 8 days after surgery. Pathology revealed a 3.7-cm poorly differentiated adenocarcinoma (pT3N2) with 5 of 34 lymph nodes positive. All margins were negative.

conclusionsPatients undergoing RPD often have an aberrant hepatic artery from the SMA. Preserving this artery while performing adequate en-bloc lymph node dissection is important for optimal outcomes.

Indexed as

Bile Duct NeoplasmsHepatic ArteryMesenteric Artery, SuperiorPancreatic NeoplasmsPancreaticoduodenectomyRobotic Surgical ProceduresAgedFemaleHumansPrognosis

Identifiers

PMID40563028

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