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Int J Surg Case Rep 2020 Jun 12;72:381-385. Epub 2020 Jun 12.

General Surgery Department, Santissimo Salvatore Hospital (ASP Catania), Paternò, Catania, Italy.

Introduction: The gastric volvulus is a rare condition in which the stomach, or part of it, rotates on its axis, for over 180°, constituting a surgical emergency. Even more rare is gastro-gastric intussusception. A delay in their diagnosis and treatment can have fatal consequences PRESENTATION OF CASE: An 82-year-old woman was admitted to the Surgery Unit with a two-day history of abdominal pain associated at first with coffee vomiting and, subsequently, with unproductive retching and oligoanuria. Read More

Asian J Endosc Surg 2020 Jun 2. Epub 2020 Jun 2.

Department of Surgery, Higashi-Ohmi General Medical Center, Higashiomi, Japan.

A Bochdalek hernia (BH) is a congenital abnormality with incomplete closure of the diaphragm. It is usually manifested in infants but rarely in adults. Here, we report an adult patient with gastric volvulus and giant BH that were safely repaired by endoscopic reduction and elective laparoscopic surgery, respectively. Read More

Top Companion Anim Med 2020 Jun 14;39:100403. Epub 2020 Jan 14.

Small Animal Clinical Laboratory, Faculty of Veterinary Medicine, University of Veterinary and Pharmaceutical Sciences Brno, Brno, Czech Republic.

Gastric dilation-volvulus (GDV) syndrome in dogs is associated with complex metabolic, acid-base, and electrolyte abnormalities. The aim of this study was to evaluate previously analyzed factors (lactate and BE) in combination with other acid-base parameters (pH, pCO, bicarbonate, base excess [BE], anion gap [AG], and strong ion difference) and electrolyte concentrations and to evaluate their association with the incidence of gastric necrosis and outcome in dogs with GDV. A retrospective study in 75 dogs with gastric dilation-volvulus syndrome, University veterinary teaching hospital. Read More

Asian J Endosc Surg 2020 May 25. Epub 2020 May 25.

Department of Gastroenterological Surgery, Osaka University Graduate School of Medicine, Suita, Japan.

We report a case of a diaphragmatic hernia after a heart transplant operation. A 43-year-old woman, who underwent orthotropic heart transplantation for hypertrophic cadiomyopathy two year earlier, presented with vomiting and epigastric pain. A computed tomography scan showed that the stomach and transverse colon were dislocated in the left thoracic cavity. Read More

J Med Imaging Radiat Oncol 2020 May 22. Epub 2020 May 22.

Princess Alexandra Hospital, Brisbane, Queensland, Australia.

Acute gastric volvulus is a rare surgical emergency which can lead to severe complications such as gastric ischaemia and perforation. Gastric volvulus is classified by the axis upon which the stomach rotates into organo-axial and mesentero-axial subtypes, with the former more common in adults. We present an uncommon case of recurrent adult mesentero-axial gastric volvulus and describe the associated radiological findings. Read More

Ulus Travma Acil Cerrahi Derg 2020 May;26(3):489-492

Department of General Surgery, İzmir Katip Çelebi University Atatürk Training and Research Hospital, İzmir-Turkey.

Wandering spleen is a rare condition and has life-threatening complications, such as torsion or infarction. It may be asymptomatic or may present with chronic abdominal pain or intraabdominal mass. Since clinical diagnosis is usually difficult, radiological examinations play a very important role in diagnosis. Read More

Pediatr Surg Int 2020 Aug 20;36(8):869-874. Epub 2020 May 20.

Department of Paediatric Surgery, Level 3 CSB, Wellington Children's Hospital, Riddiford St, Newtown, Wellington, 6021, New Zealand.

Recent reports have recommended laparoscopic diverticulectomy for symptomatic Meckel diverticulum (MD) rather than laparoscopic-assisted extracorporeal resection. This technique may risk leaving residual ectopic mucosa leading to complications. This systematic review attempts to quantify the relative risks of both approaches. Read More

Int J Surg Case Rep 2020 11;70:123-125. Epub 2020 May 11.

Department of Pediatric Surgery, Faculty of Medicine, University of Alexandria, Egypt. Electronic address:

Introduction: Acute intrathoracic gastric volvulus occurs when the stomach undergoes organoaxial rotation in the chest due presence of a diaphragmatic defect. Gastric volvulus associated with congenital diaphragmatic hernia is extremely rare and can be explained as 2 of the 4 ligaments supporting the stomach (gastrophrenic and gastrosplenic) which are connected to the left diaphragm may become elongated or absent. According to the current literature, only 27 pediatric cases have been reported so far. Read More

J Laparoendosc Adv Surg Tech A 2020 Jun 12;30(6):673-678. Epub 2020 May 12.

Department of Surgery, Northwestern University, Feinberg School of Medicine, Chicago, Illinois, USA.

Although the results of a laparoscopic repair of a paraesophageal hernia are convincing and accepted, controversies still persist regarding indications for elective repair, the need for a concurrent fundoplication, the use of mesh, and the need for a Collis gastroplasty. This article is a description of our surgical approach to the patient with a paraesophageal hernia in need of a repair. Read More

ANZ J Surg 2020 May 5. Epub 2020 May 5.

General and Digestive Surgery, General Hospital of Catalunya, Barcelona, Spain.

Clin Gastroenterol Hepatol 2020 Apr 30. Epub 2020 Apr 30.

University Hospital Virgen del Rocío. Seville. Spain.

Ann Emerg Med 2020 05;75(5):577-626

Department of Pediatric Surgery, Beaumont Health, Royal Oak, MI; Oakland University William Beaumont School of Medicine, Royal Oak, MI.

ACG Case Rep J 2020 Jan 10;7(1):e00297. Epub 2020 Jan 10.

Division of Gastroenterology, Walter Reed National Military Medical Center, Bethesda, MD.

Surg Case Rep 2020 Apr 17;6(1):74. Epub 2020 Apr 17.

Department of Hepatobiliary Pancreatic Surgery, Nagano Municipal Hospital, 1333-1 Tomitake, Nagano City, Nagano, 381-8551, Japan.

Background: Because of its rare indication and relatively simple reconstruction procedure (only choledochojejunostomy and gastrojejunostomy) compared to those for pancreatoduodenectomy, the technical tips and pitfalls of total pancreatectomy are rarely discussed. Herein, we discuss a rare case of gastric volvulus 1 year after total pancreatectomy and provide advice to prevent such cases.

Case Presentation: A 66-year-old woman underwent total pancreatectomy with splenectomy for mixed-type intraductal papillary mucinous neoplasm of the pancreas. Read More

Aust Vet J 2020 Jun 6;98(6):232-238. Epub 2020 Apr 6.

Department of Surgery, Animal Referral Hospital, 250 Parramatta Road, Homebush West, New South Wales, 2140, Australia.

Objective: To identify factors influencing the survival of confirmed gastric dilatation volvulus (GDV) cases presented to a specialist referral and emergency hospital.

Methods: Clinical records of confirmed GDV cases admitted to two specialist referral and emergency centres in Sydney (Animal Referral Hospital (ARH) Homebush and ARH Baulkham Hills) between July 1999 and July 2019 were searched.

Results: A total of 736 GDV cases were reviewed, of which 460 dogs were surgically treated and 276 dogs were humanely killed. Read More

Obes Surg 2020 Jun;30(6):2464-2465

Gastrointestinal, Bariatric & Metabolic Center at Jordan Hospital, Amman, Jordan.

Obstruction after laparoscopic Roux-en-Y gastric bypass (LRYGB) is a known complication. We present a video of a patient who suffered both early Roux limb obstruction, and late Petersen's hernia with proximal biliopancreatic limb volvulus and gangrene up to the ligament of Treitz, and how both were managed. Read More

Dis Aquat Organ 2020 Mar 26;138:215-225. Epub 2020 Mar 26.

Institute of Terrestrial and Aquatic Wildlife Research (ITAW), University of Veterinary Medicine Hannover, Foundation, 25761 Büsum, Germany.

Intestinal displacements including volvulus, torsion and invagination have been reported in various terrestrial and marine mammals. We conducted pathological investigations on 157 seals that had either stranded on the coasts of the North or Baltic Sea between 1996 and 2015 (115 harbour seals, >19 mo old; 21 grey seals, >13 mo old) or died while in human care (18 harbour seals, >19 mo old; 3 grey seals, >13 mo old). Intestinal displacements were found in 23% of the examined free-living harbour seals, in 5% of the stranded grey seals and in 17% of the harbour seals in human care. Read More

Cir Pediatr 2020 Jan 20;33(1):47-50. Epub 2020 Jan 20.

Hospital Universitario Virgen del Rocío. Sevilla (Spain).

Introduction: Congenital hiatal hernia is a rare pathology, presenting at 28 months of age on average. Paraesophageal/mixed hernias cause recurrent respiratory infections, vomiting, anemia, and growth failure.

Clinical Case: Four-month-old infant, with irritability since birth and partial feeding intolerance in the last 24 hours. Read More

Updates Surg 2020 Jun 4;72(2):555-558. Epub 2020 Mar 4.

Division of General and Foregut Surgery, Department of Biomedical Sciences for Health, University of Milan, IRCCS Policlinico San Donato, San Donato Milanese (Milano), Italy.

Laparoscopic Toupet fundoplication has gained progressive consideration in the management of patients with gastroesophageal reflux disease and hiatus hernia. Previous studies showed equivalent results in terms of reflux control with lower rate of side effects compared to the Nissen fundoplication. However, multiple technical variations may account for the long-lasting reputation of decreased durability and poor long-term reflux control. Read More

Oxf Med Case Reports 2020 Feb 28;2020(2):omaa009. Epub 2020 Feb 28.

Department of Digestive Surgery, Nagano Municipal Hospital, Nagano, Japan.

An 84-year-old woman underwent subtotal stomach pancreatoduodenectomy (PD) for distal cholangiocarcinoma. Over 1000 ml of serous ascites, which appeared milky after starting a high-protein, low-fat, middle-chain triglyceride diet, was discharged from the inserted drain. On postoperative day (POD) 13, she underwent right hemicolectomy for transverse colonic volvulus, which occurred on POD 9 and was refractory to conservative therapies. Read More

J Trauma Acute Care Surg 2020 Jun;88(6):e146-e148

From the Department of Surgery (K.C.C., K.M.), Division of Acute Care Surgery, (J.B., A.W., D.G.), and WVU Heart and Vascular Institute (A.D., P.B., G.A.), West Virginia University, Morgantown WV.

Clin Gastroenterol Hepatol 2020 Feb 25. Epub 2020 Feb 25.

West Virginia University, Morgantown, West Virginia.

J Vet Emerg Crit Care (San Antonio) 2020 Mar 19;30(2):232-238. Epub 2020 Feb 19.

Department of Clinical Sciences, Cummings School of Veterinary Medicine, Tufts University, North Grafton, MA.

Introduction: The primary study objective was to characterize the pattern of in-hospital mortality in dogs with gastric dilatation and volvulus (GDV), with a focus on preoperative nonsurvival.

Materials And Methods: A retrospective review of medical records from a 10-year period was undertaken at a university teaching hospital. Data collected included signalment, physical examination parameters at hospital presentation, blood lactate concentration, and outcome. Read More

Int J Surg Case Rep 2020 6;67:178-182. Epub 2020 Feb 6.

Department of Surgery, Kendall Regional Medical Center, Miami, FL, USA; University of South Florida, Tampa, FL, USA.

Introduction: The Roux-en-y gastric bypass (RYGB) surgery is one of the most common and successful weight loss procedures. Procedure mortality is low, but intestinal complications account for a high percentage of associated morbidity. Internal hernias remain one of the most common complications while volvulus and intussusception are rare. Read More

Heliyon 2020 Jan 28;6(1):e03307. Epub 2020 Jan 28.

Department of Veterinary Medical Sciences, University of Bologna, via Tolara di Sopra 50, 40064 Ozzano dell'Emilia, BO, Italy.

This preliminary study was designed to contribute to the evaluation of reliability of plasma lactate concentration (PLC) and its clearance as predictive and prognostic factors of gastric necrosis and clinical outcome of dogs affected by gastric dilatation-volvulus (GDV). Main aims of the study were: 1) to evaluate the prognostic reliability of PLC at presentation (T0) in dogs with GDV, 2) to compare the obtained data and considerations with the veterinary literature, and 3) to introduce the possible validity of PLC values at 24 (T24) and 48 (T48) hours after surgery as a predictive factor. Dogs with GDV were retrospectively evaluated. Read More

Surg J (N Y) 2020 Jan 11;6(1):e24-e27. Epub 2020 Feb 11.

Senior Resident, Department of General Surgery, Faculty of Medical Sciences, Lebanese University, Beirut, Lebanon.

Gastric volvulus is a rare entity. Its diagnosis remains tricky and challenging. In recent years, the incidence of gastric volvulus has shown a rise in postbariatric surgery patient. Read More

BMC Vet Res 2020 Feb 12;16(1):54. Epub 2020 Feb 12.

Department of Animal Health, Faculty of Veterinary Sciences, University of Cordoba, Córdoba, Spain.

Background: Intestinal ischemia-reperfusion (IR) is an important clinical occurrence seen in common diseases, such as gastric dilatation-volvulus in dogs or colic in horses. Limited data is available on the use of methylene blue in veterinary medicine for intestinal ischemia-reperfusion. The present study aimed to compare the hemodynamic, histopathological, and immunohistochemical effects of two doses of methylene blue in two rabbit model groups In one group, 5 mg/kg IV was administered, and in another, 20 mg/kg IV was administered following a constant rate infusion (CRI) of 2 mg/kg/h that lasted 6 h. Read More

Pediatr Radiol 2020 May 23;50(5):673-683. Epub 2020 Jan 23.

Department of Medical Imaging, University of Toronto, Toronto, ON, Canada.

Background: The clinical and plain radiographic differentiation of congenital intrinsic duodenal anomalies (atresia, web, stenosis) from intestinal malrotation is not always clear. Although sonography has been documented as an important diagnostic tool in the differentiation of these two entities, its role is still not widely appreciated and it is still not universally utilized in this clinical setting.

Objective: To assess the usefulness of sonographic features of the duodenal and gastric wall in the differentiation of congenital intrinsic duodenal anomalies from midgut malrotation in a large series of neonates and to compare them with other features on abdominal radiographs, ultrasound and upper gastrointestinal series. Read More

Am Surg 2019 Dec;85(12):e604-e605

AME Case Rep 2019 21;3:43. Epub 2019 Nov 21.

Department of Surgery, Yokohama Asahi-Chuo General Hospital, Yokohama, Japan.

Gastric volvulus is the medical situation that a stomach is twisted beyond the physiological range. It is a rare disease which is hard to experience in routine medical examination. Principally surgical treatment is essential for the acute type. Read More

Case Rep Med 2019 3;2019:3468084. Epub 2019 Dec 3.

Department of Surgery, Juntendo Shizuoka Hospital, Juntendo University School of Medicine, Shizuoka, Japan.

Background: Percutaneous endoscopic gastrostomy (PEG) is the standard modality for long-term enteral nutrition for patients with dysphagia. Compared with open gastrostomy, though PEG is an extremely safe procedure with fewer complications, there are severe cases due to anatomical features. For these cases, laparoscopic-assisted percutaneous endoscopic gastrostomy (LAPEG) is the optimal method. Read More

Int J Surg Case Rep 2020 27;66:139-142. Epub 2019 Nov 27.

Local Health Unit of the Lower Alentejo, General Surgery Department. Rua Dr. António Ferreira Covas Lima, 7801-849, Beja, Portugal. Electronic address:

Introduction: Gastric volvulus is an uncommon condition that results from the torsion of the stomach upon its axis. Although rare, it can present as an acute medical emergency, therefore its diagnosis should not be overlooked. In this article we aim to present a case of a patient with chronic gastric volvulus operated in our hospital. Read More

Surg Obes Relat Dis 2020 Feb 31;16(2):312-331. Epub 2019 Oct 31.

Division of Digestive Surgery and Liver Transplantation, Nice University Hospital, Nice, France.

Considering the large and increasing population of women of childbearing age with history of bariatric surgery, surgical complications of bariatric surgery during pregnancy may become more frequent in the future. The aim of this study was to analyze the clinical presentation, diagnostic procedures, and treatment of surgical complications of bariatric surgery during pregnancies. A systematic literature search was performed in accordance with the PRISMA (preferred reporting items for systematic review and meta-analysis) guidelines to identify all studies published up to and including December 2018 that included women with previous bariatric surgery undergoing emergency surgery during pregnancy. Read More

Pediatr Gastroenterol Hepatol Nutr 2019 Nov 7;22(6):608-612. Epub 2019 Nov 7.

Department of Surgery, Gyeongsang National University Changwon Hospital, Gyeongsang National University School of Medicine, Changwon, Korea.

Gastric volvulus (GV) is an uncommon pathology, with 10-20% of cases occurring in children, typically before one year of age. It often occurs in people with congenital diaphragmatic hernias, intestinal malrotation, eventration of the diaphragm, paraesophageal hernias, wandering spleens, asplenism, or intra-abdominal adhesions. We report a rare case of chronic GV after left hemihepatectomy for hepatoblastoma in a child. Read More

Surg Endosc 2019 Nov 18. Epub 2019 Nov 18.

Section for Surgical Research, Department of Surgery, Medical University of Graz, 8036, Graz, Austria.

Background: Laparoscopic repair of large paraesophageal hiatal hernia with defects too large to close primarily or greater than 8 cm is technically challenging. The ideal repair remains unclear and is often debated. Utilizing the gastric fundus as an autologous patch to obliterate and tamponade large hiatal defects may offer a new solution. Read More

J Emerg Med 2019 Dec 15;57(6):e185-e186. Epub 2019 Nov 15.

Division of Gastroenterology, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey.

Clin Med (Lond) 2019 Nov;19(6):528-529

South West Acute Hospital, Enniskillen, UK and School of Medicine, Dentistry, and Biomedical Sciences, Belfast, UK

QRS electrical alternans is characterised by alternating amplitude of the QRS complexes, and is well-documented in cardiac conditions such as pericardial effusion. We describe a case of QRS alternans in a patient with gastric volvulus. Read More

Int J Surg Case Rep 2019 1;65:209-212. Epub 2019 Nov 1.

Hospital Universitario de Getafe, Carretera Madrid-Toledo km 12.5, 28905, Madrid, Spain. Electronic address:

Introduction: In this paper, we discuss a unique case of diverticulitis in which the patient presented a giant Meckel's diverticulum.

Presentation Of Case: The patient was a 44 year old male whose medical history included a laparoscopic gastric bypass four years before the finding, and chronical high blood pressure. The patient came to the emergency department with an abdominal pain and elevated acute-phase reactants. Read More

Int J Surg Case Rep 2019 28;65:189-192. Epub 2019 Oct 28.

Department of General Surgery, Division of Laparoscopic Digestive & Bariatric Surgery, Affiliated to Faculty of Sciences and Medecine at Holy Spirit University of Kaslik, Byblos, Lebanon. Electronic address:

Background: Paraesophageal hernia (PEH) is a rare form of hiatal hernia, which commonly occurs in elderly people. Although asymptomatic, it can be associated with severe life-threatening complications, such as gastric volvulus. Surgical treatment is reserved for symptomatic patients. Read More

J Am Anim Hosp Assoc 2020 Jan/Feb;56(1):42-47. Epub 2019 Nov 12.

From ACCESS Specialty Animal Hospitals, Culver City, California.

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Int J Surg Case Rep 2019 2;65:141-147. Epub 2019 Nov 2.

Department of General Surgery, Grant Government Medical College & Sir JJ Group of Hospitals, Mumbai, India.

Introduction: The incidence of Bochdalek hernias in adults is much more than previously reported. Though most of these are asymptomatic. Tension gastrothorax is a rare complication of these. Read More

Ann Ital Chir 2019 Nov 7;8. Epub 2019 Nov 7.

Introduction: Bochdalek Hernias are one of the most common types of diaphragmatic hernia, a congenital pathology diagnosed during the neonatal period. In adulthood, diagnosis of a Bochdalek hernia is rare and its complications may be fatal.

Case Report: We report an unusual case of a 60-year-old woman who presented with upper gastrointestinal bleeding due to a Bochdalek hernia with herniation of stomach and spleen into the chest with a gastric volvulus. Read More

Rev Esp Enferm Dig 2019 Nov;111(11):894-895

Servicio de Digestivo, Complejo Asistencial Universitario de Salamanca.

Gastric volvulus is a rare entity that occurs as a consequence of a rotation of the stomach of more than 180°, with gastric outlet obstruction and vascular compromise. It occurs secondary to diaphragmatic defects in most cases and is mainly reported in elderly patients who are fragile and present severe associated comorbidities. Here we present a nonsurgical treatment with the use of a single percutaneous endoscopic tube to perform gastropexy in patients with a high risk for surgery or inoperable patients. Read More

Am J Case Rep 2019 Oct 18;20:1530-1535. Epub 2019 Oct 18.

Department of Surgery, Iwate Medical University, Morioka, Iwate, Japan.

BACKGROUND Upside-down stomach (UDS) is the rarest type of hiatal hernia (HH), with organoaxial gastric volvulus. A large HH sometimes causes cardiopulmonary impairments owing to multiple factors. CASE REPORT We herein report a case of a large HH with UDS that had induced weight loss and severe cardiopulmonary dysfunction in a 74-year-old female patient who presented with shortness of breath, chest pain, severe anorexia, and weight loss of 5 kg over the 3 previous months. Read More

ACG Case Rep J 2019 Jul 18;6(7):e00123. Epub 2019 Jul 18.

Department of Gastroenterology, Montefiore Medical Center, Bronx, NY.

A 78-year-old woman with a history of stage IIB gastric adenocarcinoma with previous Billroth II subtotal gastrectomy was admitted with pancreatitis, with subsequent development of fevers and acute jaundice. Transabdominal ultrasound demonstrated bile duct obstruction. An endoscopic retrograde cholangiopancreatography was attempted, but the lumen of the afferent limb appeared distorted without an obstructing lesion. Read More

J Am Vet Med Assoc 2019 11;255(9):1027-1034

Objective: To evaluate the feasibility of ultrasound-guided, temporary, percutaneous T-fastener gastropexy (TG) and gastrostomy catheter (GC) placement for providing sustained gastric decompression in dogs with acute gastric dilatation-volvulus (GDV) and to compare findings with those of trocarization.

Animals: 16 dogs with GDV.

Procedures: Dogs were randomly assigned to undergo gastric decompression by means of percutaneous trocarization (trocar group; n = 8) or temporary TG and GC placement (TTG+GC group; 8) with ultrasound guidance. Read More

Prenat Diagn 2019 12 25;39(13):1204-1212. Epub 2019 Oct 25.

Department of Obstetrics and Gynecology, Division of Obstetrics and Prenatal Medicine, Erasmus MC-Sophia Children's Hospital, Erasmus University Rotterdam, Rotterdam, The Netherlands.

Objective: To determine whether complex gastroschisis (ie, intestinal atresia, perforation, necrosis, or volvulus) can prenatally be distinguished from simple gastroschisis by fetal stomach volume and stomach-bladder distance, using three-dimensional (3D) ultrasound.

Methods: This multicenter prospective cohort study was conducted in the Netherlands between 2010 and 2015. Of seven university medical centers, we included the four centers that performed longitudinal 3D ultrasound measurements at a regular basis. Read More

Thorac Surg Clin 2019 Nov;29(4):415-419

Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USA. Electronic address:

Giant paraesophageal hernias can present as an asymptomatic incidentally detected paraesophageal hernia to an emergent gastric volvulus with concern for ischemia. In the acute setting, the preoperative evaluation aims to determine the extent of complications from gastric volvulus. In the elective setting, preoperative testing defines the gastroesophageal anatomy and function to select the optimal operation. Read More

J Dairy Sci 2019 Dec 20;102(12):11268-11279. Epub 2019 Sep 20.

Department of Animal Reproduction (INIA), UCM, 28040 Spain. Electronic address:

Right displaced abomasum (RDA) and abomasal volvulus (AV) are common diseases in cattle. However, presently there is no consensus regarding the pathogenesis and nomenclature of the different positions that the abomasum can adopt in the right side of the cow. Therefore, the objective of this study was to describe the etiopathogenesis of the right displaced abomasum according to the description of the features observed in 268 cows with left displaced abomasum (LDA), which were rolled to induce the movement of the abomasum from the left side to the right (in fact, inducing an RDA in 44% of cases), to facilitate the surgical approach, and immediately surgically treated (abomasal omentopexy from the right side). Read More

J Hepatobiliary Pancreat Sci 2019 Nov 8;26(11):517-523. Epub 2019 Oct 8.

Second Department of Hepatopancreatobiliary Surgery, Chinese People's Liberation Army (PLA) General Hospital, 28 Fuxing Road, Haidian District, Beijing, 100853, China.

Background: With the advancement of robotic pancreaticoduodenectomy (RPD), several reconstruction methods have been advocated to make RPD more effective and safer. In this study, we investigated the safety and effectiveness of RPD using a left retrocolic (L-port) technique and compared it with those of RPD using an antecolic technique.

Methods: Between October 2015 and August 2016, we retrospectively reviewed consecutive cases of RPD before and after introducing the L-port technique for gastrointestinal reconstruction. Read More