title: Robotic antrum-pyloric resection with intracorporeal anastomosis in a young woman with ectopic pancreas pyloric stenosis.
abstract: BACKGROUND
  Ectopic pancreas is pancreatic tissue sited outside its normal location and lacking anatomic or vascular connection with eutopic pancreatic tissue. We present herein a successful robotic antrum-pyloric resection with intracorporeal Roux-en-Y reconstruction in a 24-year-old woman.
  
  
  METHODS
  The patient was admitted for recent worsening vomiting, intermittent epigastric pain, and hyporexia that arose some years previous. Endoscopic ultrasonography (EUS) findings suggested the presence of ectopic pancreas but did not exclude the possibility of gastrointestinal stromal tumor (GIST) or other pathogenesis. Totally robotic (three-arm da Vinci(®)) antrum-pyloric resection was decided.
  
  
  RESULTS
  Final pathologic analysis revealed that the lesion comprised exocrine pancreas located in the submucosal layer. Patient was discharged on the 10th postoperative day.
  
  
  CONCLUSIONS
  Robotic antrum-pyloric resection was decided considering its advantages over laparoscopy including stereoscopic vision, loss of tremor, and robotic arm endowrist. These instrumental benefits facilitate procedures such as knot-tying, suturing, organ manipulation, and tissue dissection.
  
  
  CONCLUSIONS
  We show that subtotal gastrectomy for ectopic pancreas can be performed robotically and is a feasible and safe procedure.
authors.affiliation: Complex Structure of General Surgery, S Paolo Hospital, Via Genova 30, 17100, Savona, Italy.
authors.forename: A
authors.initials: A
authors.lastname: Langone
authors.affiliation: Complex Structure of General Surgery, S Paolo Hospital, Via Genova 30, 17100, Savona, Italy. ggmail1981@yahoo.it.|S.C. Chirurgia Generale, S Paolo Hospital, Via Genova 30, 17100, Savona, Italy. ggmail1981@yahoo.it.
authors.forename: G
authors.initials: G
authors.lastname: Gasloli
authors.affiliation: Complex Structure of General Surgery, S Paolo Hospital, Via Genova 30, 17100, Savona, Italy.
authors.forename: I
authors.initials: I
authors.lastname: Caristo
authors.affiliation: Complex Structure of General Surgery, S Paolo Hospital, Via Genova 30, 17100, Savona, Italy.
authors.forename: L
authors.initials: L
authors.lastname: Monteleone
authors.affiliation: Complex Structure of General Surgery, S Paolo Hospital, Via Genova 30, 17100, Savona, Italy.
authors.forename: G
authors.initials: G
authors.lastname: Griseri
authors.affiliation: Complex Structure of General Surgery, S Paolo Hospital, Via Genova 30, 17100, Savona, Italy.
authors.forename: M
authors.initials: M
authors.lastname: Bianchi
authors.affiliation: Complex Structure of General Surgery, S Paolo Hospital, Via Genova 30, 17100, Savona, Italy.
authors.forename: U
authors.initials: U
authors.lastname: Cosce
authors.affiliation: Complex Structure of General Surgery, S Paolo Hospital, Via Genova 30, 17100, Savona, Italy.
authors.forename: D
authors.initials: D
authors.lastname: Aiello
authors.affiliation: Complex Structure of Pathology, S Paolo Hospital, Via Genova 30, 17100, Savona, Italy.
authors.forename: L
authors.initials: L
authors.lastname: Caliendo
authors.affiliation: Complex Structure of General Surgery, S Paolo Hospital, Via Genova 30, 17100, Savona, Italy.
authors.forename: A
authors.initials: A
authors.lastname: Schirru
keywords: Ectopic; Gastrectomy; Pancreas; Robotic; Surgery