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Masrur M, Daskalaki D, Vannucchi A, et al. Minimally invasive treatment of difficult bleeding lesions of the small bowel. Minerva Chir. 2016;
Masrur, M., Daskalaki, D., Vannucchi, A., Vannemreddy, S. N., Gonzalez-Ciccarelli, L. F., Brown, R., & Giulianotti, P. C. (2016). Minimally invasive treatment of difficult bleeding lesions of the small bowel. Minerva chirurgica, .
Masrur, Mario, et al. "Minimally invasive treatment of difficult bleeding lesions of the small bowel." Minerva chirurgica vol. (2016).
Masrur M, Daskalaki D, Vannucchi A, Vannemreddy SN, Gonzalez-Ciccarelli LF, Brown R, Giulianotti PC. Minimally invasive treatment of difficult bleeding lesions of the small bowel. Minerva Chir. 2016 Jul 12; Epub 2016 Jul 12. PMID: 27405293.
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Minerva Chir. 2016 Jul 12; Epub 2016 Jul 12.

Minimally invasive treatment of difficult bleeding lesions of the small bowel.

Minerva chirurgica

Mario Masrur, Despoina Daskalaki, Andrea Vannucchi, Siddharth N Vannemreddy, Luis F Gonzalez-Ciccarelli, Ross Brown, Pier C Giulianotti

Affiliations

  1. Division of General, Minimally Invasive and Robotic Surgery, Department of Surgery, University of Illinois, Chicago, IL, USA - [email protected].

PMID: 27405293

Abstract

BACKGROUND: Bleeding Lesions of the small bowel are often difficult to identify due to the obscure symptomatology. Localizing these lesions requires specific techniques. The Double- balloon enteroscopy (DBE) could be used to precisely localize and mark lesions, so that a minimally invasive surgical treatment could be performed.

PATIENTS & METHODS: 20 robot-assisted small bowel procedures are presented using a combination of DBE for localization and robotic resection.

RESULTS: There were 10 jejunal resections and 10 ileal resections. Mean age was 58.7 years. Mean operative time was 153.4 minutes, mean blood loss of 46 ml. No conversion-to-open and there were 4 post-operative complications. The 90-day mortality was nil and the median LOS was 4.1 days. Final pathology was consistent with malignancy in 10 cases.

CONCLUSIONS: The combination of double balloon enteroscopy and robotic technology allows accurate identification and selective treatment of lesions that could be otherwise difficult to treat in a minimally invasive fashion.

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