Qian Siyuan, Carrillo-Peña Jeison, Domínguez-Prieto Víctor, Villarejo-Campos Pedro, Jiménez-Fuertes Montiel, Pastor-Riquelme Pablo, Jiménez-Galanes Santos
Surgery Department, Fundación Jiménez Díaz University Hospital, Avda. Reyes Católicos, 2, 28040 Madrid, Spain.
Surgery Department, Faculty of Medicine, Universidad Autónoma de Madrid, 28029 Madrid, Spain.
J Clin Med. 2025 Jun 24;14(13):4471. doi: 10.3390/jcm14134471.
In recent years, the use of minimally invasive approaches in pancreatic surgery has progressively increased. One of the key components of pancreaticoduodenectomy is the creation of a pancreato-enteric anastomosis, due to the high risk of postoperative complications, particularly the development of postoperative pancreatic fistula. Among the types of anastomoses, the Blumgart technique has gained popularity due to its ease of reproducibility. In this guide, we summarize and systematize step by step how to perform a feasible, reproductible and safe robotic Blumgart pancreaticojejunostomy, providing some instructions for its successful completion. Despite the heterogeneity of the published data, duct-to-mucosa Blumgart anastomosis seems to be superior in terms of clinically relevant postoperative pancreatic fistula rates compared with other types of pancreato-enteric anastomosis. The advantages of robotic surgery, such as improved precision, greater control, and enhanced visualization, make robotic Blumgart anastomosis a safe, practical, and reproducible technique in the context of robotic pancreaticoduodenectomy. Robotic Blumgart pancreaticojejunostomy is a safe and feasible technique for pancreato-enteric anastomosis following pancreaticoduodenectomy when surgical technique is systematized step by step.
近年来，胰腺手术中微创方法的使用逐渐增加。胰十二指肠切除术的关键步骤之一是进行胰肠吻合，因为术后并发症风险高，尤其是术后胰瘘的发生。在各种吻合方式中，Blumgart技术因其易于重复操作而受到欢迎。在本指南中，我们逐步总结并系统化了如何进行可行、可重复且安全的机器人辅助Blumgart胰空肠吻合术，并为其成功实施提供一些指导。尽管已发表的数据存在异质性，但与其他类型的胰肠吻合相比，黏膜对黏膜的Blumgart吻合在临床相关的术后胰瘘发生率方面似乎更具优势。机器人手术的优势，如提高精准度、增强控制能力和改善可视化效果，使机器人辅助Blumgart吻合术在机器人辅助胰十二指肠切除术的背景下成为一种安全、实用且可重复的技术。当手术技术逐步系统化时，机器人辅助Blumgart胰空肠吻合术是胰十二指肠切除术后进行胰肠吻合的一种安全可行的技术。
