Robotic-assisted transduodenal ampullectomy for a neuroendocrine tumour: A step-by-step surgical video.

Surg OncolOct 12, 2026 (epub)
Case ReportGeneral SurgeryOncology (Medical)

Gianluca Rompianesi, Giuseppe Kito Fusai

✦ AI-curated · Sources linked

Case in brief

A 71-year-old man had an incidental 14 mm ampullary neuroendocrine tumour detected during routine screening. 68Ga-DOTATATE PET-CT showed intense somatostatin-receptor avidity (SUVmax 66.8) without FDG uptake; the multidisciplinary team recommended excision based on tumour size and Ki-67 of 4%. He underwent robotic-assisted transduodenal ampullectomy with reconstruction of the biliary and pancreatic ducts. There were no intraoperative complications, and postoperative imaging showed no collection or contrast leak. After a brief readmission for pulmonary microembolism treated medically, he recovered and remained disease-free 7 months after surgery.

What made this case unusual

The report demonstrates robotic transduodenal ampullectomy with delicate reconstruction of both pancreatic and biliary ducts as a pancreas-preserving alternative to pancreaticoduodenectomy for an ampullary neuroendocrine tumour.

Diagnostic / clinical pearl

For selected ampullary neuroendocrine tumours unsuitable for endoscopic resection, transduodenal ampullectomy may preserve pancreatic parenchyma; tumour size and Ki-67 informed the excision decision in this case.

Source

PubMed · PMID 42914771

Published in Surg Oncol. This summary was written by xxcode from the publication's abstract and metadata. It is not peer reviewed and is not a substitute for the original article. For clinical decisions, review the original publication.

ShareTelegramLinkedIn

AI-generated summaries may contain errors or omissions. Verify clinically important information with the original publication.

More in General Surgery

Clinical ResearchPreventive Medicine / Public Health

2025 National Guidelines on the Mediterranean Diet: Executive Summary of a Joint Report by Italian Scientific Societies and the National Institute of Health Task Force on Clinical Practice Guidelines.

This systematic review and practice guideline, developed by a multidisciplinary panel using NUTRIGRADE, assessed Mediterranean diet evidence across nine health domains and one economic domain.

Nutr RevNov 12, 2026Read summary
Clinical ResearchOrthopedic Surgery

Prevention of Venous Thromboembolism after Total Hip or Knee Replacement.

This multicenter randomized comparative-effectiveness noninferiority trial compared 30 days of aspirin, warfarin, or rivaroxaban for VTE prophylaxis after elective total hip or knee arthroplasty.

N Engl J MedNov 12, 2026Read summary
Clinical ResearchAnesthesiology

Effect of discontinuing antihypertensives on perioperative hypotension in older patients before non-cardiac surgery: multicentre, randomised, double blind, controlled trial.

This multicentre, randomised, double blind, placebo controlled trial assessed whether withholding ACE inhibitors or ARBs on the morning of surgery reduces perioperative hypotension in older adults undergoing non-cardiac…

BMJNov 11, 2026Read summary

Want this personalized?

Stop searching the literature. Choose what you follow and xxcode will build your personalized medical digest.

  • Your specialties
  • Your filters and thresholds
  • Clinical Research + Case Reports, tuned separately
  • Automatic weekly delivery
  • Audio and text
Create my personalized digestSee plans

Prefer listening? Personalized audio digests are available with Pro.

Stay updated for free

Get the 3 most interesting publications in one specialty each week.

Weekly email. Unsubscribe anytime.