{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T00:43:13Z","timestamp":1790383393576,"version":"4.1.0"},"reference-count":31,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2019,10,8]],"date-time":"2019-10-08T00:00:00Z","timestamp":1570492800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Hepato Biliary Pancreat"],"published-print":{"date-parts":[[2019,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>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\u2010port) technique and compared it with those of RPD using an antecolic technique.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Between October 2015 and August 2016, we retrospectively reviewed consecutive cases of RPD before and after introducing the L\u2010port technique for gastrointestinal reconstruction. The L\u2010port technique was mainly performed for retrocolic gastrojejunal reconstruction and some cases of duodenojejunal reconstruction. The perioperative and postoperative outcomes were compared in the two groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Eighty\u2010three cases of RPD were retrieved for statistical analysis. Compared with the antecolic group, the L\u2010port group was significantly associated with a shorter operative time (median time [IQR] 345 [307\u2013384] min vs. 390 [370\u2013455] min, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001), reconstruction time (54 [48\u201359] min vs. 84 [75\u201398] min, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001) and lower incidence of delayed gastric emptying. There were no cases of re\u2010operation due to internal herniation, colonic ischemia, or bowel volvulus in the L\u2010port group during the 1\u2010year follow\u2010up period.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our results demonstrated that the L\u2010port technique of RPD is a safe and feasible technique for gastrointestinal reconstruction.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jhbp.670","type":"journal-article","created":{"date-parts":[[2019,9,18]],"date-time":"2019-09-18T18:02:22Z","timestamp":1568829742000},"page":"517-523","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Retrocolic versus antecolic gastrointestinal reconstruction in robotic pancreaticoduodenectomy"],"prefix":"10.1002","volume":"26","author":[{"given":"Chih\u2010Yuan","family":"Wang","sequence":"first","affiliation":[{"name":"Department of General Surgery Keelung Chang Gung Memorial Hospital Keelung 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China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rong","family":"Liu","sequence":"additional","affiliation":[{"name":"Second Department of Hepatopancreatobiliary Surgery Chinese People\u2019s Liberation Army (PLA) General Hospital 28 Fuxing Road, Haidian District Beijing 100853 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