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Surgery Today

, Volume 48, Issue 7, pp 680–686 | Cite as

Application of a commercial single-port device for robotic single-incision distal pancreatectomy: initial experience

  • Cheng-Ming Peng
  • Hsin-Cheng Liu
  • Ching-Lung Hsieh
  • Yao-Kun Yang
  • Teng-Chieh Cheng
  • Ruey-Hwang ChouEmail author
  • Yi-Jui LiuEmail author
Original Article

Abstract

Purpose

Laparoscopic distal pancreatectomy has proven to be feasible and safe. Moreover, robotic surgery provides unique advantages for pancreatic procedures, although single-incision robotic pancreatic surgery is rarely discussed. We applied the single-port modified platform to accomplish robotic distal pancreatectomy in a series of patients.

Methods

The subjects of this study were ten patients who underwent robotic distal pancreatectomy in our hospital between July 1, 2015 and Dec 31, 2016. All patients were placed supine in the reverse Trendelenburg position with the legs abducted. Surgery was performed via a trans-umbilical 5.0-cm incision, using a modified single-port platform (LAGIPORT®) combined with the da Vinci Si Surgical System. The three arms and scope (30-degree up) were inserted through the LAGIPORT® and positioned in a triangle. Endoscopic ultrasound was used to localize the tumor and plan the resection margin. We recorded the surgical time, operation time, blood loss, postoperative pain score, hospital stay, and complications.

Results

The surgical time was 236 ± 32 min, the operation time was 172 ± 30 min, and the blood loss was 149 ± 65 ml. All patients underwent robot-assisted distal pancreatectomy without conversion. The average pain score on postoperative day (POD) 3 was 4.5 ± 1. Complications included subsplenic hematoma (n = 1) and minor pancreatic leakage (n = 2). There was no surgical mortality.

Conclusions

Our results demonstrate the safety and efficiency of robotic single-incision distal pancreatectomy via the modified platform (LAGIPORT®).

Keywords

Distal pancreatectomy Robotic surgery Single-incision surgery 

Notes

Acknowledgements

This study was supported by the grants, FCU/CSMU104-001 from Feng Chia University/Chung Shan Medical University and MOST 105-2320-B-039-059-MY3 from the Ministry of Science and Technology.

Compliance with ethical standards

Conflict of interest

We have no conflicts of interest to declare.

Supplementary material

Supplementary material 1 (MPG 52226 KB)

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Copyright information

© Springer Nature Singapore Pte Ltd. 2018

Authors and Affiliations

  • Cheng-Ming Peng
    • 1
    • 2
  • Hsin-Cheng Liu
    • 2
  • Ching-Lung Hsieh
    • 2
  • Yao-Kun Yang
    • 2
  • Teng-Chieh Cheng
    • 3
  • Ruey-Hwang Chou
    • 4
    • 5
    Email author
  • Yi-Jui Liu
    • 1
    • 3
    Email author
  1. 1.Program of Electrical and Communications EngineeringFeng Chia UniversitySeatwenTaiwan
  2. 2.Da Vinci Minimally Invasive Surgery CenterChung Shan Medical University HospitalTaichungTaiwan
  3. 3.Department of Automatic Control EngineeringFeng Chia UniversitySeatwenTaiwan
  4. 4.Graduate Institute of Biomedical Sciences and Center for Molecular MedicineChina Medical UniversityTaichungTaiwan
  5. 5.Department of BiotechnologyAsia UniversityWufengTaiwan

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