Annals of Surgical Oncology

, Volume 18, Issue 13, pp 3623–3623 | Cite as

Robot-Assisted Spleen-Preserving Laparoscopic Distal Pancreatectomy

  • Sung Hoon Choi
  • Chang Moo Kang
  • Woo Jung Lee
  • Hoon Sang Chi
Original Article - Pancreatic Tumors

Abstract

Background

Spleen-preserving laparoscopic distal pancreatectomy would be an ideal approach for benign and borderline malignant tumors in the distal pancreas.1 However, this procedure requires advanced surgical experience and technique because of the disadvantages of conventional laparoscopic surgery.2

Methods

A 35-year-old female patient visited our institution because of a growing pancreatic mass during follow-up. A preoperative image study showed a cystic tumor of about 3.0 × 2.5 cm in size in the body of the pancreas. Under the impression of a growing serous cystic tumor of the pancreas, she was scheduled to undergo robot-assisted spleen-preserving laparoscopic distal pancreatectomy.

Results

Under general anesthesia, the patient was placed in the supine position with her head and left side elevated. A total of five ports were used. Among them, one 12-mm port was placed for the assistant surgeon’s intervention during the procedure. Stable 3-dimensional operative image, endo-wrist function of the instruments, and no tremor were thought to be very helpful for fine dissection of the pancreas from splenic vessels. The total operation time was 300 min, and the estimated intraoperative blood loss was 380 ml. No transfusion was required. The patient’s postoperative recovery was uneventful. She was able to go home on the 6th postoperative day without a drain.

Conclusions

The unique characteristics of a robotic surgical system were thought to be very helpful during the spleen-preserving laparoscopic distal pancreatectomy.2 6 However, cost is one of the main obstacles for the procedure’s popular clinical practice.2

Keywords

Pancreatic Ductal Adenocarcinoma Choledochal Cyst Splenic Vessel Conventional Laparoscopic Surgery Vinci Surgical System 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Supplementary material

Supplementary material 1 (WMV 92679 kb)

References

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Copyright information

© Society of Surgical Oncology 2011

Authors and Affiliations

  • Sung Hoon Choi
    • 1
    • 2
  • Chang Moo Kang
    • 1
    • 2
  • Woo Jung Lee
    • 1
    • 2
  • Hoon Sang Chi
    • 1
    • 2
  1. 1.Division of Hepatobiliary and Pancreas, Department of SurgeryYonsei University College of MedicineSeoulKorea
  2. 2.Pancreaticobiliary Cancer Clinic, Institute of Gastroenterology, Clinic of Bilio-PancreasYonsei University Health SystemSeoulKorea

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