Robotic Distal Pancreatectomy

  • Anusak Yiengpruksawan


Of all pancreatic resection procedures, distal pancreatectomy is considered the least complicated. As such, it is often used as an entry procedure to get into the pancreatic surgery arena. For pancreatic surgeons, it is also an ideal introductory procedure to learn minimally invasive pancreatic surgery. In this chapter, the author described in details distal pancreatectomy techniques using the Si daVinci Robotic Surgical System platform. The initial preparations, especially the positioning of the robot and ports, are especially emphasized since they are important factors determining the success or failure of the surgery.


Robotic pancreatic surgery Distal pancreatectomy Distal pancreatosplenectomy Spleen-preserving distal pancreatectomy da Vinci Si Warshaw’s distal pancreatectomy 

Further Reading

  1. Giulianotti P, Sbrana F, Bianco F, Elli E, Shah G, Addeo P, et al. Robot-assisted laparoscopic pancreatic surgery: single-surgeon experience. Surg Endosc. 2010;24:1646–57.CrossRefPubMedCentralGoogle Scholar
  2. Guerra F, Pesi B, Amore Bonapasta S, Di Marino M, Perna F, Annecchiarico M, Coratti A. Challenges in robotic distal pancreatectomy: systematic review of current practice. Minerva Chir. 2015;70:241–7.PubMedPubMedCentralGoogle Scholar
  3. Lai EC, Tang CN. Robotic distal pancreatectomy versus conventional laparoscopic distal pancreatectomy: a comparative study for short-term outcomes. Front Med. 2015;9:356–60.CrossRefPubMedCentralGoogle Scholar
  4. Lee SY, Allen PJ, Sadot E, D’Angelica MI, DeMatteo RP, Fong Y, et al. Distal pancreatectomy: a single institution’s experience in open, laparoscopic, and robotic approaches. J Am Coll Surg. 2015;220:18–27.CrossRefPubMedCentralGoogle Scholar
  5. Liu Y, Ji WB, Wang HG, Luo Y, Wang XQ, Lv SC, Dong JH. Robotic spleen-preserving laparoscopic distal pancreatectomy: a single-centered Chinese experience. World J Surg Oncol. 2015;13:275.CrossRefPubMedCentralGoogle Scholar
  6. Napoli N, Kauffman EF, Perrone VG, Miccoli M, Brozzetti S, Boggi U. The learning curve in robotic distal pancreatectomy. Updat Surg. 2015;67:257–64.CrossRefGoogle Scholar
  7. Shakir M, Boone BA, Polanco PM, Zenati MS, Hogg ME, Tsung A, et al. The learning curve for robotic distal pancreatectomy: an analysis of outcomes of the first 100 consecutive cases at a high-volume pancreatic Centre. HPB (Oxford). 2015;17:580–6.CrossRefGoogle Scholar
  8. Yiengpruksawan A. Technique for laparobotic distal pancreatectomy with preservation of spleen. J Robot Surg. 2011;5:11–5.CrossRefPubMedCentralGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Anusak Yiengpruksawan
    • 1
  1. 1.Department of Surgery, Faculty of MedicineSiriraj Hospital, Mahidol UniversityBangkokThailand

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