Carter Powell1, Christine Schammel, PhD2, Steven D Trocha, MD3. 1Kenyon College, 2Pathology Associates, 3Department of Surgery, Greenville Health System
Laparoscopic distal pancreatectomy (LDP) has proven to be superior to the traditional open approach due to its minimally invasive nature. However, technical limitations still exist when utilizing a laparoscopic approach. Dexterity achieved with robotics overcomes laparoscopic limitations, allowing surgeons more delicate, technically demanding and proximal dissections. We present a subtotal distal pancreatectomy performed robotically. The patient is a 64-year-old white male who presented with right abdominal pain that extended to his right groin. CT and MRCP imaging identified a dilated pancreatic duct into the junction of the head of the pancreas, suggesting an intraductal mucinous neoplasm of the main duct (IPMN) extending into the head of the pancreas. The optimal course of action was determined to be resection of the pancreas using a completely robotic approach. The robotic approach allowed for optimal vessel dissection and division, ultrasound identification, tissue manipulation and positioning, duct dissection and division, and oversewing of the pancreatic duct with minimal blood loss and post-operative recovery. The case emphasizes the advantages of the robotic approach for distal pancreatectomy allowing for precise dissection in a significant procedure and how this innovative technology can the overcome technical limitations of a laparoscopic approach.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 95525
Program Number: V171
Presentation Session: Video Loop Day 1
Presentation Type: VideoLoop