Deniz Atasoy, Afag Aghayeva, Turgut Bora Cengiz, Ipek Sapci, Onur Bayraktar, Ismail Hamzaoglu, Tayfun Karahasanoglu, Bilgi Baca. Acibadem Mehmet Ali Aydinlar University, School of Medicine, Department of General Surgery, Istanbul
Introduction: The robotic system revolutionized the minimally invasive surgery. In terms of distal pancreatic surgery, it depicted a less conversion rate to open and a better conservation of spleen. Our aim is to present our case of spleen-saving vessel-preserving distal pancreatectomy with robotic approach.
Methods: A 52-year-old female patient, abdominal magnetic resonance imaging demonstrated a 14 mm cystic lesion in corpus-tail junction of the pancreas.
We introduced four 8 mm robotic trocars and one 12 mm assistant trocar. Soon after localizing the pancreatic tumor with laparoscopic ultrasound guidance, distal pancreas was mobilized and was attempted for stapled transection but failed. In the sequel, transection continued in manual fashion and distal pancreas was removed successfully.
Results: Operative time was 405 minutes and operative blood loss was 400 mL. The patient was discharged on postoperative day seven uneventfully. Pathological examination of the specimen demonstrated a serous microcystic adenoma of 1cm in diameter. Follow-up period of 10 months was uneventful except for a pseudocyst at the 9th month that was aspirated under endoscopic ultrasound guidance.
Conclusion: Thanks to its increased abilities, robotic surgery provides a better manipulation and stable retraction for spleen preservation during distal pancreatectomy.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 87686
Program Number: V108
Presentation Session: Robotics 2 Session
Presentation Type: Video