Jin Hong Lim, MD, Jun Sung Park, MD, Dong Sup Yoon, MD. Gangnam severance Hospital
Background: Distal pancreatectomy means resection of pancreatic tail and part of pancreatic body. Since robotic single site system was introduced in 2010, this system has been used various departments. However, because of complexity of procedure, there was no case about pancreatic surgery, so far. Recently, we experienced a case that was performed spleen preserving distal pancreatectomy using robotic single site platform. Here, we present the experience.
Methods: Thirty year old female patient was incidentally found to have pancreatic mass in body of the pancreas. August 2016, robotic distal pancreatectomy was performed using the Da Vinci single-site? surgical platform (DVSSP) and additional one port. Additional robotic 8 mm-port was placed left side of DVSSP and 3rd arm was used this site. Using 3rd arm, robotic energy device and hand held clip was used. Resected specimen was delivered through umbilicus and drains were inserted through additional port site.
Results: The operation was successfully performed using robotic system. The operation time was 305 minutes and perioperative blood loss was minimal. The pathology of tumor was revealed neuroendocrine tumor, grade 1. The patient discharged on the 8th postoperative day without major complications. There was no specific event during 1 months after operation.
Conclusion: Robotic single port plus one spleen preserving distal pancreatectomy is safe and feasible with regard to short-term outcomes. This technique could expand the surgical boundary of robotic single site platform. However, it can be performed selective case and further studies on more cases and long-term outcomes.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 80771
Program Number: V018
Presentation Session: HPB
Presentation Type: Video