Ruben Luna, MD, Carlos Luna, MD, Luis F Cabrera, Daniel Gomez, Mauricio Pedraza. Bosque University
Introduction: Pancreatoduodenectomy is the procedure of choice with curative option for the management of solid tumors of the head of the pancreas, however, despite advances in minimally invasive surgery in laparoscopy and robotic surgery of the last two decades, the vast majority of These procedures continue to be carried out openly, since, regardless of the development of the technology, complications vary from 25% to 65%.
Objectives: Show our experience in the realization of the first robotic pancreatoduodenectomy in a third world country.
Materials and methdos: Patient underwent electiverobotic pancreatoduodenectomy was performed with the DaVinci XI robotic system. Demographic data, American Society of Anesthesiologists classification, preoperative testing, operative time, length of hospital stay, conversion, morbidity and mortality were recorded.
Results: The first robotic pancreatoduodenectomy was performed in a third world country, a surgical time of 480 minutes, with acceptable intraoperative bleeding, no complications, adequate control of postoperative pain, minimal stay in the ICU, no pancreatic fistula and no mortality.
Conclusions: Robotic pancreatoduodenectomy is a complex procedure, which should be performed by experienced surgeons, in reference centers and requires a long learning curve, however, the precise movement of the robotic arm and the high-definition, three-dimensional image allows a better dissection of the tissues.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 95322
Program Number: P677
Presentation Session: Poster Session (Non CME)
Presentation Type: Poster