J Minim Invasive Surg.  2016 Dec;19(4):162-164. 10.7602/jmis.2016.19.4.162.

Technical Feasibility of Robotic Single Site Central Pancreatectomy with Duct-to-Mucosa Pancreaticojejunostomy in Cadaveric Experiment

Affiliations
  • 1Department of Surgery, Yonsei University College of Medicine, Pancreaticobiliary Cancer Clinic, Yonsei Cancer Center, Severance Hospital, Seoul, Korea. cmkang@yuhs.ac
  • 2Department of Surgery, National Health Insurance Service Ilsan Hospital, Goyang, Korea.

Abstract

PURPOSE
Laparoscopic single site surgery is currently available, but may not be feasible for delicate and complex surgical procedures. However, computer technology embedded into robotic surgical system could provide the way to advanced laparoscopic single site surgery.
METHODS
86-year-old, female cadaver who died from sepsis was used for testing technical feasibility of robotic single site surgical system (the da Vinci Surgical System_(Intuitive Surgical, Sunnyvale, CA)) in performing central pancreatectomy.
RESULTS
About 4 cm×3 cm×1.5 cm sized segment of pancreatic neck portion was resected. Distal remnant pancreas was managed by two-layered, duct-to-mucosa pancreaticojejunostomy by intracorporeal suture technique. Operative procedure was completed in 150 min.
CONCLUSION
Robotic single site central pancreatectomy with pancreaticojejunostomy was technically feasible in the present cadaveric experiment.

Keyword

Robotic single site operation; Central pancreatectomy; Duct to mucosa

MeSH Terms

Aged, 80 and over
Cadaver*
Female
Humans
Neck
Pancreas
Pancreatectomy*
Pancreaticojejunostomy*
Sepsis
Surgical Procedures, Operative
Suture Techniques
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