J Minim Invasive Surg.  2017 Jun;20(2):74-76. 10.7602/jmis.2017.20.2.74.

Robotic Central Pancreatectomy with Pancreaticojejunostomy for Solid Pseudopapillary Neoplasm

• Lee JW
• Yoo J
• Ko JW
• Choi SH

• KMID: 2389141
• DOI: http://doi.org/10.7602/jmis.2017.20.2.74

Abstract

PURPOSE
Minimally invasive central pancreatectomy has rarely performed because of its technical difficulty. Robot system enhances surgical dexterity to perform such complex procedures.
METHODS
A 29-year-old woman was admitted with acute cholecystitis and an 1.4 cm enhancing mass was incidentally found at the pancreatic proximal body on computed tomography. Preoperative image studies suggested a neuroendocrine tumor or solid pseudopapillary neoplasm. The patient underwent robotic cholecystectomy and central pancreatectomy with pancreaticojejunostomy.
RESULTS
The total operation time was 280 minutes and the estimated amount of intraoperative bleeding was 100 ml. The postoperative recovery was uneventful and she was discharged on the 7(th) postoperative day. Pathologic examination reported a solid pseudopapillary neoplasm.
CONCLUSION
The technical difficulties associated with the procedure can be overcome with the help of the wrist-like movement of the robotic instruments, especially for the preservation of splenic vessels and for creating precise anastomoses in narrow spaces.

Keyword

Robotic surgical procedure; Pancreatectomy; Pancreaticojejunostomy; Pancreatic neoplasms

MeSH Terms

Adult
Cholecystectomy
Cholecystitis, Acute
Female
Hemorrhage
Humans
Neuroendocrine Tumors
Pancreatectomy*
Pancreatic Neoplasms
Pancreaticojejunostomy*
Robotic Surgical Procedures