Ann Hepatobiliary Pancreat Surg.  2020 Nov;24(4):547-550. 10.14701/ahbps.2020.24.4.547.

Revo-i assisted robotic central pancreatectomy

• Ku G
• Kang I
• Lee WJ
• Kang CM

• KMID: 2508868
• DOI: http://doi.org/10.14701/ahbps.2020.24.4.547

Abstract

Central pncreatectomy (CP) can be one of procedures for function-preserving pancreatectomy for patients with benign or low grade malignant pancreatic tumors. Surgeons have to deal with two cut surface of the pancreas when performing CP, which can be associated with severe complication, such as postoperative pancreatic fistula. Fine and delicate surgical skill is highly required for safe CP. With the advance of minimally invasive surgery, CP is now thought to be one of appropriate procedures for function-preserving minimally invasive pancreatectomy. Robotic surgery is thought to make complicated surgical procedure easy and effective. Recently, Korean robotic surgical system, Revo-i, was successfully developed by Meeraecompany and have been proved its safety and feasibility in several recent reports. A 56-year old woman was referred for a body of pancreatic lesion. Contrast abdominopelvic CT revealed a pancreatic body tumor measuring around 1.2 cm in diameter. The patient underwent a robot-assisted central pancreatectomy using Revo-i. The patient endured the procedure well and was discharged to home at postoperative day 9. This report showed a successful case of central pancreatectomy performed with the Korean robotic surgical system Revo-i.

Keyword

Robotic surgical system; Central pancreatectomy; Robot surgery

Figure

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  Fig. 1 External view of Revo-i robotic surgical system. (A) Front view of surgical console of Revo-i surgical system. (B) Lateral view of surgical console of Revo-i surgical system. (C) External view after completion of robotic docking to the patient’s side ports.

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  Fig. 2 Preoperative CT and operative view. (A) Preoperative CT scan. (B) Operation view after laparoscopic resection. (C) Revo-i PJ (duct-to-mucosa), note 1 mm-silicone pancreatic stent (white arrow). (D) Completion of Revo-i PJ. Pp, proximal pancreas; Dp, distal remnant pancreas; SV, splenic vein; LGV, left gastric vein; SA, splenic artery; S, stomach; J, jejunum.

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