First experience with robotic spleen-saving vessel preserving distal pancreatectomy in Singapore: report of three consecutive cases
Abstract
There has been an increase in the use of laparoscopic distal pancreatectomy (LDP) worldwide due to the reported advantages associated with this minimally invasive procedure. However, widespread adoption is hindered by the technical complexity of the procedure. Although robotic distal pancreatectomy (RDP) was introduced to overcome this limitation, worldwide experience with RDP is also lacking. There is presently some evidence that RDP is associated with a decreased conversion rate and increased splenic preservation as compared to LDP. This study reports our first experience with robotic spleen-saving, vessel preserving distal pancreatectomy (SSVP-DP). A prospective study of our initial experience with robotic SSVP-DP was conducted between July 2013 and April 2014. Three consecutive patients underwent attempted robotic SSVP-DP. The indications were a 2.1-cm indeterminate cystic neoplasm, a 4.5-cm solid pseudopapillary neoplasm and a 1.2-cm pancreatic neuroendocrine tumour. For all three patients, the procedure was completed without conversion and the spleen, with its main vessels, was successfully conserved. The median total operation time, median blood loss and median postoperative stay were 350 (range 300-540) min, 200 (range ...Continue Reading
References
Citations
Meta-analysis of short-term outcomes comparing robot-assisted and laparoscopic distal pancreatectomy
Related Concepts
Related Feeds
Adenoma, Islet Cell
Islet Cell Adenoma arises in the islet cells, which are insulin producing cells of the pancreas. These tumors can be either malignant or benign. Discover the latest research on Islet Cell Adenoma here.
Carcinoma, Islet Cell (Keystone)
Islet Cell Carcinoma or Pancreatic Neuroendocrine Tumours arise in the hormone producing cells of the pancreas. These tumors can be either malignant or benign. Discover the latest research on islet cell carcinoma in this feed.
Carcinoma, Islet Cell
Islet Cell Carcinoma or Pancreatic Neuroendocrine Tumours arises in the hormone producing cells of the pancreas. These tumors can be either malignant or benign. Discover the latest research on Islet Cell Carcinoma here.