First experience with robotic spleen-saving vessel preserving distal pancreatectomy in Singapore: report of three consecutive cases

Singapore Medical Journal
Brian Kp GohAlexander Yf Chung

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

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Citations

Sep 21, 2017·Journal of Minimal Access Surgery·Brian K P GohChung-Yip Chan
Jan 25, 2020·Journal of Comparative Effectiveness Research·Yong-Hao HuHao Wang
Jan 28, 2016·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Brian K P GohAlexander Y F Chung
Sep 11, 2019·Annals of Hepato-biliary-pancreatic Surgery·Tousif KabirBrian K P Goh
Sep 20, 2019·Singapore Medical Journal·Tze-Yi LowBrian Kp Goh

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