Robotic distal splenopancreatectomy

Abstract

Aim

The use of minimally invasive approaches for pancreaticobiliary surgery has recently gained wider acceptance. Surgical arms with unparalleled flexibility, manual dexterity, 3D imaging and tremor elimination have increased anatomical access and decreased the difficulty of surgery. We describe a case of mucinous cystadenoma treated with robotic distal splenopancreatectomy.

Patients and Methods

A 72-year-old woman presented with anorexia, nausea, constipation and weight loss of 9 kg in 3 months. Imaging and histological studies indicated it likely to be a mucinous cystadenoma of the body–tail of the pancreas. Robotic distal splenopancreatectomy was performed with intraoperative identification and splenic artery ligation.

Results

The patient made an uneventful recovery and was discharged on postoperative day 7. A pathology study confirmed mucinous cystadenoma with focal low-grade epithelial dysplasia and clear margins.

Conclusion

Robotic distal pancreatectomy is a safe and feasible approach in appropriately selected patients. Although the procedural cost is higher with the robotic approach, some argue that this is balanced by the shorter overall length of stay, thus making robotic distal pancreatectomy a cost-effective option.