Detailed Abstract
[BP Video Exhibition - Biliary & Pancreas (Biliary Disease/Surgery)]
[BP VE 2] Experience Of Robotic Single Port Plus One (SP+1) Spleen Preserving Distal Pancreatectomy: A Report Of Four Cases With Video
Yoo Jin CHOI1 , Sehyeon YU1 , Hye-Sung JO1 , Dong-Sik KIM1 , Young-Dong YU*1
1 Department Of Surgery, Division Of HBP Surgery, Korea University College Of Medicine, Seoul, Korea, REPUBLIC OF KOREA
Background : With development of robotic procedures, there are increasing attempts to apply it to biliary and pancreatic surgery. Previously, we have performed robotic distal pancreatectomy with splenectomy using the daVinci SP system. In this study, we report and share our experiences of robotic spleen preserving distal pancreatectomy using the daVinci SP system.
Methods : We reviewed the medical records of four patients who underwent robotic (SP+1) spleen preserving distal pancreatectomy from December, 2021 to December, 2022. Patient demographics, operative time, postoperative hospital stay and complications were obtained and analyzed. Robotic distal pancreatectomy was performed using the da Vinci SP® Surgical System. One additional 12-mm-port was placed on the left side of the daVinci SP® port, which was used by the assistant for applying the energy device and endo-GIA stapler. The resected specimen was delivered through umbilicus incision and the drain was inserted through the additional left side port.
Results : Robotic (SP+1) spleen preserving distal pancreatectomy was performed in 4 patients, three of whom had splenic vessels preserved. The mean age of the patients was 57.8±12.6 years old, and the mean BMI was 24.9±0.9 kg/m2. The mean operation time was 130.0±41.4 minutes and the estimated blood loss was 250.0±173.2 ml. All tumors were located in the tail of pancreas and the pancreas texture was soft in all patients. There were no complications except for POPF grade B in two patients. Patients with POPF grade B were treated with percutaneous abdominal drainage. The mean length of hospital stay was 10.8±4.9 days for after surgery.
Conclusions : Robotic spleen preserving distal pancreatectomy using the daVinci SP system is safe and feasible with acceptable perioperative outcomes. Compared to previous robotic single site systems, the daVinci SP system enables more ergonomic with wider range of motion and due to articulating instruments. However, since there is no built in robotic energy device, dissection is less comfortable than the previous robotic systems. Further experiences are necessary to improve techniques and verify the short- and long-term operative outcomes.
Methods : We reviewed the medical records of four patients who underwent robotic (SP+1) spleen preserving distal pancreatectomy from December, 2021 to December, 2022. Patient demographics, operative time, postoperative hospital stay and complications were obtained and analyzed. Robotic distal pancreatectomy was performed using the da Vinci SP® Surgical System. One additional 12-mm-port was placed on the left side of the daVinci SP® port, which was used by the assistant for applying the energy device and endo-GIA stapler. The resected specimen was delivered through umbilicus incision and the drain was inserted through the additional left side port.
Results : Robotic (SP+1) spleen preserving distal pancreatectomy was performed in 4 patients, three of whom had splenic vessels preserved. The mean age of the patients was 57.8±12.6 years old, and the mean BMI was 24.9±0.9 kg/m2. The mean operation time was 130.0±41.4 minutes and the estimated blood loss was 250.0±173.2 ml. All tumors were located in the tail of pancreas and the pancreas texture was soft in all patients. There were no complications except for POPF grade B in two patients. Patients with POPF grade B were treated with percutaneous abdominal drainage. The mean length of hospital stay was 10.8±4.9 days for after surgery.
Conclusions : Robotic spleen preserving distal pancreatectomy using the daVinci SP system is safe and feasible with acceptable perioperative outcomes. Compared to previous robotic single site systems, the daVinci SP system enables more ergonomic with wider range of motion and due to articulating instruments. However, since there is no built in robotic energy device, dissection is less comfortable than the previous robotic systems. Further experiences are necessary to improve techniques and verify the short- and long-term operative outcomes.
SESSION
BP Video Exhibition
Video Exhibition 3/23/2023 12:00 AM - 12:00 AM