Robotic central pancreatectomy: a surgical technique
10.7602/jmis.2023.26.3.155
- Author:
Eui Hyuk CHONG
1
;
Jae Young JANG
;
Sung Hoon CHOI
Author Information
1. Division of Hepatobiliary and Pancreas, Department of Surgery, CHA Bundang Medical Center, CHA University, Seongnam, Korea
- Publication Type:VIDEO/MULTIMEDIA ARTICLE
- From:Journal of Minimally Invasive Surgery
2023;26(3):155-161
- CountryRepublic of Korea
- Language:English
-
Abstract:
Robotic central pancreatectomy has not been widely performed because of its rare indications, technical difficulties, and concern about the high complication rate. We reviewed six robotic central pancreatectomy cases between May 2016 and June 2021 at a single institution. This multimedia article aims to introduce our technique of robotic central pancreatectomy with perioperative and follow-up outcomes. All patients experienced biochemical leakage of postoperative pancreatic fistula, except in one with a grade B pancreatic fistula, which resulted in a pseudocyst formation and was successfully managed by endoscopic internal drainage. All patients achieved completely negative resection margins. There was no new-onset diabetes mellitus or recurrence during the median follow-up period of 13.5 months (range, 10–74 months). With an acceptable complication rate and the preservation of pancreatic function, robotic central pancreatectomy could be a good surgical option for patients with benign and borderline malignant tumors of the pancreatic neck or proximal body.
