Robotic-assisted laparoscopic spleen-preserving distal pancreatectomy: a report of 7 patients
10.3760/cma.j.issn.1007-8118.2013.01.013
- VernacularTitle:机器人腹腔镜保脾胰体尾良性肿瘤切除手术七例临床分析
- Author:
Yang LIU
;
Wenbin JI
;
Hongguang WANG
;
Ying LUO
;
Xianqiang WANG
;
Jiahong DONG
- Publication Type:Journal Article
- Keywords:
Pancreatic neoplasms;
Robotics;
Pancreatectomy;
Spleen
- From:
Chinese Journal of Hepatobiliary Surgery
2013;(1):41-44
- CountryChina
- Language:Chinese
-
Abstract:
Objective For benign or tumor of borderline malignancy in the distal pancreas,a spleen-preserving distal pancreatectomy can be carried out.This study aimed to assess the safety and feasibility of this operation.Methods Between June 2009 and March 2012,7 patients underwent laparoscopic distal pancreatectomy assisted by the da Vinci Robotic System (RDP) for benign or pancreatic tumor with borderline malignancy.The clinical data were analyzed.Results Robotic-assisted spleen-preserving laparoscopic distal pancreatectomy was successfully carried out in 6 patients,with robotic assisted splenectomy and distal pancreatectomy on the remaining patient.Among them,to the 6 patients with distal pancreatectomy,one patient received right adrenal tumor resection and another patient received cholecystectomy.The average operation time was 368 minutes,and the blood loss was 200 ml.One patient developed postoperative bleeding,and was treated conservatively with hemostatic drugs (grade Ⅱ).There was no conversion to laparotomy.According to the international pancreatic fistula research team's classification of postoperative pancreatic fistula,1 patients were diagnosed to have pancreatic fistula (grade A).The mean postoperative hospital stay was 8.7 days.There were no other complications.Conclusions Robotic-assisted spleen-preserving laparoscopic distal pancreatectomy was safe and feasible.The Kimura operation was used in spleen-preserving operations because its 3D visual field and stability in control helped to preserve splenic blood supply and reduced the chance of postoperative regional portal hypertension.
