Clinical application analysis of robotic-assisted Kimura spleen-preserving distal pancreatectomy
10.3760/cma.j.cn113884-20241217-00378
- VernacularTitle:机器人辅助下Kimura法保脾胰体尾切除术的临床应用
- Author:
Hao HUANG
1
;
Jungang ZHANG
;
Ran TAO
;
Zhenyu GAO
;
Chengfei DU
;
Ying SHI
;
Yuchen ZHENG
;
Deyang MU
;
Chengwu ZHANG
Author Information
1. 杭州师范大学第二临床医学院，杭州 310014
- Publication Type:Journal Article
- Keywords:
Robotic surgical procedures;
Pancreatectomy;
Pancreatic Tumor;
Splenic arteriovenous plane
- From:
Chinese Journal of Hepatobiliary Surgery
2025;31(8):603-607
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the clinical efficacy of the splenic vessel-oriented anatomical plane priority strategy in Da Vinci robotic Kimura distal pancreatectomy.Methods:A retrospective analysis was conducted on 26 patients who underwent robotic-assisted distal pancreatectomy at Zhejiang Provincial People’s Hospital from January 2019 to September 2024. The cohort included 7 male and 19 female patients, aged (49.3±16.7) years. Surgical outcomes, including operative time, intraoperative blood loss, postoperative complications, and hospital stay, were analyzed, and surgical techniques were summarized.Results:All 26 patients successfully completed the surgery. Pathological diagnoses included 5 cases of intraductal papillary mucinous neoplasm, 5 serous cystadenomas, 1 pancreatic neuroendocrine tumor, 6 solid pseudopapillary neoplasms, 4 mucinous cystic neoplasms, and 5 neuroendocrine tumors. The maximum tumor diameter was (2.3±1.1) cm, and the operative time was (183.2±77.4) min. The spleen preservation rate was 100% (26/26). Intraoperative blood loss was 50.0 (17.5, 125) ml, and postoperative hospital stay was (10.1±3.7) d. No Clavien-Dindo grade III or higher complications occurred. The post-operative pancreatic fistula (POPF) rate was 53.8% (14/26), including 38.5% (10/26) biochemical leak and 15.3% (4/26) grade B POPF, with no grade C POPF.Conclusion:The splenic vessel-oriented anatomical plane priority strategy in robotic-assisted spleen-preserving distal pancreatectomy (Kimura technique) is safe and feasible, significantly improving the spleen preservation rate.
