Robotic distal splenopancreatectomy

Introduction and Objectives

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 robotic distal splenopancreatectomy

Materials and methods

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

Results

Patient made an uneventful recovery and was discharged on postoperative day seven. Pathology confirmed mucinous cystadenoma with focal low‐grade epithelial dysplasia and clear margins.

Conclusion

Robotic distal pancreatectomy (RDP) are safe and feasible in appropriately selected patients. While the procedural cost is higher with the robotic approach, some argue that this is balanced by shorter overall length of stay making RDP a costeffective option.

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