Abstract
Purpose
Laparoscopic approaches to enucleation of the pancreas have been frequently described. Here we present a case of robotic single-site plus one port pancreas enucleation. To our knowledge, this enucleation surgical technique is the first to be reported in the medical literature.
Methods
A 46-year-old male patient without previous medical or surgical history was incidentally diagnosed with a pancreatic mass during evaluation of intermittent right flank pain. Robotic single-site plus one port pancreas enucleation was performed using the Da Vinci single-site surgical platform with one additional port on November 16, 2016. Usual robotic instruments such as hook, bipolar, and vessel sealer with endo-wrist function could be used to facilitate effective surgical procedure with the additional port. The resected specimen was delivered through the umbilicus and a drain was not inserted.
Results
Total operation time was 124 min with total console time of 73 min. Estimated blood loss was 50 cm3. Final pathology result was neuroendocrine tumor, grade 1. The patient was discharged without any complications on postoperative day #4.
Conclusions
Robotic single-site plus one port pancreas enucleation seems feasible with acceptable perioperative outcomes.
Similar content being viewed by others
References
Kim SH, Kang CM, Lee WJ. Robotic single-site plus ONE port distal pancreatectomy. Surg Endosc 2017;31(10):4258–4259.
Kang CM, Lee KG, Pyo JY, Lee SW, Kim KS, Choi JS, Lee WJ, Kim BR. Laparoscopic enucleation of a nonfunctioning neuroendocrine tumor of the pancreas. Yonsei Med J 2008;49(5):864–868.
Cauley CE, Pitt HA, Ziegler KM, Nakeeb A, Schmidt CM, Zyromski NJ, House MG, Lillemoe KD. Pancreatic Enucleation: Improved Outcomes Compared to Resection. J Gastrointest Surg 2012;16(7):1347–1353.
Zureikat AH, Moser AJ, Boone BA, Bartlett DL, Zenati M, Zeh HJ III. 250 robotic pancreatic resections: safety and feasibility. Ann Surg 2013;258(4):554.
Shi Y, Peng C, Shen B, Deng X, Jin J, Wu Z, Zhan Q, Li H. Pancreatic enucleation using the da Vinci robotic surgical system: a report of 26 cases. The Int J Med Rob Comput Assisted Surg 2016;12(4):751–757.
Author information
Authors and Affiliations
Contributions
Dr. Jae Uk Chong: Data acquisition, analysis and interpretation, drafting and revising of the manuscript, final approval for publication, accountable for all aspects of the work
Dr. Chang Moo Kang: Conception and design of the study, interpretation of data, critical revision of manuscript, final approval for publication, accountable for all aspects of the work
Corresponding author
Ethics declarations
Conflict of Interest
The authors declare that they have no conflicts of interest.
Additional information
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Electronic supplementary material
ESM 1
(WMV 116941 kb)
Rights and permissions
About this article
Cite this article
Chong, J.U., Kang, C.M. Robotic Single-Site Plus One Port: Pancreas Enucleation. J Gastrointest Surg 23, 1527–1528 (2019). https://doi.org/10.1007/s11605-019-04183-3
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11605-019-04183-3