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Robotic Distal Splenopancreatectomy: Bridging the Gap Between Pancreatic and Minimal Access Surgery

  • How I do it
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Journal of Gastrointestinal Surgery

Abstract

Introduction

Almost 10 years have passed since computer-aided, most commonly known as robotic surgery, has emerged gaining slowly but steadily its place within minimally invasive surgical procedures. Nevertheless, pancreatic surgeons only recently have started incorporating it into current practice.

Methods

In this ‘how I do it’ article, we describe our method for robotic distal splenopancreatectomy, focusing on its technical advantages, as well as its drawbacks. Furthermore, we describe some pitfalls commonly encountered during the procedure and we propose ways to avoid them.

Conclusion

Pancreatic robotic-assisted surgery is offering many practical advantages over the “classic” laparoscopic approach. Even though a difficult procedure to master, it may have the potential to establish the concept of minimally invasive surgery in areas where it is nonexistent as in pancreatic surgery.

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References

  1. Melvin WS. Minimally invasive pancreatic surgery. Am J Surg 2003;186:274–278.

    Article  PubMed  Google Scholar 

  2. Dulucq JL, Wintringer P, Mahajna A. Laparoscopic pancreaticoduodenectomy for benign and malignant diseases. Surg Endosc 2006;20:1045–1050.

    Article  CAS  PubMed  Google Scholar 

  3. Giulianotti PC, Coratti A, Angelini M, Sbrana F, Cecconi S, Balestracci T, et al. Robotics in general surgery: personal experience in a large community hospital. Arch Surg 2003;138:777–784.

    Article  PubMed  Google Scholar 

  4. Melvin WS, Needleman BJ, Krause KR, Ellison EC. Robotic resection of pancreatic neuroendocrine tumor. J Laparoendosc Adv Surg Tech A 2003;13:33–36.

    Article  CAS  PubMed  Google Scholar 

  5. Corcione F, Marzano E, Cuccurullo D, Caracino V, Pirozzi F, Settembre A. Distal pancreas surgery: outcome for 19 cases managed with a laparoscopic approach. Surg Endosc 2006;20:1729–1732.

    Article  CAS  PubMed  Google Scholar 

  6. Khanna A, Koniaris LG, Nakeeb A, Schoeniger LO. Laparoscopic spleen-preserving distal pancreatectomy. J Gastrointest Surg 2005;9:733–738.

    Article  PubMed  Google Scholar 

  7. Borja-Cacho D, Al-Refaie WB, Vickers SM, Tuttle TM, Jensen EH. Laparoscopic distal pancreatectomy. J Am Coll Surg 2009;209:758–765; quiz 800.

    Article  PubMed  Google Scholar 

  8. Giulianotti PC, Sbrana F, Bianco FM, Elli EF, Shah G, Addeo P, et al. Robot-assisted laparoscopic pancreatic surgery: single-surgeon experience. Surg Endosc.

  9. Palep JH. Robotic assisted minimally invasive surgery. J Minim Access Surg 2009;5:1–7.

    Article  PubMed  Google Scholar 

  10. Machado MA, Makdissi FF, Surjan RC, Abdalla RZ. Robotic resection of intraductal neoplasm of the pancreas. J Laparoendosc Adv Surg Tech A 2009;19:771–775.

    Article  PubMed  Google Scholar 

  11. Vasilescu C, Sgarbura O, Tudor S, Herlea V, Popescu I. Robotic spleen-preserving distal pancreatectomy. A case report. Acta Chir Belg 2009;109:396–399.

    CAS  PubMed  Google Scholar 

Download references

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Correspondence to Patrick Pessaux.

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The authors indicated no potential conflicts of interest.

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Ntourakis, D., Marzano, E., Lopez Penza, P.A. et al. Robotic Distal Splenopancreatectomy: Bridging the Gap Between Pancreatic and Minimal Access Surgery. J Gastrointest Surg 14, 1326–1330 (2010). https://doi.org/10.1007/s11605-010-1214-y

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  • DOI: https://doi.org/10.1007/s11605-010-1214-y

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