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Robotic Central Pancreatectomy with Roux-en-Y Pancreaticojejunostomy
Published on: November 20, 2021
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Robotic central pancreatectomy: a surgical technique
Eui Hyuk Chong1, Jae Young Jang1, Sung Hoon Choi1
1Division of Hepatobiliary and Pancreas, Department of Surgery, CHA Bundang Medical Center, CHA University, Seongnam, Korea.
Journal of Minimally Invasive Surgery
|September 15, 2023
Summary
Robotic central pancreatectomy is a viable surgical option for pancreatic neck tumors. This technique demonstrated acceptable complications and preserved pancreatic function in a small case series.
Area of Science:
- Surgical Oncology
- Minimally Invasive Surgery
- Gastroenterology
Background:
- Robotic central pancreatectomy is infrequently performed due to technical challenges and perceived high complication rates.
- Indications for this procedure are rare, often involving tumors in the pancreatic neck or proximal body.
Purpose of the Study:
- To present a technique for robotic central pancreatectomy.
- To evaluate perioperative and follow-up outcomes in a series of patients undergoing this procedure.
Main Methods:
- A retrospective review of six robotic central pancreatectomy cases performed between May 2016 and June 2021.
- Detailed description of the surgical technique and analysis of patient outcomes, including complications and functional preservation.
Main Results:
- All patients achieved negative resection margins.
- One patient experienced a grade B pancreatic fistula managed endoscopically; all others had biochemical leakage.
- No new-onset diabetes mellitus or tumor recurrence was observed during a median follow-up of 13.5 months.
Conclusions:
- Robotic central pancreatectomy can be performed with acceptable complication rates.
- The procedure preserves pancreatic function and achieves oncologic safety.
- It represents a potentially beneficial surgical option for selected patients with benign or borderline malignant tumors of the pancreatic neck/proximal body.
