Robot-Assisted Distal Pancreatectomy for Solid Pseudopapillary Neoplasm of Pancreas

Distal pancreatectomy is the standard surgical approach for lesions located in the body and tail of the pancreas. Minimally invasive techniques, including laparoscopic and robotic approaches, have been increasingly adopted. We report a case of robot-assisted distal pancreatectomy with splenectomy performed using the Da Vinci Xi platform in a 40-year-old female patient with a solid pseudopapillary neoplasm. The operative time was 340 minutes, the intraoperative blood loss was 150 mL, and the console time was 236 minutes. The postoperative course was complicated by a clinically relevant type B pancreatic fistula, which was managed conservatively. This case demonstrates the feasibility of robotic distal pancreatectomy, even during the initial learning phase, when performed in appropriately selected patients.