Abstract:

Objective

To investigate the application of da Vinci robot-assisted local resection of pancreatic head tumor plus end-to end pancreas anastomosis in the treatment of cystic pancreatic head tumor，and the prognostic advantages of traditional operations compared with pancreaticoduodenectomy.

Methods

The patient was diagnosed with cystic tumor of the head of pancreas in Panzhihua Central Hospital，combined with relevant literature，and fully communicated with the patient′s family，and underwent da Vinci robotassisted local resection of the head of pancreas tumor plus end-to-end pancreatic anastomosis.

Results

The patient recovered smoothly after surgery，and the postoperative pathology proved that the pancreatic head tumor was intraductal papillary mucous tumor with focal high-grade intraepithelial neoplasia. After surgery，the patient did not develop grade A or B pancreatic fistula，biliary fistula or infection，and was given symptomatic supportive treatment such as anti-inflammatory，inhibition of pancreatic enzyme secretion，and fluid rehydration. He was discharged 10 days after surgery，and the pancreatic duct was pulled out under gastroscopy 2 months after surgery.

Conclusion

In the treatment of benign or low-grade pancreatic head tumors，da Vinci robot-assisted local resection of pancreatic head tumor plus end-to-end pancreatic anastomosis has the advantages of less trauma，faster postoperative recovery and higher quality of life，and has certain advantages over traditional operations such as pancreaticoduodenectomy.

Key words: Pancreatic head tumor, local excision, Pancreatic duct repair, Pancreas anastomosis end to end