Pylorus and spleen preserving robotic total pancreatectomy

doi:10.3877/cma.j.issn.1674-6899.2016.04.013

Abstract

Abstract:

Objective

To evaluate the feasibility and safety of pylorus and spleen preserving robotic total pancreatectomy.

Methods

One patient undergoing pylorus and spleen preserving robotic total pancreatectomy for pancreatic multipleglucagonomain Aug. 2015 was studied, perioperative and follow-up data were collected.

Results

The operation was completed uneventfully, the operation time was 430 min, estimated blood loss was 100 ml, no perioperative complications were observed and length of hospital stay was 7 days, the blood glucose was range from 6-12 mmol/L during 6 months follow-up.

Conclusions

Pylorus and spleen preserving robotic total pancreatectomy is feasible and safe under the skilled laparoscopic surgeon.

Key words: Robotic surgery, Total pancreatectomy, Pylorus and spleen preserving

Yongbin Li, Yunqiang Cai, Xin Wang, Lingwei Meng, Pan Gao, He Cai, Bing Peng. Pylorus and spleen preserving robotic total pancreatectomy[J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2016, 09(04): 239-242.

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URL: https://zhqjwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-6899.2016.04.013

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Figures/Tables 4

References 17

1	Winter JM, Cameron JL, Campbell KA, et al. 1 423 pancreaticoduodenectomies for pancreatic cancer: a single-institution experience [J]. Journal of Gastrointestinal Surgery, 2006, 10 (9): 1199-1211.
2	Croome KP, Farnell MB, Que FG, et al. Total laparoscopic pancreaticoduodenectomy for pancreatic ductal adenocarcinoma: oncologic advantages over open approaches [J]. Annals of surgery, 2014, 260 (4): 633-640.
3	Melvin W, Needleman B, Krause K, et al. Computer-enhanced robotic telesurgery [J]. Surgical Endoscopy And Other Interventional Techniques, 2002, 16 (12): 1790-1792.
4	Zureikat AH, Moser AJ, Boone BA, et al. 250 robotic pancreatic resections: safety and feasibility [J]. Annals of surgery, 2013, 258 (4): 554-565.
5	Giulianotti PC, Sbrana F, Bianco FM, et al. Robot-assisted laparoscopic pancreatic surgery: single-surgeon experience [J]. Surgical endoscopy, 2010, 24 (7): 1646-1657.
6	Wang M, Zhang H, Wu Z, et al. Laparoscopic pancreaticoduodenectomy: single-surgeon experience [J]. Surgical endoscopy, 2015, 29 (12): 3783-3794.
7	Kimura W, Inoue T, Futakawa N, et al. Spleen-preserving distal pancreatectomy with conservation of the splenic artery and vein [J]. Surgery, 1996, 120 (5): 885-890.
8	Hartwig W, Gluth A, Hinz U, et al. Total pancreatectomy for primary pancreatic neoplasms: renaissance of an unpopular operation [J]. Annals of surgery, 2015, 261 (3): 537-546.
9	Stauffer JA, Asbun HJ. Minimally invasive pancreatic surgery [J]. Seminars in oncology, 2015, 42 (1): 123-133.
10	Chastain MA. The glucagonoma syndrome: a review of its features and discussion of new perspectives [J]. The American journal of the medical sciences, 2001, 321 (5): 306-320.
11	李永彬，王昕，王明俊，等. 腹腔镜与开腹手术影响胰十二指肠切除术后胃排空延迟的对比研究 [J]. 中华外科杂志，2013, 51 (4): 304-307.
12	张华，彭兵. 腹腔镜保留幽门及脾的全胰切除术1例 [J/CD]. 中华腔镜外科杂志：电子版，2015, 8 (2): 142-144.
13	Zureikat AH, Nguyen T, Boone BA, et al. Robotic total pancreatectomy with or without autologous islet cell transplantation: replication of an open technique through a minimal access approach [J]. Surgical endoscopy, 2015, 29 (1): 176-183.
14	Diener MK, Knaebel HP, Heukaufer C, et al.A systematic review and meta-analysis of pylorus-preserving versus classical pancreaticoduodenectomy for surgical treatment of periampullary and pancreatic carcinoma [J]. Annals of surgery, 2007, 245 (2): 187-200.
15	Giulianotti PC, Addeo P, Buchs NC, et al. Early experience with robotic total pancreatectomy [J]. Pancreas, 2011, 40 (2): 311-313.
16	Kristinsson SY, Gridley G, Hoover RN, et al. Long-term risks after splenectomy among 8 149 cancer-free us veterans: a cohort study with up to 27 years follow-up [J]. Haematologica, 2013, 99 (2): 392-398.
17	Wang X, Wang M, Zhang H, et al. Laparoscopic partial splenectomy is safe and effective in patients with focal benign splenic lesion [J]. Surgical endoscopy, 2014, 28 (12): 3273-3278.

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