Robotic pancreatic tumor enucleation by the double bipolar technique using the da Vinci SP system: An initial case report with a technical detail.
da Vinci SP
pancreatic neuroendocrine tumor
pancreatic tumor enucleation
single-port robotic surgery
Journal
Asian journal of endoscopic surgery
ISSN: 1758-5910
Titre abrégé: Asian J Endosc Surg
Pays: Japan
ID NLM: 101506753
Informations de publication
Date de publication:
11 Dec 2023
11 Dec 2023
Historique:
revised:
21
11
2023
received:
15
10
2023
accepted:
26
11
2023
medline:
12
12
2023
pubmed:
12
12
2023
entrez:
11
12
2023
Statut:
aheadofprint
Résumé
Pancreatic tumor enucleation is a procedure that can preserve pancreatic function and is sometimes performed using a minimally invasive approach. Recently, a single-port robotic platform called da Vinci SP has been developed. However, the technical details of pancreatic tumor enucleation using da Vinci SP have not been reported to date. We report a male patient in his 70s who underwent robotic SP pancreatic tumor enucleation for a pancreatic neuroendocrine tumor. The dissection between the tumor and pancreatic parenchyma was performed using the double bipolar technique. The operative time was 139 min, and the estimated blood loss was 4 mL. The patient had an uneventful recovery and was discharged on the sixth day after the surgery. Robotic SP pancreatic tumor enucleation appears to be a feasible procedure with lower invasiveness and better cosmesis.
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2023 The Authors. Asian Journal of Endoscopic Surgery published by Asia Endosurgery Task Force and Japan Society of Endoscopic Surgery and John Wiley & Sons Australia, Ltd.
Références
Hüttner FJ, Koessler-Ebs J, Hackert T, Ulrich A, Buchler MW, Diener MK. Meta-analysis of surgical outcome after enucleation versus standard resection for pancreatic neoplasms. Br J Surg. 2015;102(9):1026-1036.
Tsukayama H, Misawa T, Watanabe M, et al. Single-incision laparoscopic enucleation for pancreatic insulinoma with preoperative nasopancreatic stent placement: a case report. Int J Surg Case Rep. 2022;94:107115.
Shi Y, Peng C, Shen B, et al. Pancreatic enucleation using the da Vinci robotic surgical system: a report of 26 cases. Int J Med Robot. 2016;12(4):751-757.
Ore AS, Barrows CE, Solis-Velasco M, Shaker J, Moser AJ. Robotic enucleation of benign pancreatic tumors. J Vis Surg. 2017;3:151.
Garisto JD, Bertolo R, Kaouk J. Technique for docking and port placement using a purpose-built robotic system (SP1098) in human cadaver. Urology. 2018;119:91-96.
Suda K, Man IM, Ishida Y, Kawamura Y, Satoh S, Uyama I. Potential advantages of robotic radical gastrectomy for gastric adenocarcinoma in comparison with conventional laparoscopic approach: a single institutional retrospective comparative cohort study. Surg Endosc. 2015;29(3):673-685.
Pelosi MA, Pelosi MA 3rd. Laparoscopic supracervical hysterectomy using a single-umbilical puncture (mini-laparoscopy). J Reprod Med. 1992;37(9):777-784.
Salem JF, Agarwal S, Schoonyoung H, Martin C, Marks JH. Initial clinical experience with Single-Port robotic (SP r) left colectomy using the SP surgical system: description of the technique. Surg Endosc. 2021;35(7):4022-4027.
Park YM, Choi EC, Kim SH, Koh YW. Recent progress of robotic head and neck surgery using a flexible single port robotic system. J Robot Surg. 2022;16(2):353-360.
Liu R, Liu Q, Zhao G, Zhao Z, Li M, Gao Y. Single-port (SP) robotic pancreatic surgery using the da Vinci SP system: a retrospective study on prospectively collected data in a consecutive patient cohort. Int J Surg. 2022;104:106782.
Kim WJ, Park PJ, Choi SB, Kim WB. Case report of pure single-port robotic left lateral sectionectomy using the da Vinci SP system. Medicine (Baltimore). 2021;100(51):e28248.
Kaouk J, Chavali JS, Ferguson E, et al. Single port robotic kidney autotransplantation: initial case series and description of technique. Urology. 2023;176:87-93.
Choi YJ, Jo HS, Kim DS, Yu YD. Single-port robot plus one port (SP + 1) distal pancreatectomy using the new da Vinci SP system. Langenbecks Arch Surg. 2022;407(3):1271-1276.
Hijioka S, Hara K, Mizuno N, et al. Diagnostic performance and factors influencing the accuracy of EUS-FNA of pancreatic neuroendocrine neoplasms. J Gastroenterol. 2016;51(9):923-930.
Tacelli M, Petrone MC, Capurso G, et al. Diagnostic accuracy of EUS-FNA in the evaluation of pancreatic neuroendocrine neoplasms grading: possible clinical impact of misclassification. Endosc Ultrasound. 2021;10(5):372-380.