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Robot-assisted spleen-preserving laparoscopic distal pancreatectomy

Authors
 Sung Hoon Choi  ;  Chang Moo Kang  ;  Woo Jung Lee  ;  Hoon Sang Chi 
Citation
 Annals of Surgical Oncology, Vol.18(13) : 3623-3623, 2011 
Journal Title
 Annals of Surgical Oncology 
ISSN
 1068-9265 
Issue Date
2011
Abstract
BACKGROUND: Spleen-preserving laparoscopic distal pancreatectomy would be an ideal approach for benign and borderline malignant tumors in the distal pancreas.1 However, this procedure requires advanced surgical experience and technique because of the disadvantages of conventional laparoscopic surgery.2 METHODS: A 35-year-old female patient visited our institution because of a growing pancreatic mass during follow-up. A preoperative image study showed a cystic tumor of about 3.0 × 2.5 cm in size in the body of the pancreas. Under the impression of a growing serous cystic tumor of the pancreas, she was scheduled to undergo robot-assisted spleen-preserving laparoscopic distal pancreatectomy. RESULTS: Under general anesthesia, the patient was placed in the supine position with her head and left side elevated. A total of five ports were used. Among them, one 12-mm port was placed for the assistant surgeon's intervention during the procedure. Stable 3-dimensional operative image, endo-wrist function of the instruments, and no tremor were thought to be very helpful for fine dissection of the pancreas from splenic vessels. The total operation time was 300 min, and the estimated intraoperative blood loss was 380 ml. No transfusion was required. The patient's postoperative recovery was uneventful. She was able to go home on the 6th postoperative day without a drain. CONCLUSIONS: The unique characteristics of a robotic surgical system were thought to be very helpful during the spleen-preserving laparoscopic distal pancreatectomy.2 (-) 6 However, cost is one of the main obstacles for the procedure's popular clinical practice.2.
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/95328
DOI
10.1245/s10434-011-1816-y
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실)
Yonsei Authors
강창무(Kang, Chang Moo) ; 이우정(Lee, Woo Jung) ; 지훈상(Chi, Hoon Sang) ; 최성훈(Choi, Sung Hoon)
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Full Text
http://link.springer.com/article/10.1245%2Fs10434-011-1816-y
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