Robotic-assisted minimally invasive central pancreatectomy: technique and outcomes.

Published

Journal Article

Central pancreatectomy is a definitive treatment for low-grade tumors of the pancreatic neck that preserves pancreatic and splenic function at the potential expense of postoperative pancreatic fistula. We analyzed outcomes after robot-assisted central pancreatectomy (RACP) to reexamine the risk-benefit profile in the era of minimally invasive surgery.Retrospective analysis of nine RACP performed between August 2009 through June 2010 at a single institution.The average age of the cohort was 64 (range 18-75 years) with six women (67 %). Indications for surgery included: five benign cystic neoplasm and four pancreatic neuroendocrine tumor. Median operative time was 425 min (range 305-506 min) with 190 ml median blood loss (range 50-350 ml) and one conversion to open due to poor visualization. Median tumor size was 3.0 cm (range 1.9-6.0 cm); all patients achieved R0 status. Pancreaticogastrostomy was performed in seven cases and pancreaticojejunostomy in two. The median length of hospital stay was 10 days (range 7-19). Two clinically significant pancreatic fistulae occurred with one requiring percutaneous drainage. No patients exhibited worsening diabetes or exocrine insufficiency at the 30-day postoperative visit.RACP can be performed with safety and oncologic outcomes equivalent to published open series. Although the rate of pancreatic fistula was high, only 22 % had clinically significant events, and none developed worsening pancreatic endocrine or exocrine dysfunction.

Full Text

Duke Authors

Cited Authors

  • Abood, GJ; Can, MF; Daouadi, M; Huss, HT; Steve, JY; Ramalingam, L; Stang, M; Bartlett, DL; Zeh, HJ; Moser, AJ

Published Date

  • May 2013

Published In

Volume / Issue

  • 17 / 5

Start / End Page

  • 1002 - 1008

PubMed ID

  • 23325340

Pubmed Central ID

  • 23325340

Electronic International Standard Serial Number (EISSN)

  • 1873-4626

International Standard Serial Number (ISSN)

  • 1091-255X

Digital Object Identifier (DOI)

  • 10.1007/s11605-012-2137-6

Language

  • eng