Robotic Resection of Pancreatic Neuroendocrine Tumor

Melvin, W. Scott; Needleman, Bradley J.; Krause, Kevin R.; Ellison, E. Christopher

doi:10.1089/109264203321235449

Cited by 164 publications

(78 citation statements)

References 3 publications

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“…The first robotic pancreatic resection was reported by Melvin et al in 2003. 5 Since then, only one article dealing directly with robotic-assisted pancreatic resection has been published in the English literature. 6 In this article, we report the detailed technique of a totally robotic subtotal pancreatectomy for intraductal neoplasm of the pancreas.…”

Section: Pancreatic Robotic Resectionmentioning

confidence: 99%

“…Robotic pancreatic resection is mentioned rarely in the English literature, with only four articles found dealing with this procedure. [5][6][7][8] Among them, there are two case reports, 5,6 two articles from the same group, 5,7 and only two dealing directly with this procedure and with a brief description of the technique. 5,6 There is a lack of technical description of this complex procedure.…”

Section: Introductionmentioning

confidence: 99%

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Robotic Resection of Intraductal Neoplasm of the Pancreas

Machado

Makdissi

Surjan

et al. 2009

Journal of Laparoendoscopic & Advanced Surgical Techniques

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Background: Minimally invasive techniques have been revolutionary and provide clinical evidence of decreased morbidity and comparable efficacy to traditional open surgery. Computer-assisted surgical devices have recently been approved for general surgical use. Aim: The aim of this study was to report the first known case of pancreatic resection with the use of a computerassisted, or robotic, surgical device in Latin America. Patient and Method: A 37-year-old female with a previous history of radical mastectomy for bilateral breast cancer due to a BRCA2 mutation presented with an acute pancreatitis episode. Radiologic investigation disclosed an intraductal pancreatic neoplasm located in the neck of the pancreas with atrophy of the body and tail. The main pancreatic duct was enlarged. The surgical decision was to perform a laparoscopic subtotal pancreatectomy, using the da Vinci Ò robotic system (Intuitive Surgical, Sunnyvale, CA). Five trocars were used. Pancreatic transection was achieved with vascular endoscopic stapler. The surgical specimen was removed without an additional incision. Results: Operative time was 240 minutes. Blood loss was minimal, and the patient did not receive a transfusion. The recovery was uneventful, and the patient was discharged on postoperative day 4. Conclusions: The subtotal laparoscopic pancreatic resection can safely be performed. The da Vinci robotic system allowed for technical refinements of laparoscopic pancreatic resection. Robotic assistance improved the dissection and control of major blood vessels due to three-dimensional visualization of the operative field and instruments with wrist-type end-effectors.

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Section: Pancreatic Robotic Resectionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Robotic Resection of Intraductal Neoplasm of the Pancreas

Machado

Makdissi

Surjan

et al. 2009

Journal of Laparoendoscopic & Advanced Surgical Techniques

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“…Giulianotti et al (7) published the first robotic pancreatic resection in Europe in 2003; in the same year, Melvin et al (8) described the first series of robotic pancreatic resection for neuroendocrine tumor in the United States. Since that time, studies have demonstrated that robotic PD (RPD) can be performed safely with low conversion rates, decreased morbidity and mortality, and a shorter hospital length of stay compared with open PD (OPD) (9)(10)(11).…”

Section: Introductionmentioning

confidence: 99%

Robotic pancreaticoduodenectomy

Sola¹,

Kirks²,

Iannitti³

et al. 2016

J. Vis. Surg.

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Pancreaticoduodenectomy (PD) is considered one of the most complex and technically challenging abdominal surgeries performed by general surgeons. With increasing use of minimally invasive surgery, this operation continues to be performed most commonly in an open fashion. Open PD (OPD) is characterized by high morbidity and mortality rates in published series. Since the early 2000s, use of robotics for PD has slowly evolved. For appropriately selected patients, robotic PD (RPD) has been shown to have less intraoperative blood loss, decreased morbidity and mortality, shorter hospital length of stay, and similar oncological outcomes compared with OPD. At our high-volume center, we have found lower complication rates for RPD along with no difference in total cost when compared with OPD. With demonstrated noninferior oncologic outcomes for RPD, the potential exists that RPD may be the future standard in surgical management for pancreatic disease. We present a case of a patient with a pancreatic head mass and describe our institution's surgical technique for RPD.

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“…40 Case series have been published on robotic pancreatectomy, pancreaticoduodenectomy and transaxillary thyroidectomy though none involved a comparison to open surgery. 39,[41][42][43] In colorectal surgery a small comparative trial of robotic versus laparoscopic total mesorectal excision for rectal cancer demonstrated a possible benefit of robotic surgery with a shorter length of hospital stay and similarly low complication rate between the two arms. 44 However robotic total colectomy is likely to be more difficult than conventional laparoscopic colectomy due to the need to access multiple quadrants of the abdomen during this procedure requiring redocking the robot mid-case.…”

Section: Applications In General Surgerymentioning

confidence: 99%

Robotic surgery: applications and cost effectiveness

Leddy¹,

Lendvay²,

Satava³

2010

OAS

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Robotic surgery has been embraced by many surgical specialties and is being incorporated into an ever growing number of surgical procedures within those specialties. The outcomes and cost data that are available varies greatly between fields. This review examines the history of robotic surgery, the advantages and disadvantages of this technology followed by the applications of robotic surgery in the fields of: urology, gynecology, pediatric surgery and general surgery. Finally, the cost data from the fields of urology and pediatric surgery are reviewed and used to create a model to evaluate the financial impact of a surgical robot on a hospital.

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Robotic Resection of Pancreatic Neuroendocrine Tumor

Cited by 164 publications

References 3 publications

Robotic Resection of Intraductal Neoplasm of the Pancreas

Robotic Resection of Intraductal Neoplasm of the Pancreas

Robotic pancreaticoduodenectomy

Robotic surgery: applications and cost effectiveness

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