Robotic Single-Site Plus One Port

Pancreas Enucleation

Jae Uk Chong, ChangMoo Kang

Research output: Contribution to journalArticle

Abstract

Purpose: Laparoscopic approaches to enucleation of the pancreas have been frequently described. Here we present a case of robotic single-site plus one port pancreas enucleation. To our knowledge, this enucleation surgical technique is the first to be reported in the medical literature. Methods: A 46-year-old male patient without previous medical or surgical history was incidentally diagnosed with a pancreatic mass during evaluation of intermittent right flank pain. Robotic single-site plus one port pancreas enucleation was performed using the Da Vinci single-site surgical platform with one additional port on November 16, 2016. Usual robotic instruments such as hook, bipolar, and vessel sealer with endo-wrist function could be used to facilitate effective surgical procedure with the additional port. The resected specimen was delivered through the umbilicus and a drain was not inserted. Results: Total operation time was 124 min with total console time of 73 min. Estimated blood loss was 50 cm 3 . Final pathology result was neuroendocrine tumor, grade 1. The patient was discharged without any complications on postoperative day #4. Conclusions: Robotic single-site plus one port pancreas enucleation seems feasible with acceptable perioperative outcomes.

Original languageEnglish
JournalJournal of Gastrointestinal Surgery
DOIs
Publication statusPublished - 2019 Jan 1

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Robotics
Pancreas
Flank Pain
Umbilicus
Neuroendocrine Tumors
Wrist
History
Pathology

All Science Journal Classification (ASJC) codes

  • Surgery
  • Gastroenterology

Cite this

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title = "Robotic Single-Site Plus One Port: Pancreas Enucleation",
abstract = "Purpose: Laparoscopic approaches to enucleation of the pancreas have been frequently described. Here we present a case of robotic single-site plus one port pancreas enucleation. To our knowledge, this enucleation surgical technique is the first to be reported in the medical literature. Methods: A 46-year-old male patient without previous medical or surgical history was incidentally diagnosed with a pancreatic mass during evaluation of intermittent right flank pain. Robotic single-site plus one port pancreas enucleation was performed using the Da Vinci single-site surgical platform with one additional port on November 16, 2016. Usual robotic instruments such as hook, bipolar, and vessel sealer with endo-wrist function could be used to facilitate effective surgical procedure with the additional port. The resected specimen was delivered through the umbilicus and a drain was not inserted. Results: Total operation time was 124 min with total console time of 73 min. Estimated blood loss was 50 cm 3 . Final pathology result was neuroendocrine tumor, grade 1. The patient was discharged without any complications on postoperative day #4. Conclusions: Robotic single-site plus one port pancreas enucleation seems feasible with acceptable perioperative outcomes.",
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Robotic Single-Site Plus One Port : Pancreas Enucleation. / Chong, Jae Uk; Kang, ChangMoo.

In: Journal of Gastrointestinal Surgery, 01.01.2019.

Research output: Contribution to journalArticle

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AU - Chong, Jae Uk

AU - Kang, ChangMoo

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N2 - Purpose: Laparoscopic approaches to enucleation of the pancreas have been frequently described. Here we present a case of robotic single-site plus one port pancreas enucleation. To our knowledge, this enucleation surgical technique is the first to be reported in the medical literature. Methods: A 46-year-old male patient without previous medical or surgical history was incidentally diagnosed with a pancreatic mass during evaluation of intermittent right flank pain. Robotic single-site plus one port pancreas enucleation was performed using the Da Vinci single-site surgical platform with one additional port on November 16, 2016. Usual robotic instruments such as hook, bipolar, and vessel sealer with endo-wrist function could be used to facilitate effective surgical procedure with the additional port. The resected specimen was delivered through the umbilicus and a drain was not inserted. Results: Total operation time was 124 min with total console time of 73 min. Estimated blood loss was 50 cm 3 . Final pathology result was neuroendocrine tumor, grade 1. The patient was discharged without any complications on postoperative day #4. Conclusions: Robotic single-site plus one port pancreas enucleation seems feasible with acceptable perioperative outcomes.

AB - Purpose: Laparoscopic approaches to enucleation of the pancreas have been frequently described. Here we present a case of robotic single-site plus one port pancreas enucleation. To our knowledge, this enucleation surgical technique is the first to be reported in the medical literature. Methods: A 46-year-old male patient without previous medical or surgical history was incidentally diagnosed with a pancreatic mass during evaluation of intermittent right flank pain. Robotic single-site plus one port pancreas enucleation was performed using the Da Vinci single-site surgical platform with one additional port on November 16, 2016. Usual robotic instruments such as hook, bipolar, and vessel sealer with endo-wrist function could be used to facilitate effective surgical procedure with the additional port. The resected specimen was delivered through the umbilicus and a drain was not inserted. Results: Total operation time was 124 min with total console time of 73 min. Estimated blood loss was 50 cm 3 . Final pathology result was neuroendocrine tumor, grade 1. The patient was discharged without any complications on postoperative day #4. Conclusions: Robotic single-site plus one port pancreas enucleation seems feasible with acceptable perioperative outcomes.

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