TY - JOUR
T1 - Robotic distal pancreatectomy for a neuroendocrine tumor in an 11-year-old child
AU - Nota, Carolijn L M A
AU - Oor, Jelmer E
AU - Vriens, Menno R
AU - Molenaar, IQ
N1 - Funding Information:
The authors like to thank drs. C.P. van de Ven (pediatric surgeon, Princess Maxima Center for Pediatric Oncology, Utrecht, The Netherlands) for his extensive advice.
Publisher Copyright:
© 2021
PY - 2021/9
Y1 - 2021/9
N2 - INTRODUCTION: Over the past decade, robotic pancreatic surgery has gained popularity. Although anatomically comparable, the small size of pediatric patients might impede the use of the surgical robot due to the size of the robotic arms. Pediatric pancreatic resection is rarely indicated, hence only few cases of pediatric robotic pancreatic resection have been described (Hagendoorn et al., 2018; Lalli Raj, 2019-4) [1,2]. To the best our knowledge, no video literature exists on robotic pediatric pancreatic tail resections. Aim of this video was to demonstrate the set-up and surgical technique of robotic distal pancreatectomy in a child.METHODS: This video illustrates fully robotic distal pancreatectomy in an eleven-year-old child. The patient had a past medical history of tuberous sclerosis complex. On surveillance imaging a non-functional neuroendocrine tumor was detected in the pancreatic tail for which a distal pancreatectomy was indicated.RESULTS: After general anesthesia, the patient was placed in supine position on a split-leg table in anti-Trendelenburg. Four robotic trocars were placed and the da Vinci Xi robotic system was docked. Two laparoscopic assistant ports were placed. A spleen-preserving distal pancreatectomy was performed. Postoperative recovery was unremarkable and the patient was discharged on postoperative day 6.CONCLUSION: This video illustrates robotic distal pancreatectomy in an eleven-year-old child. Meticulous port placement, adjusted to the patient's habitus, is an essential element.
AB - INTRODUCTION: Over the past decade, robotic pancreatic surgery has gained popularity. Although anatomically comparable, the small size of pediatric patients might impede the use of the surgical robot due to the size of the robotic arms. Pediatric pancreatic resection is rarely indicated, hence only few cases of pediatric robotic pancreatic resection have been described (Hagendoorn et al., 2018; Lalli Raj, 2019-4) [1,2]. To the best our knowledge, no video literature exists on robotic pediatric pancreatic tail resections. Aim of this video was to demonstrate the set-up and surgical technique of robotic distal pancreatectomy in a child.METHODS: This video illustrates fully robotic distal pancreatectomy in an eleven-year-old child. The patient had a past medical history of tuberous sclerosis complex. On surveillance imaging a non-functional neuroendocrine tumor was detected in the pancreatic tail for which a distal pancreatectomy was indicated.RESULTS: After general anesthesia, the patient was placed in supine position on a split-leg table in anti-Trendelenburg. Four robotic trocars were placed and the da Vinci Xi robotic system was docked. Two laparoscopic assistant ports were placed. A spleen-preserving distal pancreatectomy was performed. Postoperative recovery was unremarkable and the patient was discharged on postoperative day 6.CONCLUSION: This video illustrates robotic distal pancreatectomy in an eleven-year-old child. Meticulous port placement, adjusted to the patient's habitus, is an essential element.
KW - Minimally invasive surgery
KW - Neuroendocrine tumors
KW - Pancreatic resection
KW - Pediatric surgery
KW - Robotic surgery
UR - http://www.scopus.com/inward/record.url?scp=85105820265&partnerID=8YFLogxK
U2 - 10.1016/j.suronc.2021.101600
DO - 10.1016/j.suronc.2021.101600
M3 - Article
C2 - 33992898
SN - 0960-7404
VL - 38
SP - 1
EP - 2
JO - Surgical Oncology
JF - Surgical Oncology
M1 - 101600
ER -