Robotic Spleen-preserving Distal Pancreatectomy for Solid Pseudopapillary Neoplasm

Topic: Robotics / Advanced Technologies Robotic spleen-preserving distal pancreatectomy for solid pseudopapillary neoplasm.. Andrea Romanzi, MD1, Raffaello Mancini, MD2, Tullio Picconi, MD2, Francesco Covotta3, Francesco Di Matteo3, Graziano Pernazza2. 1Università degli Studi dell'Insubria, 2AO San Giovanni Addolorata, 3Campus Biomedico - University of Rome Background: Pancreatic solid pseudopapillary neoplasm (SPN) is a rare entity with low malignant potential and excellent prognosis. Radical surgical excision is potentially curative, and intensive follow-up is recommended.  Methods: A 22-years-old Caucasian woman suffering from SPN of the pancreatic tail (45 × 47 mm in diameter) is presented. The patient underwent robotic spleen-preserving distal pancreatectomy. Intraoperative ultrasound (US) allowed to clearly identify the splenic vessels.  Results: Operating time was 240 mins. No bleeding or complication happend during the operation. The distal pancreatic duct was identified and closed. Postoperative course, following Enhanced Recovery After Surgery (ERAS) protocol, was uneventful.