Robotic Single-Site Plus One Port: Pancreas Enucleation.

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 cm3 . 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.