SSAT - Robotic Assisted Laparoscopic Central Pancreatectomy With Roux-en-Y Pancreaticojejunostomy for Pancreatic Neuroendocrine Tumor

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Robotic Assisted Laparoscopic Central Pancreatectomy With Roux-en-Y Pancreaticojejunostomy for Pancreatic Neuroendocrine Tumor
Alfredo D. Guerron^*, John H. Rodriguez, Kevin M. El-Hayek, Matthew Walsh
General Surgery, Cleveland Clinic, Cleveland, OH

INTRO
Pancreas neuroendocrine tumors (PNET) with pancreatic duct (PD) involvement present the challenge of clearing the surgical margin.
CASE
53 y/o M found to have an incidental pancreatic mass on CT. EUS with FNA showed PNET. MRI revealed a neck cystic mass in proximity to PD.
METHODS
We used five ports and a liver retractor. Linear stapler was used to transect the proximal pancreas. A 60 cm Roux limb was fashioned and a jejunojejunostomy was performed laparoscopically. The robot was docked and an end to side pancreaticojejunostomy performed using a Blumgart technique.
CONCLUSION
Robot assisted laparoscopic procedures can be performed with safety following oncologic principles.

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