SSAT - PUSHING THE BOUNDARIES OF ROBOTIC SURGERY: TWO CASES OF SPLENORENAL SHUNT IN PEDIATRIC PATIENTS

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PUSHING THE BOUNDARIES OF ROBOTIC SURGERY: TWO CASES OF SPLENORENAL SHUNT IN PEDIATRIC PATIENTS
Erin M. Duggan^*, Nathaly Llore, Alexis Schiazza, Steven Lobritto, Mercedes Martinez, Jean Emond, Tomoaki Kato, Jason Hawksworth
Transplant Surgery, New York-Presbyterian/Columbia University Irving Medical Center, New York, NY

Surgical shunts are indicated for non-cirrhotic portal hypertension with refractory variceal bleeding. They are typically performed open with LOS of 1-2 weeks. We performed robotic distal splenorenal shunts in 2 patients, ages 3(13.9kg) and 14(56.2kg). 4 8mm robotic trochars were used. The splenic vein was dissected out beneath the inferior border of the pancreas. Vascular control of the L renal vein and the proximal splenic vein was obtained, the distal splenic vein was clipped and divided, and an end-to-side anastomosis created using fine maxon. Flows were measured. Patients were discharged POD 2-3 on prophylactic anticoagulation. There were no conversions to open or complications at >45d.

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