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 cm. 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.