First robotic pylorus preserving pancreaticoduodenectomy for Frantz's tumour in an adolescent girl

Abstract

Solid pseudopapillary tumour (SPT) is one of the uncommon benign cystic neoplasms of pancreas occurring predominantly in young females. Being benign in nature, surgical resection is the treatment of choice with excellent 5-year survival. A 14-year-old girl presented with pain abdomen for 1 week. On evaluation, she was found to have a large SPT involving head and uncinate process of Pancreas She underwent robotic pylorus preserving pancreaticoduodenectomy (R-PPPD) with da Vinci® Si Robotic System (Intuitive Surgical, Sunnyvale, CA, USA). The total operating time was 480 min. Her postoperative recovery was uneventful and she was discharged on postoperative day 6.In the era of minimally invasive surgery, robotic pancreatic resection and reconstruction are becoming more acceptable. Although the operating domain is small in younger age group, the precise movement of robotic arm and high quality magnified three-dimensional view allows the surgeons to perform PPPD on younger patients also. Young female patients suffering from SPTs can electively undergo R-PPPD with minimal morbidity and mortality. R-PPPD can become the treatment of choice for SPTs involving pancreatic head region even in paediatric and adolescent age group.

Case Report: Robotic pylorus-preserving pancreatoduodenectomy for periampullary rhabdomyosarcoma in a 3-year-old patient

“…Robotic PD in adults has been reported to have better efficacy and safety ( 3 , 25 , 33 , 34 ). Despite the reported advantages of robotic surgery, this approach is rarely used in pediatric surgery with only a few published reports ( 7 – 9 ). Our patient recovered well without complications, which proves robotic PD in pediatric patients to be safe and effective.…”

“…Parallel to the development of surgical instruments and the introduction of minimally invasive surgery, laparoscopic and robotic PD has become a common procedure and has been reported to have better clinical outcomes compared with open surgery (3)(4)(5)(6). However, laparoscopic and robotic PD for pediatric patients has only been sporadically reported in the literature (7)(8)(9). Here, we report the case of a 3-year-old patient with periampullary rhabdomyosarcoma treated with robotic pyloruspreserving pancreatoduodenectomy (PPPD) and share our experience with this procedure in pediatric patients.…”