Open AccessMultivisceral robotic resection: a glimpse into the future of minimally invasive abdominal surgery
Author(s) -
Anantha Shreepad Bhat,
Alexia Farrugia,
Gabriele Marangoni,
Jawad Ahmad
Publication year - 2020
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr-2020-234887
Subject(s) - medicine , splenectomy , pancreas , pancreatectomy , cholecystectomy , surgery , stomach , quadrant (abdomen) , microwave ablation , adjuvant chemotherapy , invasive surgery , resection , radiology , general surgery , percutaneous , spleen , cancer , breast cancer
A 62-year-old man was referred to the Hepato-Pancreato-Biliary (HPB) surgeons with left upper quadrant discomfort. The initial investigations and CT scans revealed a tumour in the pancreatic tail with liver metastases, confirmed on MRI. It was initially thought to be an adenocarcinoma; however, further investigations found that it was a grade 1 neuroendocrine tumour with Ki 67 at 1% and it was agreed that he would undergo a total robotic surgery involving resection of the locally advanced tumour of the tail of pancreas, with the involvement of the stomach, and splenic flexure of the colon with liver metastases. The resulting procedure was a total robotic distal pancreatectomy, splenectomy, sleeve resection of stomach, cholecystectomy, atypical resection of two liver lesions and microwave ablation of multiple liver lesions. Four days post-operatively, he was discharged from hospital and commenced adjuvant chemotherapy. He currently enjoys a good quality of life.