ROBOTIC DISTAL PANCREATECTOMY
with Islet Auto-Transplant
00:08 Introduction
02:26 Patient setup
02:57 Mobilization
03:28 Pancreas tail resection
04:25 Backbench dissection & Islet cell processing
04:54 Islet cell infusion
05:56 Open setup infusion
06:46 Closure
Case Description
- The patient was a 56 year old woman diagnosed with pancreatic cyst.
- A robotic distal pancreatectomy and islet auto-transplant procedure was planned.
- The GI tract and bile duct were unaffected and preserved.
- The splenic artery, splenic vein, gastric arteries, and IMV were divided.
- The pancreas was divided to the left of the portal vein.
- The pancreas tail, containing the cyst, and spleen were removed through a small midline incision.
- The midline incision can be as small as 3cm for most cases, in this case, it was only slightly longer.
- Following removal, the pancreas was dissected on a backbench, and taken to the cell lab for pancreatic islet cell processing.
- Purified islet cells were collected in an infusion bag, and infused through a portal vein catheter to take up residence in the liver.
- Post-operatively the islets establish vascular connections in the liver sinusoid, and will start to produce and release insulin.