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.

RELATED CATEGORIES: HEPATO-PANCREATO-BILIARY | LIVER | ROBOTIC

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