Featured Research

from universities, journals, and other organizations

First robot-assisted distal pancreatectomy performed

Date:
July 5, 2012
Source:
Thomas Jefferson University
Summary:
Minimally invasive procedure to remove part of pancreas offers a shorter hospital stay and faster recovery.

Eugene Allen, a retired police officer and teacher from Sicklerville, N.J., had a decision to make in February, after an MRI revealed a precancerous cyst in his pancreas. It had to be removed, but the question was how?

The active 60-year-old wanted to get back to the long walks with his dog and taking care of his in ground pool. He could go the traditional surgery route to remove the cyst or he could be the first patient at Thomas Jefferson University Hospital to have a surgeon perform a distal pancreatectomy and splenectomy with the da Vinci robot.

"It was a no-brainer," says Allen, whose surgeon Harish Lavu, M.D., FACS, an assistant professor in the Department of Surgery, performed the procedure in late March. "I wanted to get back to my life as quickly as possible. It was no doubt the right choice because the recovery time was cut in half."

A distal pancreatectomy, often used to treat pancreatic tumors and cysts, is a procedure in which the body and tail of the pancreas are removed, usually along with the entire spleen.

Allen could have undergone open surgery, which would have removed the cyst just as successfully, but it would have required a larger incision and longer recovery.

"This procedure is opening up doors in different ways," said Dr. Lavu. "It's making it easier on the patient because it offers up shorter hospital stays, less risk of infection and less scarring and bleeding. Most importantly, it gets the patients back to their daily activity quicker."

Only a few centers in the United States have performed a robot-assisted distal pancreatectomy.

With the robotic arms, a surgeon can perform delicate operations through tiny incisions, which are used to introduce miniaturized wristed instruments to remove the cysts or tumors and a high-definition 3-D camera to view a magnified image of the surgical site, enhancing visualization.

In Allen's case, the procedure, in which Dr. Lavu took 40 percent of his pancreas, was a preventative measure, removing a precancerous cyst that could have developed into a tumor. That cyst was found by his urologist after he had bladder stone surgery last October. His doctor then ordered an MRI and CT scan to get a better look. The tests later revealed the cyst, so he came to the Jefferson Pancreatic, Biliary and Related Cancer Center to see a surgeon.

Surgeons at the Center have extensive experience in performing pancreatic and related surgeries, the success of which clinical studies have shown is significantly improved when performed at high-volume centers such as Jefferson.

In a typical year, Jefferson surgeons perform over 200 pancreatic resections, including more than 120 pancreaticoduodenectomies -- commonly referred to as Whipple procedures -- and dozens of distal and central pancreatectomies.

Cysts can be benign, precancerous or cancer, but all represent a red flag. Catching any suspicious activity early increases the patient's chances of preventing any pancreatic cancer that may occur.

"These are the patients we can cure of pancreatic cancer," said Dr. Lavu. "The average age for pancreatic cancer diagnosis is 65, so catching this cyst and removing it at age 60, like in Allen's case, is pivotal. We removed that cyst before it had a chance to develop into anything more."

About 80 percent of diagnoses of pancreatic cancer are patients whose disease has progressed into the advanced stages, making it more difficult to treat. The remaining 20 percent of people who are diagnosed early with some form of pancreatic cancer are candidates for surgery.


Story Source:

The above story is based on materials provided by Thomas Jefferson University. Note: Materials may be edited for content and length.


Cite This Page:

Thomas Jefferson University. "First robot-assisted distal pancreatectomy performed." ScienceDaily. ScienceDaily, 5 July 2012. <www.sciencedaily.com/releases/2012/07/120705171942.htm>.
Thomas Jefferson University. (2012, July 5). First robot-assisted distal pancreatectomy performed. ScienceDaily. Retrieved October 20, 2014 from www.sciencedaily.com/releases/2012/07/120705171942.htm
Thomas Jefferson University. "First robot-assisted distal pancreatectomy performed." ScienceDaily. www.sciencedaily.com/releases/2012/07/120705171942.htm (accessed October 20, 2014).

Share This



More Health & Medicine News

Monday, October 20, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

How Nigeria Beat Its Ebola Outbreak

How Nigeria Beat Its Ebola Outbreak

Newsy (Oct. 20, 2014) The World Health Organization has declared Nigeria free of Ebola. Health experts credit a bit of luck and the government's initial response. Video provided by Newsy
Powered by NewsLook.com
Another Study Suggests Viagra Is Good For The Heart

Another Study Suggests Viagra Is Good For The Heart

Newsy (Oct. 20, 2014) An ingredient in erectile-dysfunction medications such as Viagra could improve heart function. Perhaps not surprising, given Viagra's history. Video provided by Newsy
Powered by NewsLook.com
Ebola Worries End for Dozens on U.S. Watch Lists

Ebola Worries End for Dozens on U.S. Watch Lists

Reuters - US Online Video (Oct. 20, 2014) Forty-three people who had contact with Thomas Eric Duncan, the first person diagnosed with Ebola in the U.S., were cleared overnight of twice-daily monitoring after 21 days of showing no symptoms. Rough Cut (no reporter narration). Video provided by Reuters
Powered by NewsLook.com
CDC Calls for New Ebola Safety Guidelines

CDC Calls for New Ebola Safety Guidelines

AP (Oct. 20, 2014) Centers for Disease Control and Prevention Director Dr. Tom Frieden laid out new guidelines for health care workers when dealing with the deadly Ebola virus including new precautions when taking off personal protective equipment. (Oct. 20) Video provided by AP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins