ROBOTIC DISTAL PANCREATECTOMY WITH SPLEEN PRESERVING FOR INTRADUCTAL PAPILLARY MUCINOUS NEOPLASM (IPMN)

We present the case of a 67-year-old woman who had two IPMN in the pancreas body (4 and 2 cm) and underwent robotic distal pancreatectomy with spleen preservation. The video's goals are twofold: to demonstrate that, even in the absence of tactile sensation, haptic adaptations combined with a tridimensional view and articulated forceps favor spleen preservation due to possible vessel dissections. Nonetheless, the main meaningful goal is to approach the vessels safely with upfront vascular control and optimize the field exposition for occasional sutures in the event of inadvertent bleeding. The patient had no complications, and the pathology confirmed the presence of IPMNs with free margins.