Introduction : Central pancreatectomy is a parenchyma-sparing procedure that can be utilized in the resection of tumors of the neck or the proximal body of the pancreas. Despite of the benefit of CP, the complexity of pancreatic surgery has made it difficult to introduce laparoscopic or roboric surgery in this field. In this article, we descirbe a totally robotic central pancreatectomy (RCP) performed to the patient with benign central pancreatic tumor.

Methods : A 43 years old woman had intraductal papillary mucinous neoplasm in the body of pancreas. She had no medical illness. Tumor size was 2.0 cm. All surgical procedures including central pancreatectomy and reconstruction were performed by using the da Vinci?Surgical System (Intuitive Surgical, Sunnyvale, CA). We performed the pancreaticojejunostomy using a dunking technique for panceraticoenteric reconstruction to the distal stump.

Results : The operative time was 510 minutes and console time was 480 minutes. It took 90 minutes to perform the pancreaticojejunostomy. The blood loss was 120 mL. A postoperative pancreatic fistula (grade A) was developed at the pancreas head stump, which was managed conservatively. The postoperative hospital stay was 14 days.

Conclusions : RCP enables the secure pancreaticojejunostomy compared with laparoscopic surgery. Therfore, RCP is a feasible and useful technique for the removal of benign central pancreatic tumors.