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Totally Robotic Distal Pancreatectomy with Preservation of Spleen and Splenic Vessels
After the induction of general anaesthesia, the patient was placed in right lateral decubitus, flexed at the waist. An “open” left subcostal access was used to introduce a 12 mm optical trocar. The abdomen was insufflated with CO 2 (12 mmHg). Under laparoscopic vision (0° scope) other 4 trocars were introduced: two 8 mm left subcostal trocars for robotic arms describing a semicircle around the left subcostal space with the previous introduced 12 mm optical trocar, one 5 mm and one 12 mm trocars for the first-assistant in a lower left subcostal position.
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