# 209 Robotic pancreatic tail resection Kimura procedure- Dr. George van der Schelling
This is one of the 2023 KS International Innovation Awards videos selected for inclusion in the Vattikuti Foundation – ORSI Humans on the Cutting Edge of Robotic Surgery Conference, October 6, 7 & 8, 2023 in Ghent, Belgium. Posting does not imply that is has been selected as a Finalist, just that the content will be discussed at the Conference.
Amphia Hospital Breda (affiliated with Erasmus University Hospital Rotterdam) The Netherlands
For pre-malignant disease of the pancreatic tail a vessel sparing procedure, leaving the splenic artery and vein in situ, is the preferred operation. In open and laparoscopic surgery, the small vessels from the splenic artery and vein are often disrupted during dissection, leading to difficult controlled bleeding and blurring of the operating field. In this circumstance the operation is usually converted and can eventually lead to an unintended splenectomy. The robotic platform gives a unique opportunity to do this complex procedure and selectively controlling these small vessels, leaving the main blood supply to the spleen intact. This video shows such a procedure in a male patient with an Intraductal Papillary Mucinous Neoplasm (IPMN).