Robot-assisted lateral pancreaticojejunostomy in a patient with chronic pancreatitis and history of liver transplantation

Abstract

A 52-year-old female patient with a history of liver transplantation due to alcoholic liver cirrhosis presented with persistent post-prandial pain, leading to substantial weight loss of 16 kg. The findings of contrast-enhanced computed tomography were consistent with the diagnosis of chronic pancreatitis, and endoscopic treatment provided no functional improvement. The patient was scheduled for a robot-assisted lateral pancreaticojejunostomy which was performed after initial lysis of adhesions from her prior liver transplantation. The procedure was completed safely using the robotic da Vinci Xi platform in 180 min, with an estimated blood loss of 300 mL. During the post-operative course, anaemia was noted and treated with a blood transfusion, and the patient was discharged on the post-operative day 4. The patient fully recovered without post-prandial pain and began regaining weight 1 month after the procedure. To the best of our knowledge, this is the first report of a successful robot-assisted lateral pancreaticojejunostomy following prior liver transplantation.