Robotic Extended Ultrasound-Guided Distal Pancreatectomy for Pancreatic Metastases from Uveal Melanoma.

Journal: Annals of surgical oncology
Published Date:

Abstract

BACKGROUND: Isolated pancreatic metastasis from melanoma is extremely uncommon and accounts for approximately only 2% of visceral disseminations of melanoma. Interestingly, pancreatic localizations disproportionately derive from primary ocular melanoma. Despite the currently available evidence on this argument being scarce, the survival outcomes of patients receiving resection for visceral melanoma metastases are reported to be superior than those managed by non-surgical modalities. CASE PRESENTATION: A 59-year-old female with a history of uveal melanoma presented with surveillance-detected metastatic disease confined to the pancreas. Computed tomography demonstrated one lesion located in the body of the pancreas and one further lesion in the head. The presented video illustrates the details of an extended, ultrasound-guided, robotic distal pancreatectomy.

Authors

  • Francesco Guerra
    Dipartimento di Fisica, Sapienza Università di Roma, P.le A. Moro 2, 00185, Roma, Italy; Istituto Nazionale di Fisica Nucleare, Sezione di Roma, Roma, Italy.
  • Ubaldo Marra
    USL Toscana Sud Est, Grosseto, Italy.
  • Giuseppe Giuliani
    Department of General and Minimally-invasive Surgery, International School of Robotic Surgery, Misericordia Hospital, Grosseto, Italy.
  • Andrea Coratti