Jung M K, Buchs N C, Azagury D E, Hagen M E, Morel P
Clinic for Visceral and Transplantation Surgery Department of Surgery University Hospital of Geneva Geneva, Switzerland -
Minerva Chir. 2013 Oct;68(5):489-97.
Although reported in the literature, conventional laparoscopic approach for distal pancreatectomy is still lacking widespread acceptance. This might be due to two-dimensional vision and decreased range of motion to reach and safely dissect this highly vascularized retroperitoneal organ by laparoscopy. However, interest in minimally invasive access is growing ever since and the robotic system could certainly help overcome limitations of the laparoscopic approach in the challenging domain of pancreatic resection, notably in distal pancreatectomy. Robotic distal pancreatectomy with and without spleen preservation has been reported with encouraging outcomes for benign and borderline malignant disease. As a result of upgraded endowristed manipulation and three-dimensional visualization, improved outcome might be expected with the launch of the robotic system in the procedure of distal pancreatectomy. Our aim was thus to extensively review the current literature of robot-assisted surgery for distal pancreatectomy and to evaluate advantages and possible limitations of the robotic approach.
尽管文献中有报道，但传统的腹腔镜下胰体尾切除术仍未被广泛接受。这可能是由于二维视野以及通过腹腔镜到达并安全解剖这个血管丰富的腹膜后器官时活动范围受限。然而，自那时起，人们对微创入路的兴趣与日俱增，而机器人系统肯定有助于克服腹腔镜手术在具有挑战性的胰腺切除领域的局限性，尤其是在胰体尾切除术中。有报道称，保留脾脏和不保留脾脏的机器人胰体尾切除术对于良性和交界性恶性疾病都取得了令人鼓舞的结果。由于腕关节运动功能升级和三维可视化，在胰体尾切除术中引入机器人系统可能会带来更好的手术效果。因此，我们的目的是广泛回顾目前关于机器人辅助胰体尾切除术的文献，并评估机器人手术方法的优势和可能存在的局限性。
