Peng C H, Li H
Department of General Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China.
Zhonghua Wai Ke Za Zhi. 2016 Nov 1;54(11):807-810. doi: 10.3760/cma.j.issn.0529-5815.2016.11.003.
Due to the operational complexity, the application of minimally invasive surgery in pancreatic procedure has been delayed than other departments.But with the gradual development of minimally invasive surgery, especially since the introduction of robotic surgery system, pancreatic surgery in this field has seen a great number of achievement.Laparoscopic and robotic technology is being widely adopted, while the technique of laparotomy is also developing.These three operation techniques have their advantages and disadvantages.Which method to option for became a new problem for pancreatic surgeons.The safety and feasibility of minimally invasive surgery especially robotic procedure for distal pancreatectomy have been confirmed by many agencies.But even with these advantages, laparoscopic and robotic surgery can not completely replace laparotomy.Pancreatic surgeons need to master these three operation methods to be able to handle complicated clinical situations.
由于操作的复杂性，微创手术在胰腺手术中的应用比其他科室延迟。但随着微创手术的逐步发展，特别是自机器人手术系统引入以来，该领域的胰腺手术取得了大量成果。腹腔镜和机器人技术正在被广泛采用，而剖腹手术技术也在发展。这三种手术技术各有优缺点。选择哪种方法成为胰腺外科医生面临的新问题。许多机构已经证实了微创手术尤其是机器人手术用于胰体尾切除术的安全性和可行性。但即便有这些优势，腹腔镜和机器人手术也不能完全取代剖腹手术。胰腺外科医生需要掌握这三种手术方法，以便能够处理复杂的临床情况。
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