Quijano Yolanda, Vicente Emilio, Ielpo Benedetto, Duran Hipolito, Diaz Eduardo, Fabra Isabel, Malave Luis, Ferri Valentina, Plaza Carlos, Lindemann Jan Lammel, D'Andrea Vito, Caruso Riccardo
General Surgery Department, Sanchinarro University Hospital, San Pablo University, CEU, C/Oña nº 10, 28050, Madrid, Spain.
Department of General Surgery, La Sapienza University Hospital, Viale Regina Elena 105, Rome, Italy.
J Robot Surg. 2017 Sep;11(3):355-365. doi: 10.1007/s11701-016-0663-z. Epub 2016 Dec 30.
The use of robotic surgery in the hepatobilio-pancreatic (HBP) field is still limited. Our aim is to present our early experience of robotic liver resection. A retrospective review of robotic pancreatic and liver resection was performed at Sanchinarro University hospital from October 2010 to April 2016. Since the beginning of the robotic program in our center, 22 hepatic procedures and 45 pancreatic robotic procedures have been performed. Of the 21 patients subjected to liver resection, 13 (65%) were for malignancy. There were two left hepatectomies, one right hepatectomy, one associated liver partition and portal vein ligation staged procedure (both steps by robotic approach), three bisegmentectomies and three segmentectomies, eight wedge resections, and three pericystectomies. The mean operating time was 282 min. The overall conversion rate and postoperative complication rate were 4.7 and 19%, respectively. The mean length of hospital stay was 13.4 days (range 4-64 days). Of the 45 patients subjected to pancreatic resection, 22 were male and 23 female. The average age of all patients was 62 years (range 31-82 years). The mean operating room (OR) time was 370 min (120-780 min). Among the procedures performed were 15 pancreatico-duodenectomies, 19 distal pancreatectomies, and 11 enucleations. All procedures in the HBP area were R0. Our early experience shows that robotic surgery is a safe and feasible procedure in the HBP area. The complication and mortality rates are comparable to those of open surgery, but with the advantages of minimally invasive surgery.
机器人手术在肝胆胰（HBP）领域的应用仍然有限。我们的目的是介绍我们在机器人肝脏切除方面的早期经验。2010年10月至2016年4月在桑奇纳罗大学医院对机器人胰腺和肝脏切除进行了回顾性研究。自我们中心开展机器人手术项目以来，已进行了22例肝脏手术和45例机器人胰腺手术。在接受肝脏切除的21例患者中，13例（65%）为恶性肿瘤。有2例左肝切除术、1例右肝切除术、1例联合肝脏分割和门静脉结扎分期手术（两步均采用机器人手术方式）、3例双段肝切除术和3例段肝切除术、8例楔形切除术和3例囊肿切除术。平均手术时间为282分钟。总体中转率和术后并发症发生率分别为4.7%和19%。平均住院时间为13.4天（范围4 - 64天）。在接受胰腺切除的45例患者中，男性22例，女性23例。所有患者的平均年龄为62岁（范围31 - 82岁）。平均手术室（OR）时间为370分钟（120 - 780分钟）。所进行的手术包括15例胰十二指肠切除术、19例胰体尾切除术和11例摘除术。HBP区域的所有手术均为R0切除。我们的早期经验表明，机器人手术在HBP区域是一种安全可行的手术方式。并发症和死亡率与开放手术相当，但具有微创手术的优势。
