Aselmann H, Egberts J Hendrik, Beckmann J Henrik, Stein H, Schafmayer C, Hinz S, Reichert B, Becker T
Klinik für Allgemeine, Viszeral- Thorax-, Transplantations- und Kinderchirurgie, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Arnold-Heller-Str. 3, 24105, Kiel, Deutschland.
Intuitive Surgical Inc., Sunnyvale, CA, USA.
Chirurg. 2017 May;88(5):411-421. doi: 10.1007/s00104-017-0414-3.
Pylorus-preserving pancreaticoduodenectomy is one of the most complex procedures in general surgery. Laparoscopic pancreaticoduodenectomy was initially described in 1994; however, its worldwide distribution is so far limited to only a few specialist centers. Robotic surgery using the DaVinci® system can overcome many limitations of laparoscopic surgery. The system is a promising tool for a more widespread introduction of minimally invasive surgery for pancreatic diseases. Mortality rates of 0-5% and pancreatic fistula rates of 0-35% are described in the literature; therefore, thorough complication management is crucial in the postoperative course. The video presents a robotic pylorus-preserving pancreaticoduodenectomy for periampullary carcinoma in a female patient.
保留幽门的胰十二指肠切除术是普通外科中最复杂的手术之一。腹腔镜胰十二指肠切除术最初于1994年被描述；然而，到目前为止，其在全球范围内的应用仅局限于少数专科中心。使用达芬奇®系统的机器人手术可以克服腹腔镜手术的许多局限性。该系统是一种很有前景的工具，有助于更广泛地开展针对胰腺疾病的微创手术。文献报道的死亡率为0-5%，胰瘘发生率为0-35%；因此，在术后过程中进行全面的并发症管理至关重要。该视频展示了一名女性患者因壶腹周围癌接受的机器人保留幽门胰十二指肠切除术。
