Galvez Daniel, Javed Ammar, He Jin
Department of Surgery, The Johns Hopkins Hospital, Baltimore, MD 21287, USA.
J Vis Surg. 2016 Aug 8;2:137. doi: 10.21037/jovs.2016.07.01. eCollection 2016.
Minimally invasive surgery has slowly gained popularity in the field of hepatopancreatobiliary surgery in the last few years. This is likely due to shorter length of stay, less estimated blood loss and postoperative pain, quicker recovery, and better cosmetic results. The laparoscopic distal pancreatectomy is associated with less overall morbidity and considered as the standard of care for selected patients. Robotic distal pancreatectomy (RDP) not only maintains the benefits of the laparoscopic approach, but also adds potential benefits. In this article, we describe the operative technique of an entirely staple-free RDP with splenectomy. The method is presented in a stepwise approach along with a concise video. The patient presented is a 58-year-old male with a well-differentiated neuroendocrine tumor involving the body of the pancreas; no major blood vessel involvement.
在过去几年中，微创手术在肝胆胰外科领域逐渐受到欢迎。这可能是由于住院时间缩短、估计失血量和术后疼痛减少、恢复更快以及美容效果更好。腹腔镜远端胰腺切除术的总体发病率较低，被认为是特定患者的标准治疗方法。机器人远端胰腺切除术（RDP）不仅保留了腹腔镜手术的优点，还增加了潜在的益处。在本文中，我们描述了一种完全不使用吻合器的RDP联合脾切除术的手术技术。该方法以逐步方式呈现，并配有一段简洁的视频。所呈现的患者是一名58岁男性，患有累及胰体的高分化神经内分泌肿瘤；未累及主要血管。
