Galvez Daniel, Sorber Rebecca, Javed Ammar A, He Jin
Department of Surgery, The Johns Hopkins Hospital Baltimore, MD 21215, USA.
J Vis Surg. 2017 Jun 12;3:81. doi: 10.21037/jovs.2017.05.08. eCollection 2017.
Minimally invasive surgery, including robotic surgery, has become the standard of care for many abdominal procedures. However, the technical complexity associated with pancreaticoduodenectomy (PD) due to the anatomic location and oncologic characteristics of pancreatic tumors has hindered the widespread application of minimally invasive techniques to this procedure. Recent studies have reported that for experienced surgeons, the application of robotic techniques to PD is associated with equivalent oncologic outcomes and rates of complication when compared to an open operation, and may be associated with accelerated surgical recovery. Despite these encouraging results, robotic PD (RPD) is a procedure attempted by a small group of pancreatic surgeons, leading to the great heterogeneity in the techniques used to perform this operation. Herein we describe our technique for fully RPD and demonstrate its execution with a video supplement.
包括机器人手术在内的微创手术已成为许多腹部手术的治疗标准。然而，由于胰腺肿瘤的解剖位置和肿瘤学特征，胰十二指肠切除术（PD）相关的技术复杂性阻碍了微创技术在该手术中的广泛应用。最近的研究报告称，对于经验丰富的外科医生而言，与开放手术相比，机器人技术应用于PD时具有相当的肿瘤学结局和并发症发生率，并且可能与手术恢复加速有关。尽管取得了这些令人鼓舞的结果，但机器人胰十二指肠切除术（RPD）是一小部分胰腺外科医生尝试的手术，导致该手术所采用的技术存在很大异质性。在此，我们描述了我们的全机器人胰十二指肠切除术技术，并通过视频补充展示其操作过程。
