Nota Carolijn L, Zwart Maurice J, Fong Yuman, Hagendoorn Jeroen, Hogg Melissa E, Koerkamp Bas Groot, Besselink Marc G, Molenaar I Quintus
Department of Surgery, University Medical Center Utrecht, CX Utrecht, The Netherlands.
Department of Surgery, City of Hope Medical Center, Duarte, California, USA.
J Vis Surg. 2017 Aug 21;3:106. doi: 10.21037/jovs.2017.07.02. eCollection 2017.
Robot-assisted surgery has been developed to overcome limitations of conventional laparoscopy aiming to further optimize minimally invasive surgery. Despite the fact that robotics already have been widely adopted in urology, gynecology, and several gastro-intestinal procedures, like colorectal surgery, pancreatic surgery lags behind. Due to the complex nature of the procedure, surgeons probably have been hesitant to apply minimally invasive techniques in pancreatic surgery. Nevertheless, the past few years pancreatic surgery has been catching up. An increasing number of procedures are being performed laparoscopically and robotically, despite it being a highly complex procedure with high morbidity and mortality rates. Since the complex nature and extensiveness of the procedure, the start of a robotic pancreatic program should be properly prepared and should comply with several conditions within high-volume centers. Robotic training plays a significant role in the preparation. In this review we discuss the different aspects of preparation when working towards the start of a robotic pancreas program against the background of our nationwide experience in the Netherlands.
机器人辅助手术已被开发出来，以克服传统腹腔镜手术的局限性，旨在进一步优化微创手术。尽管机器人技术已在泌尿外科、妇科以及一些胃肠道手术（如结直肠手术）中广泛应用，但胰腺手术却滞后了。由于该手术的复杂性，外科医生可能一直对在胰腺手术中应用微创技术犹豫不决。然而，在过去几年里，胰腺手术一直在迎头追赶。尽管这是一个具有高发病率和死亡率的高度复杂手术，但越来越多的手术正在通过腹腔镜和机器人技术进行。由于该手术的复杂性和广泛性，启动机器人胰腺手术项目应做好充分准备，并应符合高容量中心的若干条件。机器人培训在准备工作中起着重要作用。在本综述中，我们将结合我们在荷兰的全国性经验，讨论启动机器人胰腺手术项目时准备工作的不同方面。
