Allan Bassan J, Novak Stephanie M, Hogg Melissa E, Zeh Herbert J
Division of Surgical Oncology, Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
J Vis Surg. 2018 Jan 17;4:13. doi: 10.21037/jovs.2017.12.15. eCollection 2018.
Indications for resection of pancreatic cancers have evolved to include selected patients with involvement of peri-pancreatic vascular structures. Open Whipple procedures have been the standard approach for patients requiring reconstruction of the portal vein (PV) or superior mesenteric vein (SMV). Recently, high-volume centers are performing minimally invasive Whipple procedures with portovenous resections. Our institution has performed seventy robotic Whipple procedures with concomitant vascular resections. This report outlines our technique.
胰腺癌切除术的适应证已发展到包括部分累及胰腺周围血管结构的患者。对于需要重建门静脉(PV)或肠系膜上静脉(SMV)的患者,开放Whipple手术一直是标准术式。近来,一些大容量中心正在开展伴有门静脉切除的微创Whipple手术。我们机构已实施了70例伴有血管切除的机器人Whipple手术。本报告概述了我们的技术。