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[机器人胰腺切除术。技术要点]

[ROBOTIC PANCREATECTOMY. TECHNICAL ASPECTS].

作者信息

Marino M, Pylypchuk V I, Gulotta G, Yavorskyi A M, Shabat G I

出版信息

Klin Khir. 2016(11):8-11.

PMID:30265495
Abstract

Robotic surgery (RS) constitutes a modern stage of the general surgery development, giving evident advantages to surgeons incomplex stages of such durable operation, as pancreaticoduodenal resection (PDR). This method introduction was very slow in pancreatic surgery because of lack in training and skills of specialists. First 10 observations of robotic PDR application were analyzed together with colleagues from Ukraine, who have visited Hospital P. Jakkone of Palermo University (Іtaly). Possible advantages of robotic platform (RP) were analyzed, and comparison of robotic and laparoscopic approaches was made in countries with small experience in RS, such as Ukraine. Albeit high cost of RS, we consider, that more rapid learning curve and shorter patients' hospitalization may give better results. Impact of robotic operative access on oncological results needs further investigations conduction.

摘要

机器人手术(RS)是普通外科发展的一个现代阶段,在诸如胰十二指肠切除术(PDR)这种持久手术的复杂阶段为外科医生带来了明显优势。由于缺乏专业人员的培训和技能,这种方法在胰腺手术中的引入非常缓慢。我们与来自乌克兰的同事一起分析了机器人辅助胰十二指肠切除术应用的前10例观察结果,这些乌克兰同事曾访问过意大利巴勒莫大学的P. Jakkone医院。分析了机器人平台(RP)可能具有的优势,并在像乌克兰这样机器人手术经验较少的国家对机器人手术和腹腔镜手术方法进行了比较。尽管机器人手术成本高昂,但我们认为,更快的学习曲线和患者更短的住院时间可能会带来更好的结果。机器人手术入路对肿瘤学结果的影响需要进一步开展研究。

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