Ramera Marco, Damoli Isacco, Giardino Alessandro, Bassi Claudio, Butturini Giovanni
General Surgery Unit B, The Pancreas Institute, Verona University Hospital Trust.
Hepato-Pancreato-Biliary Unit, Casa di Cura Pederzoli, Peschiera del Garda, Verona, Italy,
Robot Surg. 2016 Jun 27;3:29-36. doi: 10.2147/RSRR.S81560. eCollection 2016.
Pancreatic surgery represents one of the most challenging fields in general surgery. Its complexity is related to the severity of the disease and the technical skills required for surgical approach. Given this, most pancreatic resections are performed through classic open surgery. Minimally invasive approaches are gradually gaining widespread popularity also in this specific setting, as for distal resections and enucleations. The robotic platform, due to its 3-dimensional vision and articulated movements, represents the natural progress of laparoscopic surgery overcoming the technical defaults and opening up the possibility to perform major pancreatic resections as pancreaticoduodenectomies. This review focuses on the impact of robotic platform in pancreatic surgery in terms of surgical and oncological outcome.
胰腺手术是普通外科中最具挑战性的领域之一。其复杂性与疾病的严重程度以及手术入路所需的技术技能有关。鉴于此，大多数胰腺切除术是通过传统的开放手术进行的。在这种特定情况下，微创方法也逐渐越来越普遍，如用于远端切除术和摘除术。机器人平台由于其三维视觉和关节运动，代表了腹腔镜手术的自然发展，克服了技术缺陷，并为进行诸如胰十二指肠切除术等大型胰腺切除术开辟了可能性。本综述重点关注机器人平台在胰腺手术中对手术和肿瘤学结果的影响。
