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如何训练和评估微创胰腺手术。

How to train and evaluate minimally invasive pancreas surgery.

机构信息

Department of Surgery, University of Chicago, Chicago, Illinois.

Department of Surgery, NorthShore University HealthSystem, Evanston, Illinois.

出版信息

J Surg Oncol. 2020 Jul;122(1):41-48. doi: 10.1002/jso.25912. Epub 2020 Mar 25.

DOI:10.1002/jso.25912
PMID:32215926
Abstract

Training for minimally invasive pancreas surgery is critical as an evolving body of literature supports its use with acceptable outcomes during training and improved short term outcomes following completion. Although case volume needed to achieve mastery remains unclear, improved outcomes for both laparoscopic and robotic pancreatectomy are demonstrated following a learning curve and inflection point. Therefore, dedicated training curricula for both laparoscopic and robotic pancreatectomy have been developed to mitigate this learning curve and improve outcomes.

摘要

微创胰腺手术的培训至关重要,因为越来越多的文献支持在培训期间使用微创胰腺手术,并在完成培训后获得更好的短期结果。尽管掌握所需的病例数量仍不清楚,但在学习曲线和拐点之后,腹腔镜和机器人胰腺切除术的结果都得到了改善。因此,已经为腹腔镜和机器人胰腺切除术制定了专门的培训课程,以减轻学习曲线并改善结果。

相似文献

1
How to train and evaluate minimally invasive pancreas surgery.如何训练和评估微创胰腺手术。
J Surg Oncol. 2020 Jul;122(1):41-48. doi: 10.1002/jso.25912. Epub 2020 Mar 25.
2
Learning curve of laparoscopic and robotic pancreas resections: a systematic review.腹腔镜和机器人胰腺切除术的学习曲线:系统评价。
Surgery. 2021 Jul;170(1):194-206. doi: 10.1016/j.surg.2020.11.046. Epub 2021 Feb 2.
3
Pre- and intraoperative diagnostic requirements, benefits and risks of minimally invasive and robotic surgery for neuroendocrine tumors of the pancreas.胰腺神经内分泌肿瘤的微创和机器人手术的术前和术中诊断要求、获益和风险。
Best Pract Res Clin Endocrinol Metab. 2019 Oct;33(5):101294. doi: 10.1016/j.beem.2019.101294. Epub 2019 Jul 10.
4
Training in Minimally Invasive Pancreatic Resections: a paradigm shift away from "See one, Do one, Teach one".微创胰腺切除术培训:从“看一例,做一例,教一例”的模式转变。
HPB (Oxford). 2017 Mar;19(3):234-245. doi: 10.1016/j.hpb.2017.01.016. Epub 2017 Feb 10.
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Minimally Invasive Pancreas Surgery: Is There a Benefit?微创胰腺手术:是否有益?
Surg Clin North Am. 2024 Oct;104(5):1083-1093. doi: 10.1016/j.suc.2024.04.013. Epub 2024 May 23.
6
Does robotic distal pancreatectomy surgery offer similar results as laparoscopic and open approach? A comparative study from a single medical center.机器人远端胰腺切除术的手术效果与腹腔镜和开放手术方法相似吗?来自单一医疗中心的比较研究。
Int J Med Robot. 2014 Sep;10(3):280-5. doi: 10.1002/rcs.1569. Epub 2014 Jan 16.
7
Minimally Invasive Surgical Approaches for Pancreatic Adenocarcinoma: Recent Trends.胰腺癌的微创外科手术方法:最新趋势
J Gastrointest Cancer. 2017 Jun;48(2):129-134. doi: 10.1007/s12029-017-9934-9.
8
Learning curves in minimally invasive pancreatic surgery: a systematic review.微创胰腺手术中的学习曲线:系统评价。
Langenbecks Arch Surg. 2022 Sep;407(6):2217-2232. doi: 10.1007/s00423-022-02470-3. Epub 2022 Mar 12.
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Minimally invasive versus open pancreatic enucleation. Systematic review and meta-analysis of surgical outcomes.微创与开放胰腺摘除术:手术结局的系统评价与荟萃分析
J Surg Oncol. 2018 Jun;117(7):1509-1516. doi: 10.1002/jso.25026. Epub 2018 Mar 25.
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Fully robotic total pancreatectomy: technical aspects and outcomes.全机器人胰切除术:技术方面和结果。
J Robot Surg. 2019 Feb;13(1):77-82. doi: 10.1007/s11701-018-0818-1. Epub 2018 Apr 30.

引用本文的文献

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Scoping review and proposed curriculum for robotic hepatopancreatobiliary surgery training.机器人肝胆胰手术培训的范围综述及拟议课程
Surg Endosc. 2025 Mar;39(3):1501-1508. doi: 10.1007/s00464-025-11546-2. Epub 2025 Feb 10.
2
Initiation of a robotic pancreatoduodenectomy program using virtual collaboration.采用虚拟协作启动机器人胰十二指肠切除术项目。
HPB (Oxford). 2024 Dec;26(12):1528-1535. doi: 10.1016/j.hpb.2024.09.001. Epub 2024 Sep 3.
3
The current status of minimally invasive pancreatectomy and implications of the Brescia guidelines.
微创胰腺切除术的现状及布雷西亚指南的影响
Gland Surg. 2024 Apr 29;13(4):590-595. doi: 10.21037/gs-23-508. Epub 2024 Apr 12.
4
Early experience with robotic pancreatoduodenectomy versus open pancreatoduodenectomy: nationwide propensity-score-matched analysis.机器人胰十二指肠切除术与开腹胰十二指肠切除术的早期经验:全国倾向评分匹配分析。
Br J Surg. 2024 Jan 31;111(2). doi: 10.1093/bjs/znae043.
5
Teaching modern pancreatic surgery: close relationship between centralization, innovation, and dissemination of care.教授现代胰腺外科:集中化、创新和护理传播之间的密切关系。
BJS Open. 2023 Sep 5;7(5). doi: 10.1093/bjsopen/zrad081.
6
401 consecutive minimally invasive distal pancreatectomies: lessons learned from 20 years of experience.401 例连续微创胰体尾切除术:20 年经验教训。
Surg Endosc. 2022 Sep;36(9):7025-7037. doi: 10.1007/s00464-021-08997-8. Epub 2022 Jan 31.
7
The current status and future directions of robotic pancreatectomy.机器人胰腺切除术的现状与未来方向
Ann Gastroenterol Surg. 2021 Mar 4;5(4):467-476. doi: 10.1002/ags3.12446. eCollection 2021 Jul.
8
Assessment of difficulty in laparoscopic distal pancreatectomy: A modification of the Japanese difficulty scoring system - A single-center high-volume experience.腹腔镜胰体尾切除术难度评估:日本难度评分系统的改良-单中心大宗病例经验。
J Hepatobiliary Pancreat Sci. 2021 Sep;28(9):770-777. doi: 10.1002/jhbp.1010. Epub 2021 Aug 7.
9
The Landmark Series: Minimally Invasive Pancreatic Resection.里程碑系列:微创胰腺切除术。
Ann Surg Oncol. 2021 Mar;28(3):1447-1456. doi: 10.1245/s10434-020-09335-3. Epub 2020 Dec 19.
10
Perioperative Outcomes of Robotic Pancreaticoduodenectomy: a Propensity-Matched Analysis to Open and Laparoscopic Pancreaticoduodenectomy.机器人胰十二指肠切除术的围手术期结果:与开腹和腹腔镜胰十二指肠切除术的倾向匹配分析。
J Gastrointest Surg. 2021 Jul;25(7):1795-1804. doi: 10.1007/s11605-020-04869-z. Epub 2020 Nov 17.