Division of Surgical Oncology, Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
J Laparoendosc Adv Surg Tech A. 2021 May;31(5):561-564. doi: 10.1089/lap.2021.0083.
The implementation of robotic surgery in the field of hepato-pancreato-biliary (HPB) has been a slow but significant process. HPB procedures offer a unique challenge when for new technologies, as the surgeries themselves are complex, with long learning curves. Yet the benefits of the robotic approach for this patient population are notable: decreased length of stay, blood loss, postoperative complications, and improving quality of life. The use of robotic simulation focused curriculum plays a crucial role in mentoring experienced surgeons and surgical trainees. Although further study remains, early studies suggest a structured simulation curriculum decreases time, technical errors, and improves proficiency, ultimately leading to a more expedited and safe implementation of robotic techniques in the HPB field.
机器人手术在肝胆胰(HPB)领域的应用虽然缓慢,但却意义重大。对于新技术来说,HPB 手术具有独特的挑战,因为手术本身就很复杂,学习曲线也很长。然而,机器人手术方法对这类患者群体具有显著优势:住院时间缩短、失血量减少、术后并发症减少,生活质量提高。机器人模拟聚焦课程的使用在指导经验丰富的外科医生和外科学员方面发挥了关键作用。虽然还需要进一步研究,但早期研究表明,结构化模拟课程可以减少时间、技术错误,并提高熟练度,最终可以更快速、更安全地在 HPB 领域实施机器人技术。