机器人全胰切除术：综述。
Robotic Total Pancreatectomy: A Narrative Review.
机构信息
Department of Gastroenterological Surgery, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama, Japan;
Department of Surgery, Erasmus MC Cancer Institute, University Medical Center Rotterdam, Rotterdam, the Netherlands.
出版信息
In Vivo. 2021 Jul-Aug;35(4):1907-1911. doi: 10.21873/invivo.12456.
BACKGROUND/AIM: Studies on robotic total pancreatectomy (RTP) have been limited regardless of the increasing evidence on robotic pancreatoduodenectomy. The aim of this study was to review the current status of RTP in terms of surgical techniques and outcomes.
MATERIALS AND METHODS
A literature search using PubMed was conducted to investigate surgical techniques and outcomes of RTP.
RESULTS
A total of eight case series with 56 patients were included. The indications for RTP consisted of benign or pre-malignant tumors in 43 patients and malignant tumors in 13 patients. Surgical techniques included the "dividing technique" and "en-bloc technique". Regarding surgical outcomes, the rate of conversion to open total pancreatectomy was 3.6% and the incidence of major complications was 10.7%.
CONCLUSION
Although evidence for RTP is still lacking, RTP is feasible for selected patients when performed in specialized centers. Further studies are essential to investigate the effectiveness of RTP compared to open total pancreatectomy.
背景/目的：尽管机器人胰十二指肠切除术的证据越来越多，但机器人全胰切除术（RTP）的研究仍然有限。本研究旨在回顾 RTP 在手术技术和结果方面的现状。
材料和方法
使用 PubMed 进行文献检索，以调查 RTP 的手术技术和结果。
结果
共纳入 8 项病例系列研究，共 56 例患者。RTP 的适应证包括 43 例良性或恶性前肿瘤和 13 例恶性肿瘤。手术技术包括“分割技术”和“整块技术”。关于手术结果，中转开腹全胰切除术的发生率为 3.6%，主要并发症的发生率为 10.7%。
结论
尽管 RTP 的证据仍然不足，但在专业中心进行时，RTP 对选定的患者是可行的。需要进一步的研究来调查 RTP 与开腹全胰切除术相比的有效性。
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