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机器人胰腺手术:历史概述及技术、结果和财务状况的最新进展

Robotic pancreas surgery: an overview of history and update on technique, outcomes, and financials.

作者信息

Khachfe Hussein H, Habib Joseph R, Harthi Salem Al, Suhool Amal, Hallal Ali H, Jamali Faek R

机构信息

Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.

Division of GI Surgical Oncology, Department of Surgery, UPMC Pancreatic Cancer Center, University of Pittsburgh Medical Center, UPMC Cancer Pavilion, Pittsburgh, PA, USA.

出版信息

J Robot Surg. 2022 Jun;16(3):483-494. doi: 10.1007/s11701-021-01289-2. Epub 2021 Aug 6.

DOI:10.1007/s11701-021-01289-2
PMID:34357526
Abstract

The use robotics in surgery is gaining momentum. This approach holds substantial promise in pancreas surgery. Robotic surgery for pancreatic lesions and malignancies has become well accepted and is expanding to more and more center annually. The number of centers using robotics in pancreatic surgery is rapidly increasing. The most studied robotic pancreas surgeries are pancreaticoduodenectomy and distal pancreatectomy. Most studies are in their early phases, but they report that robotic pancreas surgery is safe feasible. Robotic pancreas surgery offers several advantages over open and laparoscopic techniques. Data regarding costs of robotics versus conventional techniques is still lacking. Robotic pancreas surgery is still in its early stages. It holds promise to become the new surgical standard for pancreatic resections in the future, however, more research is still needed to establish its safety, cost effectiveness and efficacy in providing the best outcomes.

摘要

机器人技术在外科手术中的应用正在兴起。这种方法在胰腺手术中具有巨大的前景。用于胰腺病变和恶性肿瘤的机器人手术已被广泛接受,并且每年都在扩展到越来越多的中心。在胰腺手术中使用机器人技术的中心数量正在迅速增加。研究最多的机器人胰腺手术是胰十二指肠切除术和胰腺远端切除术。大多数研究仍处于早期阶段,但它们报告称机器人胰腺手术是安全可行的。与开放手术和腹腔镜技术相比,机器人胰腺手术具有几个优点。关于机器人技术与传统技术成本的数据仍然缺乏。机器人胰腺手术仍处于早期阶段。它有望在未来成为胰腺切除术的新手术标准,然而,仍需要更多的研究来确定其安全性、成本效益以及在提供最佳治疗效果方面的有效性。

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本文引用的文献

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Impact of Resection Margin Status in Patients with Pancreatic Cancer: a National Cohort Study.胰腺癌患者切缘状态的影响:一项全国性队列研究。
J Gastrointest Surg. 2021 Sep;25(9):2307-2316. doi: 10.1007/s11605-020-04870-6. Epub 2020 Dec 2.
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Robotic and laparoscopic surgery of the pancreas: an historical review.胰腺的机器人手术和腹腔镜手术:历史回顾
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