Faculty of Hepatopancreatobiliary Surgery, The First Medical Center of Chinese People's Liberation Army (PLA) General Hospital, 28 Fuxing Road, Beijing, 100853, China.
Updates Surg. 2022 Feb;74(1):245-254. doi: 10.1007/s13304-021-01149-6. Epub 2021 Aug 8.
The technical complexity of robotic pancreaticoduodenectomy (RPD) and lack of technical surgical standardization have slowed its widespread application. RPD is only routinely performed in a few highly specialized centers. This study describes in detail the standard steps and core techniques of an experienced robotic center in China. We took advantage of our single experience to provide a step-by-step technique and surgical video of our RPD standardized procedure. We divided RPD into 18 key steps. Demographics and perioperative outcomes of consecutive 20 patients who underwent the RPD standardized procedure were analyzed. For the 20 consecutive patients, the mean operative time was 253.6 min, and the median estimated blood loss was 210.0 mL. One patient required conversion to laparotomy due to the need for PV reconstruction. One patient had grade 3 complication. The median postoperative hospital stay was 11.0 days. No 90-day mortality was observed. By simplifying and optimizing the surgical techniques, the RPD procedure can be standardized and modeled to improve feasibility and repeatability.
机器人胰十二指肠切除术（RPD）的技术复杂性以及缺乏技术手术标准化，使其应用受到限制。RPD 仅在少数几个高度专业化的中心常规进行。本研究详细描述了中国一个经验丰富的机器人中心的标准步骤和核心技术。我们利用我们的单一经验，提供了我们的 RPD 标准化程序的分步技术和手术视频。我们将 RPD 分为 18 个关键步骤。分析了连续 20 例行 RPD 标准化程序患者的人口统计学和围手术期结果。对于这 20 名连续患者，平均手术时间为 253.6 分钟，中位估计出血量为 210.0 毫升。由于需要进行 PV 重建，1 名患者需要转为剖腹手术。1 名患者发生 3 级并发症。中位术后住院时间为 11.0 天。无 90 天死亡率。通过简化和优化手术技术，RPD 程序可以标准化和建模，以提高可行性和可重复性。
