微创胰腺切除术：机器人和腹腔镜技术的发展。

Minimally Invasive Pancreatectomy: Robotic and Laparoscopic Developments.

机构信息

Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, 1400 Pressler, FCT 17.6022, Houston, TX 77030, USA. Electronic address: https://twitter.com/SethConcorsMD.

Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, 1400 Pressler, FCT 17.6022, Houston, TX 77030, USA. Electronic address: https://twitter.com/MKatzMD.

出版信息

Surg Oncol Clin N Am. 2023 Apr;32(2):327-342. doi: 10.1016/j.soc.2022.10.009.

DOI:10.1016/j.soc.2022.10.009

PMID:36925189

Abstract

Minimally invasive pancreatectomy is increasingly used. Although offering potential advantages over open approaches, minimally invasive pancreatectomy has many challenges to maintain high-quality of oncologic resection. Multiple patient and surgical factors should be considered in planning laparoscopic or robotic resection, including the learning curve required to produce proficiency. For pancreaticoduodenectomy, distal pancreatectomy, and other pancreatic resections, a safe, margin-negative resection remains the goal. National and societal guidelines for the adoption of minimally invasive pancreatectomy are ongoing and will continue to be important as these techniques are further adopted.

摘要

微创胰腺切除术的应用日益增多。虽然微创胰腺切除术相对于开放手术具有潜在优势，但为了保持高质量的肿瘤切除，仍面临诸多挑战。在规划腹腔镜或机器人切除时，应考虑多种患者和手术因素，包括达到熟练程度所需的学习曲线。对于胰十二指肠切除术、胰体尾切除术和其他胰腺切除术，安全、切缘阴性的切除仍然是目标。微创胰腺切除术的国家和社会指南正在制定中，随着这些技术的进一步应用，这些指南将继续发挥重要作用。