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机器人辅助门静脉切除的胰十二指肠切除术

Robotic pancreaticoduodenectomy with a portal vein resection.

作者信息

Rousek M, Záruba P, Pončáková K, Pohnán R

出版信息

Rozhl Chir. 2025;104(1):30-34. doi: 10.48095/ccrvch202530.

DOI:10.48095/ccrvch202530
PMID:40258692
Abstract

INTRODUCTION

Robotic pancreaticoduodenectomy ranks among the routinely performed surgical procedures in world pancreatic centres. Since 2023, it has also been performed in the Czech Republic.

CASE REPORT

We present a case of a 65-year-old patient with accidentally found dilatation of the pancreatic duct. During the examination, a small tumor in the head of the pancreas was diagnosed. A robotic pancreaticoduodenectomy was performed. Due to the perioperative suspicion of invasion into the portal vein, the resection was performed. The operation and the course of hospitalization were uncomplicated, the patient was discharged on the 9th postoperative day.

CONCLUSION

Robotic pancreaticoduodenectomy is a method that combines the advantages of a minimally invasive approach and meets the requirements for safety and oncological radicality. Suspected venous invasion is not an obstacle to completing robotic surgery.

摘要

引言

机器人胰十二指肠切除术是世界胰腺中心常规开展的外科手术之一。自2023年起,捷克共和国也开始开展此项手术。

病例报告

我们报告一例65岁患者,其胰管意外扩张。检查过程中,诊断出胰腺头部有一个小肿瘤。遂进行了机器人胰十二指肠切除术。由于围手术期怀疑肿瘤侵犯门静脉,故进行了切除手术。手术及住院过程均无并发症,患者于术后第9天出院。

结论

机器人胰十二指肠切除术是一种结合了微创方法优点且符合安全性和肿瘤根治性要求的手术方法。怀疑有静脉侵犯并非完成机器人手术的障碍。

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