张天辰, 张修平, 刘荣. 机器人胰十二指肠切除术:手术步骤及技术要领[J]. 协和医学杂志. DOI: 10.12290/xhyxzz.2024-0236
引用本文: 张天辰, 张修平, 刘荣. 机器人胰十二指肠切除术:手术步骤及技术要领[J]. 协和医学杂志. DOI: 10.12290/xhyxzz.2024-0236
ZHANG Tianchen, ZHANG Xiuping, LIU Rong. Robotic Pancreaticoduodenectomy: Surgical Procedure and Experience[J]. Medical Journal of Peking Union Medical College Hospital. DOI: 10.12290/xhyxzz.2024-0236
Citation: ZHANG Tianchen, ZHANG Xiuping, LIU Rong. Robotic Pancreaticoduodenectomy: Surgical Procedure and Experience[J]. Medical Journal of Peking Union Medical College Hospital. DOI: 10.12290/xhyxzz.2024-0236

机器人胰十二指肠切除术:手术步骤及技术要领

Robotic Pancreaticoduodenectomy: Surgical Procedure and Experience

  • 摘要: 机器人微创化的发展一直是学科焦点,胰十二指肠切除术因其风险高、难度大而被誉为外科手术的“珠穆朗玛峰”。标准化的手术步骤和简单易行的操作技巧有助于机器人胰十二指肠切除术(robotic pancreaticoduodenectomy,RPD)的推广应用。本文结合中国人民解放军总医院第一医学中心大量RPD实操经验,将RPD归纳总结为18个手术步骤,并对环血管切除技术、重建吻合技术进行要点解析,以期推动机器人在胰腺外科的深入应用,促进RPD规范和应用标准的进一步建立。

     

    Abstract: The development of minimally invasive robotic surgery has always been the focus of the discipline, and pancreaticoduodenectomy has been regarded as the ‘Mount Everest’ of surgical operation because of its high risk and difficulty. Standardized surgical steps and easy-to-follow operation techniques are helpful to promote the application of robotic pancreaticoduodenectomy (RPD). In this paper, we summarize the RPD procedure into 18 steps and analyze the key points of circumferential vessel resection and reconstructive anastomosis techniques, based on the experience of RPD at the First Medical Center of Chinese People's Liberation Army General Hospital. It is hoped that this can promote the in-depth application of robotics in pancreatic surgery and the further establishment of RPD application standards.

     

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