机器人中央胰腺切除术:一种外科技术。

Eui Hyuk Chong, Jae Young Jang, Sung Hoon Choi
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引用次数: 0

摘要

机器人中央胰腺切除术由于其适应症罕见、技术困难和并发症发生率高而尚未广泛应用。我们回顾了2016年5月至2021年6月在同一机构进行的6例机器人中央胰腺切除术。这篇多媒体文章旨在介绍我们的机器人中央胰腺切除术技术及其围手术期和随访结果。除1例B级胰瘘患者外,所有患者均出现术后胰瘘生化渗漏,导致假性囊肿形成,经内镜内引流成功处理。所有患者切除边缘完全阴性。中位随访时间为13.5个月(10-74个月),无新发糖尿病或复发。由于并发症发生率可接受且能保留胰腺功能,机器人胰腺中央切除术可能是胰腺颈部或近端良性和交界性恶性肿瘤患者的良好手术选择。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Robotic central pancreatectomy: a surgical technique.

Robotic central pancreatectomy: a surgical technique.

Robotic central pancreatectomy: a surgical technique.

Robotic central pancreatectomy: a surgical technique.

Robotic central pancreatectomy has not been widely performed because of its rare indications, technical difficulties, and concern about the high complication rate. We reviewed six robotic central pancreatectomy cases between May 2016 and June 2021 at a single institution. This multimedia article aims to introduce our technique of robotic central pancreatectomy with perioperative and follow-up outcomes. All patients experienced biochemical leakage of postoperative pancreatic fistula, except in one with a grade B pancreatic fistula, which resulted in a pseudocyst formation and was successfully managed by endoscopic internal drainage. All patients achieved completely negative resection margins. There was no new-onset diabetes mellitus or recurrence during the median follow-up period of 13.5 months (range, 10-74 months). With an acceptable complication rate and the preservation of pancreatic function, robotic central pancreatectomy could be a good surgical option for patients with benign and borderline malignant tumors of the pancreatic neck or proximal body.

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