机器人胰腺手术治疗胰腺癌。

IF 12.5 2区 医学 Q1 SURGERY
Sarah B Hays, Aram E Rojas, Melissa E Hogg
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引用次数: 0

摘要

自21世纪初引入机器人胰腺手术以来,采用机器人进行复杂胰腺切除术的人数显著增加。然而,由于担心肿瘤预后较差,机器人在胰腺癌中的应用一直滞后。此外,这一领域的研究以前仅限于小型、单一机构的观察性研究。最近和正在进行的机器人远端胰腺切除术和机器人胰十二指肠切除术的随机对照试验旨在解决机器人技术在胰腺癌中使用的问题。总之,这些研究表明,与标准开放入路相比,机器人入路的结果相似,如果没有改善,包括更短的住院时间,更快的恢复,更少的术后并发症,和相同的切除率。此外,胰腺机器人手术培训对患者安全同样重要。本文综述了机器人胰腺手术治疗胰腺癌的有效性和安全性的现有文献,特别关注机器人远端胰腺切除术和机器人胰十二指肠切除术。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Robotic pancreas surgery for pancreatic cancer.

Since the introduction of robotic pancreas surgery in the early 2000s, there has been significant increase in the adoption of the robot to perform complex pancreatic resections. However, utilization of the robot for pancreatic cancer has lagged behind due to concern for inferior oncologic outcomes. Furthermore, research in this field has previously been limited to small, single institution observational studies. Recent and ongoing randomized controlled trials in robotic distal pancreatectomy and robotic pancreatoduodenectomy have aimed to address concerns regarding the use of robotic techniques in pancreatic cancer. Together, these studies suggest similar, if not improved, outcomes with a robotic approach, including shorter hospital stays, expedited recovery with less postoperative complications, and equivalent resection rates, when compared to the standard open approaches. Additionally, surgical training in robotic pancreas surgery is of equal importance for patient safety. This review summarizes the available literature on the efficacy and safety of robotic pancreas surgery for pancreatic cancer, with specific focus on robotic distal pancreatectomy and robotic pancreatoduodenectomy.

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来源期刊
CiteScore
17.70
自引率
3.30%
发文量
0
审稿时长
6-12 weeks
期刊介绍: The International Journal of Surgery (IJS) has a broad scope, encompassing all surgical specialties. Its primary objective is to facilitate the exchange of crucial ideas and lines of thought between and across these specialties.By doing so, the journal aims to counter the growing trend of increasing sub-specialization, which can result in "tunnel-vision" and the isolation of significant surgical advancements within specific specialties.
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