机器人胰十二指肠切除术-我是怎么做的:技巧,技巧和陷阱标准化的技术,以减少术后发病率和死亡率

L. Jiao, R. Vellaisamy, T. Gall
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引用次数: 0

摘要

与传统的开放式PD (OPD)相比,微创手术的益处和等效的肿瘤预后。当LPD和RPD进行比较时,RPD具有更高的3D视觉精度和先进的仪器。尽管与OPD相比,RPD的学习曲线很长,操作时间也更长,但通过技术和病例数的标准化,可以将其缩短到与OPD相似的持续时间。围手术期预后,如住院时间、出血量和输血需求,与OPD相比有显著改善,并且需要转开的病例比LPD少。在这篇文章中,我们通过标准化PD技术以及对学习机器人胰腺手术感兴趣的外科医生的提示和技巧来描述我们的RPD方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Robotic Pancreatoduodenectomy - how I do it: tips, tricks and pitfalls to standardize the technique to reduce postoperative morbidity and mortality
benefits of minimally invasive surgery and equivalent oncological outcomes compared with conventional open PD (OPD). When LPD and RPD are compared, RPD offers better precision with 3D vision and advanced instrumentation. Although the learning curve for RPD is long with a longer operating time compared with OPD, this can be reduced to a duration similar to that for OPD through standardization of techniques and case numbers.Perioperative outcomes such as length of stay, blood loss, and transfusion requirement are significantly improved compared to OPD and fewer cases require conversion to open than LPD. In this article, we describe our approach to RPD through standardizing PD techniques along with tips and tricks for the benefit of surgeons interested in learning robotic pancreatic surgery.
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