Robotic hepatobiliary and pancreatic surgery: a cohort study
Robotic hepatobiliary and pancreatic surgery: a cohort study
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DOI：
10.1007/s00534-011-0389-2
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发表时间：
2011-07-01
影响因子：
3
通讯作者：
Li, Michael K. W.
中科院分区：
文献类型：
--
作者：
Chan, Oliver C. Y.;Tang, Chung Ngai;Li, Michael K. W.
自世纪之交问世以来，机器人手术已成为最有前途的外科技术之一。尽管机器人辅助在世界范围内被许多不同的外科专业所接受，但在肝胆胰（HBP）手术领域的使用仍然相对未被探索。本文旨在评估机器人在单一手术中心的HBP手术的疗效和结果。在2009年5月至2010年12月期间，我们对所有来我院接受机器人HBP手术的患者进行了评估。对前瞻性维护的临床结果数据库进行回顾性分析。在研究期间，共进行了55例机器人HBP手术。有27个机器人肝切除术(左外侧sectionectomies n = 17日左肝切除术n = 1,其他侧n = 2和楔形切除术n = 7), 12个机器人胰腺程序(惠普尔业务n = 8, spleen-preserving远端胰腺摘除术n = 2,双桥n = 1、cystojejunostomy n = 1)和16个胆道手术(胆肠绕过n = 9,胆管勘探和有关手续n = 7)。机器人肝脏切除术、胆道手术和胰腺手术的中位术后住院时间分别为5.5天（范围3-11天）、6天（范围4-11天）和12天（范围6-21天）。肝切除术、胆道手术和胰腺手术的发病率分别为7.4%、18%和33%。在我们的研究中没有死亡率。机器人手术是可行的，并且可以安全地用于复杂的HBP病理患者。需要进一步的临床试验评估来验证其真正的益处。
Robotic surgery has emerged as one of the most promising surgical advances since its launch at the turn of the millennium. Despite its worldwide acceptance in many different surgical specialties, the use of robotic assistance in the field of hepatobiliary and pancreatic (HBP) surgery remains relatively unexplored. This article aims to evaluate the efficacy and outcomes of robotic HBP surgery in a single surgical center.Between May 2009 and December 2010, all patients admitted to our unit for robotic HBP surgery were evaluated. A retrospective analysis of a prospectively maintained database on clinical outcomes was performed.There were 55 robotic HBP operations performed during the study period. There were 27 robotic liver resections (left lateral sectionectomies n = 17, left hepatectomy n = 1, other segmentectomies n = 2 and wedge resections n = 7), 12 robotic pancreatic procedures (Whipple's operations n = 8, spleen-preserving distal pancreatectomies n = 2, double bypass n = 1 and cystojejunostomy n = 1) and 16 biliary procedures (biliary enteric bypass n = 9, bile duct exploration and related procedures n = 7). The median postoperative hospital stays for robotic liver resections, biliary procedures and pancreatic operations were 5.5 days (range 3-11 days), 6 days (range 4-11 days) and 12 days (range 6-21 days), respectively. Morbidities for liver resection, biliary procedures and pancreatic operations were 7.4, 18 and 33%, respectively. There was no mortality in our series.Robotic surgery is feasible and can be safely performed in patients with complicated HBP pathologies. Further evaluation with clinical trials is required to validate its real benefits.