The current state of robotic-assisted pancreatic surgery

被引:52
作者
Winer, Josh [1 ]
Can, Mehmet F. [2 ]
Bartlett, David L. [1 ]
Zeh, Herbert J. [1 ]
Zureikat, Amer H. [1 ]
机构
[1] Univ Pittsburgh, Med Ctr, Dept Surg, Div GI Surg Oncol, Pittsburgh, PA 15213 USA
[2] Gulhane Mil Med Acad, Div Gastrointestinal Surg, TR-06018 Ankara, Turkey
关键词
LAPAROSCOPIC DISTAL PANCREATECTOMY; EARLY EXPERIENCE; PANCREATICODUODENECTOMY; RESECTION; OUTCOMES; ADENOCARCINOMA; EVOLUTION; PYLORUS;
D O I
10.1038/nrgastro.2012.120
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Pancreatic surgery is challenging for both surgeon and patient. With the advent of minimally invasive surgical techniques, patient morbidity could be reduced. However, these techniques must conform to established principles of open pancreatic surgery with regards to meticulous dissection, haemostasis and oncologic results. The robotic platform is utilized in all facets of surgery, and is being increasingly applied in pancreatic surgery. As with the introduction of any new technology, this approach must undergo rigorous examination before widespread adoption of the technique. In this article, we review the techniques and outcomes of robotic-assisted pancreatic resections, focusing on robotic-assisted pancreaticoduodenectomy, robotic-assisted distal pancreatectomy and robotic-assisted central pancreatectomy. As the outcomes of robotic-assisted surgery have yet to be rigorously evaluated against the gold standard of open surgery, this Review also highlights major laparoscopic pancreatic series in an effort to summarize the available literature on minimally invasive pancreatic surgery.
引用
收藏
页码:468 / 476
页数:9
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