机器人胰十二指肠切除术:手术步骤及技术要领  

Robotic Pancreaticoduodenectomy:Surgical Procedure and Experience

作　　者：张天辰 张修平 刘荣 ZAHNG Tianchen;ZHANG Xiuping;LIU Rong(Faculty of Hepatopancreatobiliary Surgery,the First Medical Center of Chinese People's Liberation Army General Hospital,Beijing 100853,China)

机构地区：[1]中国人民解放军总医院第一医学中心肝胆胰外科医学部,北京100853

出　　处：《协和医学杂志》2024年第4期751-757,共7页Medical Journal of Peking Union Medical College Hospital

基　　金：科技创新2030——“新一代人工智能”重大项目(2021ZD0113301);北京市AI+健康协同创新培育课题(Z221100003522005)。

摘　　要：机器人微创化的发展一直是学科焦点,胰十二指肠切除术因其风险高、难度大而被誉为外科手术的“珠穆朗玛峰”。标准化的手术步骤和简单易行的操作技巧有助于机器人胰十二指肠切除术(robotic pancreaticoduodenectomy,RPD)的推广应用。本文结合中国人民解放军总医院第一医学中心大量RPD实操经验,将RPD归纳总结为18个手术步骤,并对环血管切除技术、重建吻合技术进行要点解析,以期推动机器人在胰腺外科的深入应用,促进RPD规范和应用标准的进一步建立。The development of minimally invasive robotic surgery has always been the focus of the discipline.Pancreaticoduodenectomy has been regarded as the“Mount Everest”of surgical operations be-cause of its high risk and mounting difficulty.Standardized surgical steps and easy-to-follow operation tech-niques are helpful to promote the application of robotic pancreaticoduodenectomy(RPD).Therefore,in this paper,we summarize the RPD to form an 18-step surgery procedure and analyze the key points of cir-cumferential vessel resection and reconstructive anastomosis techniques,based on the experience of RPD at the First Medical Center of Chinese People's Liberation Army General Hospital,with the hope of promoting the in-depth application of robotics in pancreatic surgery and furthering the establishment of RPD applica-tion standards.

关 键 词：机器人手术 胰十二指肠切除术 环血管切除 胰肠吻合 

分 类 号：R656.6[医药卫生—外科学] R-1[医药卫生—临床医学]