2023版机器人辅助胰腺手术国际共识指南解读  

Interpretation of the 2023 version of the international consensus guidelines for robotic pancreatic surgery

作　　者：刘凯 张修平 刘荣[1] Liu Kai;Zhang Xiuping;Liu Rong(Department of Hepatobiliary Pancreatic Surgery,First Medical Center,General Hospital of People′s Liberation Army,Beijing 100853,China;People′s Liberation Army Medical College,Beijing 100853,China)

机构地区：[1]解放军总医院第一医学中心肝胆胰外科医学部,北京100853 [2]解放军医学院,北京100853

出　　处：《中华外科杂志》2024年第10期918-922,共5页Chinese Journal of Surgery

基　　金：科技创新2030——“新一代人工智能”重大项目(2021ZD0113301)。

摘　　要：随着机器人辅助手术系统的不断进步及外科医师临床经验的不断积累,机器人辅助手术系统在胰腺手术领域的应用越来越广泛。已有多项研究结果显示,机器人辅助胰腺手术较传统胰腺手术有明显优势。2023版机器人辅助胰腺手术国际共识指南对机器人辅助胰腺手术的适用性和安全性有了更加规范的指导,该指南对机器人辅助胰十二指肠切除术、远端胰腺切除术和胰腺中段切除术的适应证、安全性、学习曲线及相关问题进行了详细讨论。此外,还讨论了机器人辅助手术系统在特殊患者中的应用价值,以及机器人辅助下的胰肠吻合新技术和胰管修复的概念。本文基于该指南的推荐意见和作者团队在机器人辅助胰腺手术领域的实践经验,对该指南进行解读。With the continuous advancement of robot-assisted surgical system and the continuous accumulation of clinical experience of surgeons,robot-assisted surgical systems are becoming more and more widely used in the field of pancreatic surgery.Several studies have suggested that robot-assisted pancreatic surgery has significant advantages over traditional pancreatic surgery.The“International consensus guidelines on robotic pancreatic surgery in 2023”provides more standardized guidance on the applicability and safety of robotic-assisted pancreatic surgery,and discusses in detail the indications,safety,learning curve,and related issues of robot-assisted pancreaticoduodenectomy,distal pancreatectomy,and mid pancreatectomy.In addition,the application value of robot-assisted surgical systems in special patients was discussed,as well as the new technology of robot-assisted pancreaticointestinal anastomosis and the new concept of pancreatic duct repair surgery.This article interprets the guidelines based on the recommendations of the guidelines and the practical experience of the authors′team in the field of robotic-assisted pancreatic surgery.

关 键 词：胰腺手术 机器人 共识指南 胰管修复 

分 类 号：R657.5[医药卫生—外科学]