摘要
胰腺手术以创伤大、操作难、手术风险及并发症发生率高著称,微创化、精细化及标准化是胰腺手术发展的风向标.21 世纪以来,机器人胰腺手术以其高精度、高安全性、更加真实清晰的操作视野等优势,逐渐成为世界范围内胰腺手术的优选方式.近 10 年来,中国多家大型胰腺中心开展了机器人胰腺手术并趋于成熟,包括胰十二指肠切除术、胰体尾切除术、全胰切除术、胰腺肿瘤剜除术、胰腺中段切除术等各类术式.然而,目前机器人系统在胰腺手术方面仍存在系统构建复杂、缺乏力反馈、影像学融合不充分、远程操作不成熟等问题,外科医生应继续开展机器人胰腺手术相关高质量临床研究以验证其安全性及有效性,进一步促进机器人胰腺手术向着规范化、标准化和智能化方向发展.
Abstract
Pancreatic surgery is characterized by great trauma,difficult operation,high risk and high complication rate.Minimally invasive,refined and standardized pancreatic surgery is the future trend.With its advantages of high precision,high safety,and more realistic and clear operating field,robotic pancreatic sur-gery has gradually become the preferred method of pancreatic surgery worldwide.In the past 10 years,more than a dozen large pancreas centers in China have matured to carry out robotic pancreatic surgery,including pancreaticoduodenectomy,pancreaticocaudectomy,pancreatic tumor enucleation,middle pancreatectomy,total pancreatectomy,pancreaticodectomy with duodenum preserved and other pancreatic surgery methods.However,there are still some problems in robotic pancreatic surgery,such as complex system construction,lack of force feedback,inadequate imaging fusion,and immature remote operation.Pancreatic surgeons should continue to carry out high-quality clinical studies on robotic pancreatic surgery to verify its safety and effective-ness,and standardize robotic pancreatic surgery with the accumulation of experience.
基金项目
中央高水平医院临床科研专项(2022-PUMCH-B-004)
国家科技期刊平台
NSTL
万方数据