Perioperative Management of Pancreaticoduodenectomy by Using Da Vinci Robotic Surgical System
- VernacularTitle:达芬奇机器人胰十二指肠手术患者围手术期的管理
- Author:
Lin WEI
1
;
Shiguang LIU
Author Information
1. 上海交通大学医学院附属瑞金医院肝胆胰外科及肝移植中心
- Keywords:
Da Vinci robot;
Pancreaticoduodenectomy;
Perioperative period;
Management
- From:
Chinese Journal of Clinical Medicine
2014;(3):366-368
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To discuss the key points of perioperative management in pancreaticoduodenectomy by using Da Vinci ro-botic surgical system .Methods :The perioperative management of 46 patients who received pancreaticoduodenectomy by using Da Vinci robotic surgical system at Ruijin Hospital ,Shanghai Jiaotong University School of Medicine were retrospectively sum-marized and analyzed .The perioperative management included selection of appropriate patients ,preoperative psychological care , preoperative preparation ,right body-position and right intraabdominal pressure ,postoperative monitoring of vital signs ,and prevention and nursing of the complications .Results:The mean postoperative hospital-stay of these patients were 23 .8 days , with no death .Complications were found in 13 patients ,including 10 pancreatic fistula ,2 biliary fistula and 1 hemorrhage .All of them recovered after receiving relevant treatments and nursing .Conclusions :To promote the postoperative recovery and reduce the occurence rate of the postoperative complications and mortality ,the perioperative management is as important as mastering advanced surgical techniques .
