Application of intraoperative ultrasound in robot-assisted precise resection of pancreatic tumors
10.7659/j.issn.1005-6947.2024.09.002
- VernacularTitle:术中超声在机器人胰腺肿瘤精准切除中的应用
- Author:
Zheng LI
1
;
Wensheng LIU
;
Qifeng ZHUO
;
Yihua SHI
;
Shunrong JI
;
Xianjun YU
;
Xiaowu XU
Author Information
1. 复旦大学附属肿瘤医院胰腺外科,复旦大学上海医学院肿瘤学系,上海市胰腺肿瘤研究所,上海市胰腺肿瘤精准诊疗重点实验室,复旦大学胰腺肿瘤研究所,上海 200032
- Keywords:
Pancreatic Neoplasms;
Parenchyma Sparing Resection;
Intraoperative Ultrasound;
Robotic Surgical Procedures
- From:
Chinese Journal of General Surgery
2024;33(9):1368-1376
- CountryChina
- Language:Chinese
-
Abstract:
The incidence and detection rates of benign and low-grade malignant pancreatic tumors have risen yearly.For patients with such tumors,traditional radical resection procedures often result in excessive loss of normal pancreatic parenchyma,leading to complications such as postoperative insufficiency of both exocrine and endocrine functions.Studies have shown that functional-preserving surgeries,such as minimally invasive enucleation or partial resection surgeries,can maximize the protection of patients'pancreatic function and improve long-term quality of life.However,for some tumors deep within the pancreatic parenchyma,accurately locating the tumor and protecting the pancreatic duct pose challenges.Intraoperative ultrasound(IOUS)has become an ideal intraoperative imaging tool,often referred to as the surgeon's"third eye"because of its portability,ability to provide real-time high-resolution information,non-reliance on ionizing radiation,and the fact that it does not require special patient preparation.With advancements in technology,the application scope of IOUS has expanded beyond its initially limited diagnostic role to various surgical applications,including identifying non-palpable lesions,guiding surgical strategies,and staging tumors.In the current era of minimally invasive and precision surgery,the proficiency of surgeons in using IOUS has become an important issue.This article reviews the history of IOUS applications,summarizes the advantages and basic usage methods of robotic IOUS,and shares techniques for applying IOUS in robot-assisted precise resection of pancreatic tumors.
