Application of Da Vinci surgical system in distal pancreatic tumor resection
10.3760/cma.j.issn.1673-4904.2013.08.004
- VernacularTitle:Da Vinci机器人系统在远端胰腺肿瘤手术中的应用
- Author:
Longyue WANG
;
Weihong DUAN
;
Zhenyu ZHU
;
Junzhou CHEN
;
Tao ZHANG
;
Ningxin ZHOU
- Publication Type:Journal Article
- Keywords:
Pancreatic neoplasms;
Pancreatectomy;
Laparoscopy;
Da Vinci surgical system
- From:
Chinese Journal of Postgraduates of Medicine
2013;(8):10-13
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical safety and validity of Da Vinci surgical system in distal pancreatic tumor resection.Methods The clinical data of 14 patients with distal pancreatic tumor underwent robotic surgeries by using Da Vinci surgical system from January 2009 to June 2012 were retrospectively analyzed.Results The average operation time was 343.93 (170-575) min,average blood loss was 192.5 (10-700) ml,without blood trahsfusion.Pathologic examination showed:pancreatic ductal adenocarcinoma in 7 patients,pancreatic cystadenoma in 1 patient,mucous cystadenoma in 1 patient,cystadenocarcinoma in 1 patient,high levels of pancreatic ductal intraepithelial neoplasia in 1 patient,insulinoma in 1 patient,solid pseudo-papillary tumor in 2 patients.Two patients with pancreatic leaks after operation and then relieved after conservative medical therapy.Others were discharged from hospital without complications.The average hospital stay was 10.64 d.Conclusions Da Vinci surgical system is safe and effective in treatment for patients with distal pancreatic rumor with minimally invasive advantage.Because lack of surgical experience and small sample,a large sample with long term follow-up of high-quality clinical research is required and then update the system to evaluate the efficacy and safety.
