Clinical feasibility and effectiveness analysis of robotic pancreatoduodenectomy via a "G"-shaped approach
10.3760/cma.j.issn.1006-9801.2019.04.006
- VernacularTitle:采用"G"形路径的机器人胰十二指肠联合切除术可行性及手术效果分析
- Author:
Yuxuan WEI
1
;
Tianyu HUO
;
Li GAN
;
Hongyin ZHU
;
Wangping CUI
;
Yu LIU
;
Zhigang WEI
Author Information
1. 山西医科大学研究生院
- Keywords:
Robotics;
Pancreatoduodenectomy;
Surgical procedures;
minimally invasive;
"G"-shaped surgical approach
- From:
Cancer Research and Clinic
2019;31(4):241-244
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the clinical feasibility and effectiveness of the "G"-shaped surgical approach in robotic pancreatoduodenectomy. Methods The clinical data of 17 patients who were undergoing robotic pancreatoduodenectomy at the First Hospital of Shanxi Medical University from June 2017 to March 2018 was analyzed. Results All the 17 robotic pancreatoduodenectomy operations via the "G"-shaped surgical approach were successful. The operationtime was (499 ±146) min (350-825 min), and the blood loss was (119±38) ml (20-500 ml). All surgical margins were negative. All patients recovered well after surgeries, and the postoperative hospital stay was (21 ±6) (14-36 days). However, one patient experienced secondary surgery due to bilioenteric anastomosis fistula, fortunately the surgical process went successfully. This patient had pancreatic leakage (class B) after surgery and was discharged with tubes after a conservative treatment, another patient had gastroplegia and recovered completely after conservative treatment. Conclusion It is a safe and feasible procedure to use the robotic pancreatoduodenectomy with the"G"-shaped surgical approach.
