摘要
达芬奇机器人系统目前已广泛应用于胰腺手术.胰腺手术因其手术难度大,解剖复杂,术后并发症多,围术期病死率高,成为普外科手术中的一大难点.血管变异又是外科手术中需仔细甄别、小心处理的另一项关键.生理状态下腹腔血管可存在不同表现型的血管变异,变异的血管在手术中常常会造成手术医师的困扰,导致血管损伤、围术期出血、肝脏及胆管系统缺血和继发性胆漏等手术相关风险的发生概率增加.结合既往研究和笔者所在胰腺中心手术经验,推荐在机器人胰腺手术中通过特定手术路径和技巧处理变异血管.
Da Vinci robot has been widely used in pancreatic surgery nowadays.Pancreatic surgery is known as a difficult procedure in general surgery due to its surgical difficulty,complex anatomy,severe postoperative complications and high perioperative mortality.Vascular variation is another key point in surgical operation,which demands lots of attention and careful management.In physiological state,abdominal blood vessels may vary in different phenotypes,which occasionally cause troubles to surgeons,resulting in increased risk of vascular injuries,perioperative hemorrhage,hepatic or bile duct ischemia and consequent leakage and the like.Based on the previous research and our experience,it is recommended that the vascular variations be treated by specific surgical approaches and techniques in robot-assisted pancreatic surgery.
作者
苏秉蔚
翁原驰
许志伟
邓侠兴
Su Bingwei;Weng Yuanchi;Xu Zhiwei;Deng Xiaxing(Department of General Surgery,Pancreatic Disease Center,Ruijin Hospital,Shanghai Jiaotong University,School of Medicine,Shanghai 200025,China)
出处
《中华胰腺病杂志》
CAS
2019年第5期356-359,共4页
Chinese Journal of Pancreatology
关键词
血管变异
机器人手术
胰腺手术
Vascular variation
Robotic surgery
Pancreatectomy
作者简介
通信作者:许志伟,Email:xzw10800@163.com
