Robotic and Laparoscopic Pancreaticoduodenectomy

摘要: Objectives Minimally invasive surgery is beneficial for complex operations; robotics may improve performance in these procedures; however, robotic pancreaticoduodenectomy (PD) has been plagued by long operative times. We describe a small series (n = 5) of patients who underwent hybrid PD treatment obstructive jaundice and pancreatic mass. Methods After diagnostic laparoscopy, the gallbladder was retracted cephalad porta hepatis dissected. The lesser sac opened to expose superior mesenteric vein below pancreas. Once cleared, bile duct, stomach, pancreas, jejunum were transected. uncinate process specimen removed. da Vinci S Surgical Robotic System docked perform mucosa-to-mucosa pancreaticojejunostomy an end-to-side choledochojejunostomy. A stapled gastrojejunostomy drain placement completed operation. Results Five between May 2006 June 2007. All had history pancreatitis presented with operations 5 ports. mean time 7 hours. hospital stay 9.6 days. At 6 months after operation, all disease-free. Conclusions Complex procedures such as can be accomplished minimally surgical techniques using instrumentation.