Robot-assisted pancreatoduodenectomy

Кригер, А Г; Берелавичус, С. В.; Горин, Д. С.; Калдаров, А. Р.; Karelskaya, N.; Akhtanin, E A

doi:10.17116/hirurgia2015950-56

Cited by 4 publications

(1 citation statement)

References 20 publications

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“…Distal pancreatectomy is also often a surgical procedure performed using robots. As of the end of 2016, 426 instances of this procedure had been published [11][12][13]. Most often, this surgery was performed due to neuroendocrine neoplasms or cystic pancreatic tumors [10][11][12][13][14].…”

Section: Discussionmentioning

confidence: 99%

Robot-Assisted Pancreatic Surgery—the Russian Experience.

et al. 2020

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Surgical procedures that involve working in small anatomical spaces can be successfully performed using robot-assisted surgery. We did a retrospective study of the results of 86 robot-assisted pancreatic operations performed in the Abdominal Department No.1 of the A.V. Vishnevsky Institute of Surgery, Moscow. Seventy (81.4%) patients were female, and 16 (18.6%) were male; the average age was 49 (37; 59). The following robot-assisted surgeries were performed: 17 pancreaticoduodenectomies, 45 distal pancreatectomies, 16 tumor enucleations, 6 median resections, and 2 total duodenopancreatectomies. The duration of robot-assisted surgical operations varied depending on the extent of the surgery: for a pancreaticoduodenectomy (PD), it was 400 (360-550) min; for a distal pancreatectomy, it was 210 (180-250) min. Estimated blood loss in a PD was 200 (150-500) ml; in a distal pancreatectomy, it was 100 (50-300) ml. Conversions happened in 6 cases: 2 of them in PD and 4 in distal pancreatectomies. The postoperative length of stay was 15 ± 9 days and depended on the extent of the surgery. The maximum length (16 days) was after robot-assisted pancreaticoduodenectomies (14-25), the minimum (12 days) after organ-preservation surgery (8; 15). Pancreatic fistula А and В occurred in 35 (40.7%) patients and hemorrhages in 6 (7.0%) cases; there were 2 cases of 30-day mortality (2.3%). Robotic assistance can be successfully used in pancreatic surgery. Robot-assisted procedures ensure the precision of lymphadenectomy and anastomoses formation, and the postoperative lengths of stay are more comfortable for patients due to minimal tissue injury. The use of the robot-assisted approach in pancreatic surgery does not guarantee that specific postoperative complications will not occur.

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Section: Discussionmentioning

confidence: 99%

Robot-Assisted Pancreatic Surgery—the Russian Experience.

et al. 2020

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Early outcomes of open, laparoscopic and robot-assisted pancreatoduodenectomy

Popov

Барышев

Лищенко

et al. 2018

Khir. Z. im. N.I. Pirogova

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Опухоли билиопанкреатодуоденальной зоны составляют около 15% всех злокачественных новообразований (ЗНО) желудочно-кишечного тракта (ЖКТ) [8, 26, 31]. Современным стандартом хирургического лечения больных ЗНО билиопанкреатодуоденальной зоны является панкреатодуоденальная резекция (ПДР) [5, 13, 32]. Наряду с традиционным, открытым вмешательством все большее внимание практических хирургов привлекают миниинвазивные-лапароскопический и роботизированный-варианты выполнения этой операции [8, 25, 31]. В последние десятилетия миниинвазивные вмешательства (или хирургия минимального доступа) получили широкое распространение как для доброкачественных, так и для зло

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Current issues in pancreatic surgery

Ревишвили¹,

Кригер²,

Vishnevsky³

et al. 2018

Khir. Z. im. N.I. Pirogova

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Хирургия поджелудочной железы весьма специфична. Бóльшая часть операций на этом органе требует специальных мануальных навыков, знания возможных вариантов сосудистой архитектоники и специфики патофизиологических реакций поджелудочной железы как на болезнь, поразившую орган, так и на операционную травму. Существует не много хирургических клиник, в которых радикально и успешно выполняют операции по поводу опухолей поджелудочной железы и хронического панкреатита. Институт хирургии им. А.В. Вишневского стоял у истоков отечественной хирургической панкреатологии. Благодаря инициативе руководителей института-академиков А.В. Вишневского, М.И. Кузина и

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Robot-assisted pancreatoduodenectomy

Abstract: Obvious advantage of robot-assisted operation was precision of great vessels and lymphatic nodes dissection, performing anastomoses. Robot-assisted pancreatoduodenectomy corresponds to all requirements inherent to radical cancer surgery.

Cited by 4 publications

References 20 publications

Robot-Assisted Pancreatic Surgery—the Russian Experience.

Robot-Assisted Pancreatic Surgery—the Russian Experience.

Early outcomes of open, laparoscopic and robot-assisted pancreatoduodenectomy

Current issues in pancreatic surgery

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