关键词: 胰十二指肠切除术, 机器人手术系统, 腹腔镜, 胰腺癌

Abstract:

The application of open，laparoscopic and robotic pancreaticoduodenectomy        ZHANG Ren-chao*，JIN Wei-wei，MOU Yi-ping，et al. *Department of Gastrointestinal and Pancreatic Surgery，Zhejiang Provincial People’s Hospital，Core Lab on Gastroenterology of Zhejiang Province，Hangzhou 310014，China
Corresponding author：MOU Yi-ping，E-mail：yipingmou@126.com
Abstract    Open pancreaticoduodenectomy (OPD) is the standard and only curative treatment for pancreatic head and periampullary lesions. It is a safe procedure，but  still have high morbidity rate，most of which are  incisional complications. Laparoscopic or robotic minimally invasive pancreaticoduodenectomy have many advantages，including high-definition，lower estimated blood loss and  fast recover，and the equivalent short-term and long-term oncological outcome. Laparoscopic pancreaticoduodenectomy (LPD) could be routinely practiced. Robotic Pancreaticoduodenectomy (RPD) is expensive，but have some advantages over laparoscopic surgery including more meticulous，suture easy and better，so it is more suitable for the patient with small size of pancreatic duct or bile duct. Hybrid PD (laparoscopic resection /robotic reconstruction) could promote the quality of operation. The application of multidisciplinary team (MDT)  which was made up of surgeon experienced in open，laparoscopic and robotic technique，radiologist，medical oncologist，pathologist，gastroenterologist，is the key point to select the most appropriate procedure.

Key words: pancreaticoduodenectomy, robotic surgical system, laparoscope, pancreatic cancer