CAJ | 학술논문

达芬奇机器人手术系统具有三维立体视野、高度精确性、灵活性和可重复性等优点,特别是在完成胰腺消化道吻合操作时,有着明显的优势.本文详细介绍了达芬奇机器人手术系统在胰腺手术中完成消化道吻合的可行性、吻合原则以及胰肠吻合、胰胃吻合手术步骤,从中分析出达芬奇机器人手术系统在胰腺手术消化道吻合时的特点,旨在提高吻合质量,减少术后胰腺吻合口相关并发症的发生.与开腹手术比较,在达芬奇机器人手术系统下完成胰腺消化道吻合简化了操作,减轻了创伤,是安全可行的.其具体吻合方式的选择应综合考虑局部组织条件、手术方式与外科医师的手术经验.
체분기궤기인수술계통구유삼유입체시야、고도정학성、령활성화가중복성등우점,특별시재완성이선소화도문합조작시,유착명현적우세.본문상세개소료체분기궤기인수술계통재이선수술중완성소화도문합적가행성、문합원칙이급이장문합、이위문합수술보취,종중분석출체분기궤기인수술계통재이선수술소화도문합시적특점,지재제고문합질량,감소술후이선문합구상관병발증적발생.여개복수술비교,재체분기궤기인수술계통하완성이선소화도문합간화료조작,감경료창상,시안전가행적.기구체문합방식적선택응종합고필국부조직조건、수술방식여외과의사적수술경험.
The da Vinci robotic surgical system has the advantages of three-dimensional vision and high degree of accuracy,flexibility and repeatability,which makes surgical procedures such as digestive tract anastomosis easier to conduct under minimally invasive conditions.In this article,the feasibility and principle of digestive tract anastomosis and the procedures of pancreaticojejunostomy and pancreaticogastrostomy by the da Vinci robotic surgical system are introduced,so as to improve the quality of anastomosis and reduce the incidences of postoperative complications.Compared with traditional laparotomy,da Vinci robotic surgical system simplified the surgical procedures and reduced the trauma,which is suitable for digestive tract anastomosis in pancreatic surgery.The method of pancreatic anastomosis should be selected in consideration of the condition of patients,surgical procedure and the experience of surgeons.