[Robotic pancreatic surgery].
Robotische Pankreaschirurgie.
Distal pancreatectomy
Evidence
Indications
Partial pancreatoduodenectomy
Venous reconstruction
Journal
Chirurgie (Heidelberg, Germany)
ISSN: 2731-698X
Titre abrégé: Chirurgie (Heidelb)
Pays: Germany
ID NLM: 9918383081906676
Informations de publication
Date de publication:
14 Dec 2023
14 Dec 2023
Historique:
accepted:
08
11
2023
medline:
14
12
2023
pubmed:
14
12
2023
entrez:
14
12
2023
Statut:
aheadofprint
Résumé
Robotic operations as a further development of conventional laparoscopic surgery have been introduced for nearly all interventions in visceral surgery during the last decade. They also currently have a high importance and acceptance in pancreatic surgery despite a relevant learning curve and high associated costs. Standard procedures, such as robotic distal pancreatectomy (RDP) and partial pancreatoduodenectomy (RPD) are most frequently performed, whereas extended resections, e.g., vascular reconstructions of the portal vein, are still limited to a small number of centers worldwide. Potential advantages of robotic pancreatic surgery compared to open surgery include, in particular, less blood loss and a faster postoperative recovery of the patients leading to a shorter hospital stay. Compared to conventional laparoscopic surgery, robotic approaches offer advantages with respect to better visualization and three-dimensional dexterity of the instruments; however, the currently published literature comprises only retrospective or prospective observational studies and randomized controlled results are not yet available but first study results in this respect are expected within the next 2-3 years. Robotische Operationen wurden in den letzten 10 Jahren als Weiterentwicklung der konventionellen Laparoskopie für nahezu alle Eingriffe in der Viszeralchirurgie eingeführt. Sie haben heute auch in der Pankreaschirurgie einen wichtigen Stellenwert mit zunehmender Akzeptanz trotz einer relevanten Lernkurve und hohen assoziierten Kosten. Am häufigsten werden hierbei Standardverfahren wie die robotische distale Pankreatektomie (RDP) und die robotische partielle Pankreatoduodenektomie (RPD) durchgeführt, erweiterte Resektionen, z. B. mit venöser Rekonstruktion der Pfortader, bleiben bislang auf wenige Zentren weltweit beschränkt. Potenzielle Vorteile der robotischen Pankreaschirurgie umfassen v. a. einen geringeren Blutverlust sowie eine schnellere postoperative Erholung mit kürzerem stationärem Aufenthalt der Patienten verglichen mit offenen Operationen. Gegenüber der konventionellen laparoskopischen Chirurgie bietet die Robotik Vorteile hinsichtlich der Visualisierung sowie des dreidimensionalen Bewegungsumfangs der Instrumente. Die bislang vorliegende Literatur hierzu umfasst jedoch retro- und prospektive Beobachtungsstudien, randomisiert-kontrollierte Ergebnisse sind noch nicht vorhanden, erste Publikationen hierzu werden in den nächsten 2 bis 3 Jahren erwartet.
Autres résumés
Type: Publisher
(ger)
Robotische Operationen wurden in den letzten 10 Jahren als Weiterentwicklung der konventionellen Laparoskopie für nahezu alle Eingriffe in der Viszeralchirurgie eingeführt. Sie haben heute auch in der Pankreaschirurgie einen wichtigen Stellenwert mit zunehmender Akzeptanz trotz einer relevanten Lernkurve und hohen assoziierten Kosten. Am häufigsten werden hierbei Standardverfahren wie die robotische distale Pankreatektomie (RDP) und die robotische partielle Pankreatoduodenektomie (RPD) durchgeführt, erweiterte Resektionen, z. B. mit venöser Rekonstruktion der Pfortader, bleiben bislang auf wenige Zentren weltweit beschränkt. Potenzielle Vorteile der robotischen Pankreaschirurgie umfassen v. a. einen geringeren Blutverlust sowie eine schnellere postoperative Erholung mit kürzerem stationärem Aufenthalt der Patienten verglichen mit offenen Operationen. Gegenüber der konventionellen laparoskopischen Chirurgie bietet die Robotik Vorteile hinsichtlich der Visualisierung sowie des dreidimensionalen Bewegungsumfangs der Instrumente. Die bislang vorliegende Literatur hierzu umfasst jedoch retro- und prospektive Beobachtungsstudien, randomisiert-kontrollierte Ergebnisse sind noch nicht vorhanden, erste Publikationen hierzu werden in den nächsten 2 bis 3 Jahren erwartet.
Identifiants
pubmed: 38095648
doi: 10.1007/s00104-023-02001-w
pii: 10.1007/s00104-023-02001-w
doi:
Types de publication
English Abstract
Journal Article
Langues
ger
Sous-ensembles de citation
IM
Informations de copyright
© 2023. The Author(s), under exclusive licence to Springer Medizin Verlag GmbH, ein Teil von Springer Nature.
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