联合门静脉血管切除重建的机器人胰十二指肠切除术个案报道

doi:10.3877/cma.j.issn.1674-6899.2016.02.019

中华腔镜外科杂志(电子版) ›› 2016, Vol. 09 ›› Issue (02) : 124 -125. doi: 10.3877/cma.j.issn.1674-6899.2016.02.019

所属专题：机器人手术；经典病例；文献；

病例报告

联合门静脉血管切除重建的机器人胰十二指肠切除术个案报道

刘荣¹^,^†(

), 宋昱垚¹, 赵国栋¹, 高元兴¹

^1. 100853　北京，解放军总医院肿瘤外二科

出版日期:2016-04-30
通信作者: 刘荣

The case report of robotic assisted pancreaticoduodenectomy conbined with vascular resection and reconstruction of portal vein

Rong Liu¹(), Yuyao Song¹, Guodong Zhao¹

Published:2016-04-30
Corresponding author: Rong Liu

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刘荣, 宋昱垚, 赵国栋, 高元兴. 联合门静脉血管切除重建的机器人胰十二指肠切除术个案报道[J/OL]. 中华腔镜外科杂志(电子版), 2016, 09(02): 124-125.

Rong Liu, Yuyao Song, Guodong Zhao. The case report of robotic assisted pancreaticoduodenectomy conbined with vascular resection and reconstruction of portal vein[J/OL]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2016, 09(02): 124-125.

图1 胆管中下段癌并门静脉侵犯患者MRI检查提示胆总管胰中下占位，上端胆道梗阻

图2 机器人胰十二指肠切除术中将胰头、远端胃、十二指肠、上段空肠均拉至右侧后，可见肿瘤侵犯门脉右侧壁

图3 机器人胰十二指肠切除术在门静脉受侵部分上下用血管夹夹闭，用镜下电剪切除肿瘤侵及的门静脉

图4 机器人胰十二指肠切除术中5－0 proline血管缝线连续缝合重建门静脉

图5 机器人胰十二指肠切除术中镜下胰管空肠吻合

1	Ejaz A, Sachs T, He J, et al. A comparison of open and minimally invasive surgery for hepatic and pancreatic resections using the nationwide inpatientsample[J]．Surgery, 2014, 156(3): 538-547.
2	Melvin WS, Needleman BJ, Krause KR, et al. Computer－enhanced robotic telesurgery. Initial experience in foregut surgery[J]．Surg Endosc, 2002, 16(12): 1790-1792.
3	Stafford AT, Walsh RM. Robotic surgery of the pancreas: the current state of the art[J]. Journal of Surgical Oncology, 2015, 112(3): 289-294.
4	Zhao G, Xue R, Ma X, et al.Retroperitoneoscopic pancreatectomy: a new surgical option for pancreatic disease[J]．Surg Endosc, 2012, 26(6): 1609-1616.

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