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中华腔镜外科杂志(电子版) ›› 2025, Vol. 18 ›› Issue (02) : 73 -77. doi: 10.3877/cma.j.issn.1674-6899.2025.02.002

指南与共识

机器人肝门部胆管癌根治术专家共识
中国研究型医院学会微创外科学专业委员会1, 中国研究型医院学会智能医学专业委员会1   
  1. 1. 100853 北京,解放军总医院第一医学中心肝胆胰外科医学部
  • 收稿日期:2025-03-20 出版日期:2025-04-30

Expert consensus on robotic radical resection for perihilar cholangiocarcinoma

Minimally Invasive Surgery Professional Committee of the Chinese Research Hospital Association The1, Intelligent Medicine Professional Committee of the Chinese Research Hospital Association The1   

  1. 1. Faculty of Hepato-Pancreato-Biliary Surgery, the First Medical Center of Chinese PLA General Hospital,Beijing 100853, China
  • Received:2025-03-20 Published:2025-04-30
引用本文:

中国研究型医院学会微创外科学专业委员会, 中国研究型医院学会智能医学专业委员会. 机器人肝门部胆管癌根治术专家共识[J/OL]. 中华腔镜外科杂志(电子版), 2025, 18(02): 73-77.

Minimally Invasive Surgery Professional Committee of the Chinese Research Hospital Association The, Intelligent Medicine Professional Committee of the Chinese Research Hospital Association The. Expert consensus on robotic radical resection for perihilar cholangiocarcinoma[J/OL]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2025, 18(02): 73-77.

目的

为规范机器人肝门部胆管癌根治性切除术的开展,提高围手术期安全性和患者远期生存,制定本专家共识。

方法

中国研究型医院学会微创外科学专业委员会、智能医学专业委员会牵头,组织我国微创胆道肿瘤外科专家,根据文献和实践,经过多轮投票与反馈、讨论与修订,形成本专家共识。

结果

对机器人肝门部胆管癌根治术的术前评估和手术规划、适应证与禁忌证、围手术期安全性与疗效、需血管重建病例的可行性、生存与复发、学习曲线等六个方面提出了11条建议。

结论

机器人肝胆胰手术经验丰富的外科中心在充分评估和全面规划后,开展机器人肝门部胆管癌根治术是安全、有效的。机器人手术在并发症、预后等方面相对其他手术方式的优势以及学习曲线仍需今后推广和实践总结出的更高质量证据来支持和阐明。

Objective

To standardize robotic radical resection for perihilar cholangiocarcinoma and improve perioperative safety and long-term survival of patients, this expert consensus is formulated.

Methods

The Minimally Invasive Surgery Professional Committee and the Intelligent Medicine Professional Committee of the Chinese Research Hospital Association initiated and organized experts in minimally invasive surgery for biliary tract tumor in China. This expert consensus was drafted based on literature and practice,followed by several rounds of voting, feedback, discussion and revision.

Results

Eleven recommendations were put forward covering six aspects of this operation including preoperative evaluation and surgical planning, indications and contraindications, perioperative safety and efficacy, feasibility of cases requiring vascular reconstruction, survival and recurrence, as well as learning curve.

Conclusion

After thorough evaluation and comprehensive planning, it is safe and eligible for surgical centers with adequate experience in robotic hepatobiliary and pancreatic surgery to carry out this operation. The advantages of robotic approach over other approaches in terms of complications, prognosis and learning curve, still need to be supported and clarified by evidence with higher quality obtained via more application and practice.

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