目的 探讨机器人胰腺切除联合血管重建的安全性及可行性。方法 回顾性分析2012年6月至2017年10月我院施行的15例机器人胰腺切除联合血管重建手术病人。8例胰十二指肠切除联合门静脉/肠系膜上静脉重建,1例胰十二指肠切除联合变异右肝动脉重建,2例胰体尾切除联合门静脉重建,2例胰体尾切除联合肝总动脉重建,2例全胰切除联合门静脉或肠系膜上静脉重建。结果 15例机器人胰腺切除联合血管重建手术时间（343+80）（210~540) min。术中出血量(573+310)(200~1 100） mL。术后住院时间（29.8+27.7）（14~122） d。2例（13.3%）病人术后出现胰漏,无死亡病例。结论 机器人胰腺切除联合血管重建安全可行,需手术医师有丰富经验和技术支持。
Objective To evaluate the safety and feasibility of robotic pancreatectomy with vascular reconstruction. Methods The data of 15 patients who underwent robotic pancreatectomy combined with vascular reconstruction were reviewed. There were 8 cases of pancreatoduodenectomy with portal vein (PV) and superior mesenteric vein reconstruction. One case had pancreatoduodenectomy with variant right hepatic artery reconstruction. Four cases had distal pancreatectomy including 2 case with PV reconstruction and 2 cases with common hepatic artery reconstruction. Two cases had total pancreatectomy with PV or SMV reconstruction. Results The operative time was (343+80)(210-540) min with blood loss (573+310)(200-1 100) mL. The postoperative hospital stay was (29.8+27.7)(14-122) d. Pancreatic fistula occurred in 2 cases (13.3%) without mortality. Conclusions Robotic pancreatectomy with vascular reconstruction could be safe and feasible, however, extensive experience with technical support should be needed.
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