Early experiences in robotic single-site plus one port platform for complex hepatobiliary and pancreatic surgery.
Int J Med Robot
; : e2602, 2023 Dec 16.
Article
em En
| MEDLINE
| ID: mdl-38103173
ABSTRACT
BACKGROUND:
Minimal invasive surgery in hepatobiliary and pancreatic (HBP) surgery has been accepted worldwide in recent years. However, applications of single-site laparoscopic surgery in complex HBP surgery have been limited due to difficulty in manoeuvring instruments and the limited range of motion resulting from clashing instruments.METHODS:
To overcome the limitations, we have used the Da Vinci single-site surgical platform with one additional port in a Da Vinci Xi system to perform donor right hepatectomy, pancreaticoduodenectomy, and combined resection of the common bile duct and spleen vessels preserving distal pancreatectomy.RESULTS:
In selected patients, using a robotic single-site plus one port system allowed the successful completion of complex HBP surgery.DISCUSSION:
Complex HBP surgery can be performed safely in a stable environment using the robotic single-site plus one port system. Further exploration of a robotic single-site plus one port in complex HBP surgery is necessary.
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Base de dados:
MEDLINE
Idioma:
En
Ano de publicação:
2023
Tipo de documento:
Article