How to use robotic-assisted pancreaticoduodenectomy

  The Department of Biliary and Pancreatic Surgery completed the first da Vinci robot-assisted pancreaticoduodenectomy in our hospital.  Pancreaticoduodenectomy is considered one of the largest surgeries in general surgery due to the large number of surgically removed organs and complex regional structure, and the incision in patients undergoing traditional open surgery is often more than 30 cm long. Due to the deep anatomical location of the pancreas and the rich surrounding blood vessels, the surgical operation is difficult and was once considered a bottleneck of minimally invasive pancreatic surgery. However, with the continuous improvement of the da Vinci robot system and surgical techniques, the once difficult problem has been solved.  The patient, a 65-year-old male, was admitted to the hospital in January due to intractable abdominal pain and was diagnosed with a tumor in the papilla of the duodenum by CT. After a perfect preoperative evaluation and careful preoperative preparation, Director Wang decided to operate on the patient through robotic surgery. The operation was carried out smoothly with the skillful operation of Director Wang and the cooperation of his assistant. Through fine freeing and precise dissection, the operation was performed with almost no bleeding and took eight hours to complete the first pancreaticoduodenal resection of duodenal papillary tumor under the robot in our hospital, which opened the “robot era” of biliary and pancreatic surgery in the hospital. One day after the operation, the patient was transferred out of the care unit and was in stable condition. The patient is now recovering well and will be discharged soon.  The da Vinci Surgical Robot System, with its remote console, special surgical instruments, and high-definition lumpectomy equipment, makes robotic surgery the most advanced field of minimally invasive surgery. accurate imaging system, making the operation more delicate, precise and accurate, with less intraoperative bleeding, and ultimately achieving rapid postoperative recovery, which has been used in many surgical operations and is the future trend of laparoscopic surgery development.