Resection and Reconstruction of Robotic Hepatopancreatobiliary Surgery

Robotic system has overcome the limitations of traditional laparoscopy and promoted the development of minimally invasive surgery. However, in the early stage of robotic hepatopancreatobiliary surgery, the lack of resection and reconstruction technology compatible with the robotic system restricts i...

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Main Authors: LIU Rong, LIU Qu
Format: Article
Language:zho
Published: Editorial Office of Medical Journal of Peking Union Medical College Hospital 2023-11-01
Series:Xiehe Yixue Zazhi
Subjects:
Online Access:https://xhyxzz.pumch.cn/en/article/doi/10.12290/xhyxzz.2023-0380
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author LIU Rong
LIU Qu
author_facet LIU Rong
LIU Qu
author_sort LIU Rong
collection DOAJ
description Robotic system has overcome the limitations of traditional laparoscopy and promoted the development of minimally invasive surgery. However, in the early stage of robotic hepatopancreatobiliary surgery, the lack of resection and reconstruction technology compatible with the robotic system restricts its application. Based on the previous experience, we propose the circumvascular resection technique, which takes the main blood vessels as the mark, mobilizes the blood vessels and excises the soft tissues around the blood vessels, and the double-low reconstruction technique, which can improve the reconstruction quality by reducing the tissue tension and the tensile stress per unit area during the reconstruction. These two techniques can address the limitations of the robotic system including limit operating space and lack of force feedback, and help to improve surgical safety, reduce learning curve and promote the clinical application of robotic hepatopancreatobiliary surgery.
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spelling doaj.art-0ea404593bc049019eeea1c37f9d184a2023-12-04T02:27:12ZzhoEditorial Office of Medical Journal of Peking Union Medical College HospitalXiehe Yixue Zazhi1674-90812023-11-011461125113010.12290/xhyxzz.2023-0380Resection and Reconstruction of Robotic Hepatopancreatobiliary SurgeryLIU RongLIU QuRobotic system has overcome the limitations of traditional laparoscopy and promoted the development of minimally invasive surgery. However, in the early stage of robotic hepatopancreatobiliary surgery, the lack of resection and reconstruction technology compatible with the robotic system restricts its application. Based on the previous experience, we propose the circumvascular resection technique, which takes the main blood vessels as the mark, mobilizes the blood vessels and excises the soft tissues around the blood vessels, and the double-low reconstruction technique, which can improve the reconstruction quality by reducing the tissue tension and the tensile stress per unit area during the reconstruction. These two techniques can address the limitations of the robotic system including limit operating space and lack of force feedback, and help to improve surgical safety, reduce learning curve and promote the clinical application of robotic hepatopancreatobiliary surgery.https://xhyxzz.pumch.cn/en/article/doi/10.12290/xhyxzz.2023-0380robotic surgeryhepatopancreatobiliary surgerycircumferential vessel resectionlow tensionlow stressreconstructive surgery
spellingShingle LIU Rong
LIU Qu
Resection and Reconstruction of Robotic Hepatopancreatobiliary Surgery
Xiehe Yixue Zazhi
robotic surgery
hepatopancreatobiliary surgery
circumferential vessel resection
low tension
low stress
reconstructive surgery
title Resection and Reconstruction of Robotic Hepatopancreatobiliary Surgery
title_full Resection and Reconstruction of Robotic Hepatopancreatobiliary Surgery
title_fullStr Resection and Reconstruction of Robotic Hepatopancreatobiliary Surgery
title_full_unstemmed Resection and Reconstruction of Robotic Hepatopancreatobiliary Surgery
title_short Resection and Reconstruction of Robotic Hepatopancreatobiliary Surgery
title_sort resection and reconstruction of robotic hepatopancreatobiliary surgery
topic robotic surgery
hepatopancreatobiliary surgery
circumferential vessel resection
low tension
low stress
reconstructive surgery
url https://xhyxzz.pumch.cn/en/article/doi/10.12290/xhyxzz.2023-0380
work_keys_str_mv AT liurong resectionandreconstructionofrobotichepatopancreatobiliarysurgery
AT liuqu resectionandreconstructionofrobotichepatopancreatobiliarysurgery