达芬奇机器人手术系统行胰腺手术消化道吻合的要点

Key points of digestive tract anastomosis in pancreatic surgery assisted by da Vinci robotic surgical system

达芬奇机器人手术系统具有三维立体视野、高度精确性、灵活性和可重复性等优点，特别是在完成胰腺消化道吻合操作时，有着明显的优势。本文详细介绍了达芬奇机器人手术系统在胰腺手术中完成消化道吻合的可行性、吻合原则以及胰肠吻合、胰胃吻合手术步骤，从中分析出达芬奇机器人手术系统在胰腺手术消化道吻合时的特点，旨在提高吻合质量，减少术后胰腺吻合口相关并发症的发生。与开腹手术比较，在达芬奇机器人手术系统下完成胰腺消化道吻合简化了操作，减轻了创伤，是安全可行的。其具体吻合方式的选择应综合考虑局部组织条件、手术方式与外科医师的手术经验。

The da Vinci robotic surgical system has the advantages of three-dimensional vision and high degree of accuracy, flexibility and repeatability, which makes surgical procedures such as digestive tract anastomosis easier to conduct under minimally invasive conditions. In this article, the feasibility and principle of digestive tract anastomosis and the procedures of pancreaticojejunostomy and pancreaticogastrostomy by the da Vinci robotic surgical system are introduced, so as to improve the quality of anastomosis and reduce the incidences of postoperative complications. Compared with traditional laparotomy, da Vinci robotic surgical system simplified the surgical procedures and reduced the trauma, which is suitable for digestive tract anastomosis in pancreatic surgery. The method of pancreatic anastomosis should be selected in consideration of the condition of patients, surgical procedure and the experience of surgeons.