目的：探讨达芬奇机器人“3+2”模式胰十二指肠切除术中胰肠吻合的安全性及可行性。方法：回顾性分析甘肃省人民医院2017 年6 月—2020 年6 月在达芬奇机器人“3+2”模式下按照不同胰肠吻合方式行胰十二指肠切除术的患者30 例，统计分析短期疗效。结果：患者手术均获成功，患者术后均恢复良好出院，无患者死亡。结论：应用达奇芬机器人手术系统“3+2”模式在胰十二指肠切除术中胰肠吻合是安全可行的。

Objective: To investigate the safety and feasibility of Da Vinci robotic “3+2” mode in pancreaticojejunostomy after pancreaticoduodenectomy. Methods: A retrospective analysis was performed on 30 patients who underwent Da Vinci robotic pancreaticoduodenectomy with different anastomotic methods in Gansu Provincial People’s Hospital from June 2017 to June 2020, and the short-term efficacy was statistically analyzed. Results: All surgeries were successfully completed, and all patients recovered well after surgery with no death. Conclusion: Da Vinci robotic “3+2”mode in pancreaticojejunostomy after

pancreaticoduodenectomy is safe and feasible.

收稿日期：2021-07-08 录用日期：2022-05-05

Received Date: 2021-07-08 Accepted Date: 2022-05-05

基金项目：甘肃省外科肿瘤分子诊断与精准治疗重点实验室开放基金（2019GSZDSYS04）

Foundation Item: Open Fund of Key Laboratory for Molecular Diagnosis and Precision Medicine in Tumor Management of Gansu Province (2019GSZDSYS04)

通讯作者：马云涛，Email：3575515665@qq.com

Corresponding Author: MA Yuntao, Email: 3575515665@qq.com,

引用格式：许永成，何兴龙，郭进，等. 达芬奇机器人“3+2”模式在胰十二指肠切除术胰肠吻合中的应用[J]. 机器人外科学杂志（中英文），2023，4（2）：92-98.

Citation: XU Y C, HE X L, GUO J, et al. Application of Da Vinci robotic“3+2”mode in pancreaticojejunostomy after pancreaticoduodenectomy [J]. Chinese Journal of Robotic Surgery, 2023, 4(2): 92-98.

[1] Freschi C, Ferrari V, Melfi F, et al. Technical review of the Da Vinci surgical telemanipulator[J].Int J Med Robot, 2013, 9(4): 396-406.

[2] Goh B K. Robot-assisted minimally invasive distal pancreatectomy is superior to the laparoscopic technique[J].Ann Surg, 2016, 263(3): e49.

[3] Butturini G, Damoli I, Crepaz L, et al. A prospective nonrandomised single-center study comparing laparoscopic and robotic distal pancreatectomy[J].Surg Endosc, 2015, 29(11): 3163-3170.

[4] 刘荣, 赵国栋, 唐文博, 等. 机器人胰腺手术1010例经验与教训[J]. 南方医科大学学报, 2018, 38(2):130-134.

[5] 尹注增, 许大彬, 谭向龙, 等. 机器人与腹腔镜保脾胰体尾切除术经济效益的对比[J]. 腹腔镜外科杂志, 2016, 21(6): 429-432.

[6] Waters J A, Canal D F, Wiebke E A, et al. Robotic distal pancreatectomy: cost effective?[J].Surgery, 2010,148(4): 814-823.

[7] Melvin W S, Needleman B J, Krause K R, et al. Robotic resection of pancreatic neuroendocrine tumor. J Laparoendosc Adv Surg Tech A, 2003, 13(1): 33-36.

[8] 詹渭鹏, 狐鸣, 田宏伟, 等. 达芬奇机器人“3+2”模式在胰体尾切除术中的应用 [J]. 中国普通外科杂志, 2019, 28(9): 1061-1067.

[9] 张成, 安琳, 王羊, 等. 胰管- 空肠黏膜对黏膜间断式吻合在腹腔镜胰十二指肠切除术中的应用[J].肝胆胰外科杂志, 2020, 32(10): 600-604.

[10] 张绍平, 代洪华, 袁洪胜. 优化套入式胰肠吻合在胰十二指肠切除术中的临床应用价值[J]. 结直肠肛门外科, 2020, 26(S1): 29-30.

[11] 金赟, 李江涛, 彭淑牖. 捆绑式胰胃吻合术[J]. 中华肝脏外科学手术学电子杂志, 2017, 6(3): 153-155.

[12] 刘荣, 刘渠, 赵之明, 等. 单针全层胰肠吻合(301 式)在胰十二指肠切除术中的应用[J]. 腹腔镜外科杂志,2018, 11(11): 854-857.

[13] 周宁新. 达芬奇机器人胰十二指肠切除手术要点[J].中华普外科手术学杂志( 电子版), 2010, 4(3): 8-10.

[14] 朱宏达, 艾开兴. 机器人胰十二指肠切除术进展[J].外科理论与实践, 2014, 19(1): 75-77.

[15] 嵇武. 手术机器人胰十二指肠切除术[J]. 中国微创外科杂志, 2012, 12(7): 580-583.

[16] 沈柏用, 刘钦, 邓侠兴, 等. 达芬奇机器人手术系统行胰十二指肠切除术的临床疗效[J] 中华消化外科杂志, 2012, 11(1): 79-81.