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《医学前沿(英文)》 2015年 第9卷 第3期 页码 356-360 doi: 10.1007/s11684-015-0404-0
Robotic system has been increasingly used in pancreatectomy. However, the effectiveness of this method remains uncertain. This study compared the surgical outcomes between robot-assisted laparoscopic distal pancreatectomy and conventional laparoscopic distal pancreatectomy. During a 15-year period, 35 patients underwent minimally invasive approach of distal pancreatectomy in our center. Seventeen of these patients had robot-assisted laparoscopic approach, and the remaining 18 had conventional laparoscopic approach. Their operative parameters and perioperative outcomes were analyzed retrospectively in a prospective database. The mean operating time in the robotic group (221.4 min) was significantly longer than that in the laparoscopic group (173.6 min) (P = 0.026). Both robotic and conventional laparoscopic groups presented no significant difference in spleen-preservation rate (52.9% vs. 38.9%) (P = 0.505), operative blood loss (100.3 ml vs. 268.3 ml) (P = 0.29), overall morbidity rate (47.1% vs. 38.9%) (P = 0.73), and post-operative hospital stay (11.4 days vs. 14.2 days) (P = 0.46). Both groups also showed no perioperative mortality. Similar outcomes were observed in robotic distal pancreatectomy and conventional laparoscopic approach. However, robotic approach tended to have the advantages of less blood loss and shorter hospital stay. Further studies are necessary to determine the clinical position of robotic distal pancreatectomy.
关键词: distal pancreatectomy pancreatic neoplasm robotic surgery
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《医学前沿(英文)》 2013年 第7卷 第4期 页码 499-505 doi: 10.1007/s11684-013-0296-9
Pancreatic fistula (PF) is the most frequent complication after distal pancreatectomy (DP). Prophylactic transpapillary pancreatic stenting (PTPS) has been proposed recently for the prevention of PF after DP. In this meta-analysis, a comprehensive search was performed in the PubMed, Embase, and Cochrane Library databases. Studies analyzing the results of PTPS in DP were considered eligible for this meta-analysis. The analyzed outcome variables included PF rate, postoperative morbidity, non-PF-related complications, mortality, operation duration, and hospital stay. Four studies with 200 patients were included in this review. Only one was a randomized controlled trial (RCT). The results showed that PTPS was associated with less PF formation (odds ratio, 0.45; 95% confidence interval [CI], 0.22–0.94; P = 0.03) and shorter hospital stay (mean difference, -6.31; 95% CI, -6.99 to -5.62; P<0.00001). There was no significant difference in terms of the other variables. In conclusion, current evidence indicates that PTPS could reduce PF incidence and hospital stay after DP, without increasing other complications or operative time. However, the evidence is not solid, because the single RCT conflicted with the other three retrospective reports. Thus, considering the limitation, more well-designed RCTs on this topic are needed in the future.
关键词: pancreatic fistula distal pancreatectomy pancreatic stent meta-analysis
Li Jiang, Deng Ning, Xiaoping Chen
《医学前沿(英文)》 2020年 第14卷 第3期 页码 251-261 doi: 10.1007/s11684-019-0727-3
关键词: pancreatic fistula pancreatic body and tail resection distal pancreatectomy
Arthrogryposis multiplex congenita: classification, diagnosis, perioperative care, and anesthesia
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《医学前沿(英文)》 2017年 第11卷 第1期 页码 48-52 doi: 10.1007/s11684-017-0500-4
Arthrogryposis multiplex congenita (AMC) is a rare disorder characterized by non-progressive, multiple contractures. In addition to affected extremities, patients may also present microstomia, decreased temporomandibular joint mobility. Although the etiology of AMC is unclear, any factor that decreases fetal movement is responsible for AMC. Thus, accurate diagnosis and classification are crucial to the appropriate treatment of AMC. The development of ultrasound technology has enabled prenatal diagnosis. Very early treatment is favorable, and multidisciplinary treatment is necessary to improve the function of AMC patients. Most patients require surgery to release contracture and reconstruct joints. However, perioperative care is challenging, and difficult airway is the first concern of anesthesiologists. Postoperative pulmonary complications are common and regional anesthesia is recommended for postoperative analgesia. This review on AMC is intended for anesthesiologists. Thus, we discuss the treatment and perioperative management of patients undergoing surgery, as well as the diagnosis and classification of AMC.
关键词: arthrogryposis amyoplasia distal arthrogryposis anesthesia
Laparoscopic surgery for pancreatic lesions: current status and future
Taiping Zhang, Xiao Du, Yupei Zhao
《医学前沿(英文)》 2011年 第5卷 第3期 页码 277-282 doi: 10.1007/s11684-011-0147-5
关键词: minimally invasive surgery pancreatic surgery pancreatic neoplasm distal pancreatic lesions pancreatic fistula
标题 作者 时间 类型 操作
Robotic distal pancreatectomy versus conventional laparoscopic distal pancreatectomy: a comparative study
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期刊论文
The role of prophylactic transpapillary pancreatic stenting in distal pancreatectomy: a meta-analysis
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期刊论文
Prevention and treatment of pancreatic fistula after pancreatic body and tail resection: current status and future directions
Li Jiang, Deng Ning, Xiaoping Chen
期刊论文
Arthrogryposis multiplex congenita: classification, diagnosis, perioperative care, and anesthesia
null
期刊论文