Current status and future perspectives of robotic-assisted pancreatectomy

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  • ISHIDO Keinosuke
    Department of Gastroenterological Surgery, Hirosaki University Graduate School of Medicine
  • KIMURA Norihisa
    Department of Gastroenterological Surgery, Hirosaki University Graduate School of Medicine
  • WAKIYA Taiichi
    Department of Gastroenterological Surgery, Hirosaki University Graduate School of Medicine
  • NAGASE Hayato
    Department of Gastroenterological Surgery, Hirosaki University Graduate School of Medicine
  • HAKAMADA Kenichi
    Department of Gastroenterological Surgery, Hirosaki University Graduate School of Medicine

Bibliographic Information

Other Title
  • ロボット支援下膵切除の現状と今後の課題

Description

<p>Robotic-assisted surgery is expected to be a technology that enables precise, safe, and minimally invasive surgery with its magnified stereoscopic visualization and multi-joint function. In distal pancreatectomy especially, the superiority of minimally invasive surgery over laparotomy in short-term outcomes has been demonstrated with a high level of evidence, and robotic-assisted surgery is expected to improve long-term outcomes through precision and avoiding laparotomy, as well as to expand its application to patients who have difficulty with laparoscopic surgery. However, pancreaticoduodenectomy has a probable advantage in reconstructive procedures compared to laparoscopic surgery, and evidence is now accumulating. As the treatment of advanced pancreatic cancer is undergoing a major shift toward multidisciplinary treatment with potent systemic chemotherapy, total neoadjuvant therapy, and pancreatic resection, sophisticated and minimally invasive robotic-assisted surgery is expected to be highly compatible with these strategies. In the future, clinical studies with a high level of evidence, including randomized controlled trials, are needed to verify the long-term oncologic outcomes.</p>

Journal

  • Suizo

    Suizo 36 (5), 293-300, 2021-10-30

    Japan Pancreas Society

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