中国实用外科杂志2025，Vol.45Issue(6)：618-624,7.DOI:10.19538/j.cjps.issn1005-2208.2025.06.03
《关于机器人肝胆胰手术的建议:巴黎专家会议共识》解读
Interpretation of"Recommendations on Robotic Hepato-Pancreato-Biliary Surgery.The Paris Jury-Based Consensus Conference"
摘要
Abstract
With the advancement of minimally invasive surgical techniques,robotic hepato-pancreato-biliary surgery(RHPBS)has been increasingly adopted worldwide.Given the complexity of hepato-pancreato-biliary procedures and the substantial heterogeneity among patients,expert panels reviewed 285 related studies and formulated a consensus on indications,safety,training systems,and surgical quality assessment for RHPBS.The consensus highlighted that RHPBS currently remains in the exploratory phase under the IDEAL framework and that factors such as advanced age,obesity,or prior abdominal surgery should not be considered absolute contraindications.RHPBS shows potential advantages in liver and pancreatic resections,particularly in procedures involving vascular reconstruction and biliary-enteric anastomosis.The panel emphasized the need for a standardized training system,emergency preparedness protocols,and a set of normative surgical quality assessment metrics.Furthermore,future research priorities were proposed,including surgical risk assessment and integration of artificial intelligence-assisted systems.While RHPBS demonstrates favorable short-term outcomes and potential cost-effectiveness in selected scenarios,its generalizability in complex surgical indications requires validation through higher-quality evidence.关键词
机器人肝胆胰手术/微创外科/共识/指南/肝切除术/胰腺切除术Key words
robotic in hepato-pancreato-biliary surgery/min-imally invasive surgery/consensus/guidelines/hepatectomy/pancreatectomy分类
医药卫生引用本文复制引用
郑鑫,孙备..《关于机器人肝胆胰手术的建议:巴黎专家会议共识》解读[J].中国实用外科杂志,2025,45(6):618-624,7.基金项目
National Natural Science Foundation of China(No.82070658,No.82470672) （No.82070658,No.82470672）
Key Research and Development Program of Heilongjiang Province(Innovation Base Project)(No.JD2023SJ42) 国家自然科学基金项目(No.82070658,No.82470672) （Innovation Base Project）
黑龙江省重点研发计划(创新基地)项目(No.JD2023SJ42) （创新基地）
