[Robotic-assisted abdominal surgery].

摘要

Since March 2009 10 operations were performed using the DaVinci robotic complex. Five liver resections were performed for nonparasitic hepatic cyst or fibronodular hyperplasia, one case of splenectomy - for nonparasitic spleen cyst abscess, distal pancreatic resection - for cystocarcinoma of the pancreas, adrenalectomy, gastric fundal resection - for gastrointestinal stromal tumor and one case of left hemicolectomy - for adenocarcinoma of the descending colon. The first robotic-assisted operations proved the need for exact preoperative localization of the operative area. It provides adequate disposition of the instruments and devices of the operative complex. The use of the robotic complex provides a precisional surgical technique, excludes physiological hand tremor and allows a minor traumaticity of the operation. The successful use of the DaVinci complex requires, though, certain skills of handling the instruments, using the robotic console.