探讨达芬奇机器人辅助胰十二指肠切除术的临床效果，并总结手术护理配合要点与注意事项。

回顾性分析上海交通大学医学院附属瑞金医院2016年1月至2017年1月行达芬奇机器人辅助胰十二指肠切除术122例患者(达芬奇组)与传统开腹胰十二指肠切除术164例患者(对照组)的临床资料，观察并比较两组患者手术时间、术中出血量、低体温发生率、住院时间、术后并发症发生率等。结果达芬奇组患者在术中出血量、手术时间、总住院时间、术后住院时间等指标上均优于对照组患者，差异均有统计学意义(P值均小于0.05)；达芬奇组术中低体温发生率、术后并发症包括胰瘘与感染发生率均显著少于对照组，差异均有统计学意义(P值均小于0.05)；胆瘘、胃肠瘘、出血以及胃排空障碍发生率两组比较，差异均无统计学意义(P值均大于0.05)。

达芬奇机器人辅助胰十二指肠切除术具有创伤小、出血少、手术时间短、住院时间短、术后并发症少、恢复快等优点，同时手术室护理团队娴熟与默契地配合是保证手术顺利开展的关键。

To study the surgical outcome and the intra-operative nursing of the da Vinci robotic surgical system assisted pancreaticoduodenectomy.

The clinical data of patients who received pancreaticoduodenectomy in Shanghai Ruijin Hospital from January 2016 to January 2017 were retrospectively collected, of which 122 underwent surgeries assisted by the da Vinci robotic surgical system(robotic group) while 164 underwent traditional laparotomy as control (control group). Data including operative duration, intra-operative bleeding, hospital stay, incidence of complications and incidence of intra-operative hypothermia were retrieved and compared between two groups respectively.

The intra-operative bleeding, operative duration, total hospital stay and postopertative hospital stay of the patients in robotic group were significantly improved as compared to those of the patients in control group respectively, the differences were statistically significant (with P values below 0.05). The incidences of intra-operative hypothermia and postoperative complications such as anastomotic leakage and infection in the robotic group were significantly lower than those in the control group respectively, the differences were statistically significant (with P values below 0.05). While there were no statistical difference (with P values above 0.05) in comparing the incidences of biliary fistula, gastrointestinal fistula, bleeding and delayed gastric emptying between two groups respectively.

The da Vinci robotic surgical system assisted pancreaticoduodenectomy has advantages such as less invasive, less intra-operative bleeding, shorter operative duration, shorter hospital stay and more rapid recovery. Furthermore, a good cooperation between the surgical and nursing team ensures the operation.