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Erschienen in: Der Chirurg 8/2016

28.07.2016 | Operationen an der Leber | Leitthema

Roboterassistierte hepatobiliäre Chirurgie

verfasst von: L. F. Gonzalez-Ciccarelli, P. Quadri, D. Daskalaki, L. Milone, A. Gangemi, P. C. Giulianotti, MD, FACS

Erschienen in: Die Chirurgie | Ausgabe 8/2016

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Zusammenfassung

Die roboterassistierte hepatobiliäre Chirurgie ist in den letzten Jahren stetig gewachsen. Sie stellt bei ausgewählten Patienten eine Alternative zu den offenen und laparoskopischen Verfahren dar. Die Endowrist-Instrumente und die verbesserte Visualisierung bieten einen wichtigen Vorteil bezüglich Blutungskontrolle, Mikronähten und Dissektion. Cholezystektomien und kleinere Hepatektomien werden mit vergleichbaren Ergebnissen durchgeführt wie offene und laparoskopische Operationen. Auch komplexe Verfahren, wie z. B. schwere und erweiterte Hepatektomien zeigen exzellente Ergebnisse, sofern sie von Experten durchgeführt werden. Der zusätzlich verwendete fluoreszierende Farbstoff Indozyaningrün bietet einen weiteren Vorteil zur Erkennung der vaskulären und biliären Anatomie. Zukünftige Innovationen werden es ermöglichen, die Anwendung und Indikationsgebiete für dieses Verfahren zu erweitern. Die roboterassistierte Operation ist zu einem sehr wichtigen Teil der modernen minimal-invasiven Chirurgie geworden, und die Entwicklung neuer Robotertechnologien werden eine breitere Anwendung dieser Technik fördern.
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Metadaten
Titel
Roboterassistierte hepatobiliäre Chirurgie
verfasst von
L. F. Gonzalez-Ciccarelli
P. Quadri
D. Daskalaki
L. Milone
A. Gangemi
P. C. Giulianotti, MD, FACS
Publikationsdatum
28.07.2016
Verlag
Springer Berlin Heidelberg
Erschienen in
Die Chirurgie / Ausgabe 8/2016
Print ISSN: 2731-6971
Elektronische ISSN: 2731-698X
DOI
https://doi.org/10.1007/s00104-016-0249-3

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