CdSMEDICINA E CHIRURGIA
Codice1060Z
CFU1
PeriodoSecondo semestre
LinguaItaliano
| Moduli | Settore/i | Tipo | Ore | Docente/i | |
| ADE - CHIRURGIA ROBOTICA ADDOMINALE | NN | LEZIONI | 25 |
|
Acquisizione di conoscenze sullo sviluppo che la chirurgia miniinvasiva e la chirurgia robotica in particolare hanno raggiunto negli anni, dall'idea iniziale di telechirurgia fino all'attuale diffusione con applicazione nei diversi campi della chirurgia.
Conoscenza del modello robotico daVinci e delle sue componenti principali: consolle, carrello paziente, carrello visione. Conoscenza degli strumenti endoscopici e delle loro principali caratteristiche.
Conoscenza delle indicazioni principali alla chirurgia addominale robotica: stato dell'arte.
Conoscenze riguardo la selezione dei pazienti candidati alla chirurgia robotica. Vantaggi e svantaggi della procedura.
Conoscenze di base sulla chirurgia epato-bilio-pancreatica robot-assistita.
Acquisizione di conoscenze sul funzionamento pratico del sistema robotico da Vinci sia Si che Xi mediante prove di simulazione.
Acquisition of knowledge on the development that minimally invasive surgery and robotic surgery in particular have achieved over the years, from the initial idea of telesurgery up to the current diffusion with application in the different fields of surgery.
Knowledge of the daVinci robotic model and its main components: console, patient trolley, vision trolley. Knowledge of endoscopic instruments and their main characteristics.
Knowledge of the main indications for robotic abdominal surgery: state of the art.
Knowledge about the selection of patients candidates for robotic surgery. Advantages and disadvantages of the procedure.
Basic knowledge of robot-assisted hepato-bilio-pancreatic surgery.
Acquisition of knowledge on the practical operation of the da Vinci robotic system both Si and Xi through simulation tests.
Per l'accertamento delle conoscenze saranno svolte delle discussioni con gli studenti al termine delle lezioni con verifiche orali al termine di ognuna.
For the assessment of knowledge, discussions will be held with students at the end of the lessons with oral tests at the end of each.
Al termine dell'ADE lo studente dovrà aver acquisito le conoscenze di base sulla chirurgia robotica e dovrà essere in grado di definire quali sono le principali indicazioni a questo tipo di procedura chirurgica.
Lo studente dovrà conoscere il funzionamento di base del sistema robotico daVinci sia nella gestione della consolle che nel funzionamento dei bracci e degli strumenti robotici.
At the end of the AD the student must have acquired basic knowledge on robotic surgery and must be able to define what are the main indications for this type of surgical procedure.
The student will have to know the basic functioning of the daVinci robotic system both in the management of the console and in the functioning of the arms and robotic instruments.
Discussione di casi clinici.
Test pratico al simulatore.
Esercizi al dry-lab.
Lo studente potrà acquisire familiarità con i principali aspetti della chirurgia miniinvasiva in modo da poterne apprezzare i vantaggi e le congrue indicazioni per una corretta selezione dei casi da trattare.
Durante le lezioni teoriche e le esercitazioni pratiche sarà valutato il grado di conoscenza che lo studente ha acquisito circa la chirurgia mininvasiva e quella robotica in particolare e circa una corretta selezione delle patologie da trattare.
E' utile che lo studente sia in possesso di una buona conoscenza dell'anatomia e dei principi base della patologia chirurgica.
Lezioni teoriche:
-La chirurgia tradizionale e la chirurgia miinvasiva
-La chirurgia robotica robot-assistita e il sistema robotico Da Vinci
-Indicazioni alla chirurgia robotica e selezione dei pazienti
-Vantaggi e svantaggi della chirurgia robitica
-Chirurgia HPB laparocopica robot-assistita
Lezioni pratiche:
-Esercitazioni al simulatore
-Esercitazioni in setting di dry-lab e docking del DaVinci Si e Xi
Theoretical lessons:
-Traditional surgery and minimally invasive surgery
- Robot-assisted robotic surgery and the Da Vinci robotic system
-Indications to robotic surgery and patient selection
-Advantages and disadvantages of robit surgery
- Robot-assisted laparocopic HPB surgery
Practical lessons:
-Simulator exercises
- Exercises in dry-lab and docking settings of DaVinci Si and Xi
1. Venkat R, Edil BH, Schulick RD, Lidor AO, Makary MA, Wolfgang CL.
(2012) Laparoscopic distal pancreatectomy is associated with significantly
less overall morbidity compared to the open technique: a systematic
review and meta-analysis. Ann Surg 2012:1048–1059.
2. Mehrabi A, Hafezi M, Arvin J, Esmaeilzadeh M, Garoussi C, Emami G
et al. (2015) A systematic review and meta-analysis of laparoscopic
versus open distal pancreatectomy for benign and malignant lesions of
the pancreas: it’s time to randomize. Surgery 157:45–55.
3. Gagner M, Pomp A. (1994) Laparoscopic pylorus-preserving pancreatoduodenectomy.
Surg Endosc 8:408–410.
4. Vollmer CM, Asbun HJ, Barkun J, Besselink MG, Boggi U, Conlon KCP
et al. (2017) Proceedings of the first international state-of-the-art conference
on minimally-invasive pancreatic resection (MIPR). HPB 19:
171–177.
5. Moher D, Liberati A, Tetzlaff J, Altman DG. (2009) Preferred reporting
items for systematic review and meta-analysis: the PRISMA statement.
BMJ 339:b2535.
6. Bassi C, Dervenis C, Butturini G, Fingerhut A, Yeo C, Izbicki J et al.
(2005) Postoperative pancreatic fistula: an international study group
(ISGPF) definition. Surgery 138:6–13.
7. Wente MN, Bassi C, Dervenis C, Fingerhut A, Gouma DJ, Izbicki J et al.
(2007) Delayed gastric emptying (DGE) after pancreatic surgery: a
suggested definition by the international study group of pancreatic
surgery (ISGPS). Surgery 142:761–768.
8. Wente MN, Veit JA, Bassi C, Dervenis C, Fingerhut A, Gouma DJ et al.
(2007) Postpancreatectomy hemorrhage (PPH): an international study
group of pancreatic surgery (ISGPS) definition. Surgery 142:20–25.
9. Asbun HJ, Stauffer JA. (2012) Laparoscopic vs. open pancreaticoduodenectomy:
overall outcomes and severity of complications
using the accordion severity grading system. J Am Coll Surg 215:
810–819.
10. Croome KP, Farnell MB, Que FG, Reid-Lombardo KM, Truty MJ,
Nagorney DM et al. (2014) Total laparoscopic pancreaticoduodenectomy
for pancreatic ductal adenocarcinoma: oncologic advantages over
open approaches? Ann Surg 260:633–640.
11. Dokmak S, Fteriche F, Aussilhou B, Bensafta Y, Levy P, Ruszniewski P
et al. (2015) Laparoscopic pancreaticoduodenectomy should not be
routine for resection of periampullary tumors. J Am Coll Surg 220:
831–838.
12. Hakeem AR, Verbeke CS, Cairns A, Aldouri A, Smith AM, Menon KV.
(2014) A matched-pair analysis of laparoscopic versus open pancreaticoduodenectomy:
oncological outcomes using Leeds Pathology
Protocol. Hepatobiliary Pancreat Dis Int 13:435–441.
13. Lei Z, Zhifei W, Jun X, Chang L, Lishan X, Yinghui G et al. (2013)
Pancreaticojejunostomy sleeve reconstruction after pancreaticoduodenectomy
in laparoscopic and open surgery. JSLS 17:68–73.
14. Mesleh MG, Stauffer JA, Bowers SP, Asbun HJ. (2013) Cost analysis of
open and laparoscopic pancreaticoduodenectomy: a single institution
comparison. Surg Endosc 27:4518–4523.
Song KB, Kim SC, Hwang DW, Lee JH, Lee DJ, Lee JW et al. (2015)
Matched case-control analysis comparing laparoscopic and open
pylorus-preserving pancreaticoduodenectomy in patients with periampullary
tumors. Ann Surg 262:146–155.
16. Speicher PG, Nussbaum DP, White RR, Zani S, Mosca PJ, Blazer DG
et al. (2014) Defining the learning curve for team-based laparoscopic
pancreaticoduodenectomy. Ann Surg Oncol 21:4014–4019.
17. Tan CL, Zhang H, Peng B, Li KZ. (2015) Outcome and costs of laparoscopic
pancreaticoduodenectomy during the initial learning curve vs.
laparotomy. World J Gastroenterol 21:5311–5319.
18. Tee MC, Croome KP, Shubert CR, Farnell MB, Truty MJ, Que FG et al.
(2015) Laparoscopic pancreatoduodenectomy does not completely
mitigate increased perioperative risks in elderly patients. HPB 17:
909–918.
19. Zureikat AH, Breaux JA, Steel JL, Hughes SJ. (2011) Can laparoscopic
pancreaticoduodenectomy be safely implemented? J Gastrointest Surg
15:1151–1157.
20. Cho A, Yamamoto H, Nagata M, Takiguchi N, Shimada H, Kainuma O
et al. (2009) Comparison of laparoscopy-assisted and open pyloruspreserving
pancreaticoduodenectomy for periampullary disease. Am J
Surg 198:445–449.
21. Kuroki T, Adachi T, Okamoto T, Kanematsu T. (2012) A non-randomized
comparative study of laparoscopy-assisted pancreaticoduodenectomy
and open pancreaticoduodenectomy. Hepato-Gastroenterol 59:570–573.
22. Langan RC, Graham JA, Chin AB, Rubinstein AJ, Oza K, Nusbaum JA
et al. (2014) Laparoscopic-assisted versus open pancreaticoduodenectomy:
early favorable physical quality-of-life measures. Surgery 156:
379–384.
23. Liang S, Jayaraman S. (2015) Getting started with minimally invasive
pancreaticoduodenectomy: is it worth it? J Laparoendosc Adv Surg
Tech A 25:712–719.
24. Mendoza AS, Han HS, Yoon YS, Cho JY, Choi YR. (2015) Laparoscopyassisted
pancreaticoduodenectomy as minimally invasive surgery for
periampullary tumors: a comparison of short-term clinical outcomes of
laparoscopy-assisted pancreaticoduodenectomy and open pancreaticoduodenectomy.
J Hepatobiliary Pancreat Sci 22:819–824.
25. Wellner UF, Küsters S, Sick O, Busch C, Bausch D, Bronsert P et al.
(2014) Hybrid laparoscopic versus open pylorus-preserving pancreatoduodenectomy:
retrospective matched case comparison in 80 patients.
Langenbecks Arch Surg 399:849–856.
26. Baker EH, Ross SW, Seshadri R, Swan RZ, Iannitti DA, Vrochides D
et al. (2015) Robotic pancreaticoduodenectomy for pancreatic
adenocarcinoma: role in 2014 and beyond. J Gastrointest Oncol 6:
396–405.
27. Bao PQ, Mazirka PO, Watkins KT. (2014) Retrospective comparison of
robot-assisted minimally invasive versus open pancreaticoduodenectomy
for periampullary neoplasms. J Gastrointest Surg 18:
682–689.
28. Buchs NC, Addeo P, Bianco FM, Ayloo S, Benedetti E, Giulianotti PC.
(2011) Robotic versus open pancreaticoduodenectomy: a comparative
study at a single institution. World J Surg 35:2739–2746.
29. Chalikonda S, Aguilar-Saavedra JR, Walsh RM. (2012) Laparoscopic
robotic-assisted pancreaticoduodenectomy: a case-matched comparison
with open resection. Surg Endosc 26:2397–2402.
30. Chen S, Chen JZ, Zhan Q, Deng XX, Shen BY, Peng CH et al. (2015)
Robot-assisted laparoscopic versus open pancreaticoduodenectomy: a
prospective, matched, mid-term follow-up study. Surg Endosc 29:
3698–3711.
31. Lai EC, Yang GP, Tang CN. (2012) Robot-assisted laparoscopic
pancreaticoduodenectomy versus open pancreaticoduodenectomy – a
comparative study. Int J Surg 10:475–479.
32. Sharpe SM, Talamonti MS, Wang CE, Prinz RA, Roggin KK, Bentrem DJ
et al. (2015) Early national experience with laparoscopic pancreaticoduodenectomy
for ductal adenocarcinoma: a comparison of laparoscopic
pancreaticoduodenectomy and open pancreaticoduodenectomy
from the national cancer data base. J Am Coll Surg 221:175–184.
33. Nussbaum DP, Adam MA, Youngwirth LM, Ganapathi AM, Roman SA,
Tyler DS et al. (2015) Minimally invasive pancreaticoduodenectomy
does not improve use or time to initiation of adjuvant chemotherapy for
patients with pancreatic adenocarcinoma. Ann Surg Oncol 23:
1026–1033.
34. Tran TB, Dua MM, Worhunsky DJ, Poultsides GA, Norton JA, Visser BC.
(2016) The first decade of laparoscopic pancreaticoduodenectomy in
the United States: cost and outcomes using the nationwide inpatient
sample. Surg Endosc 30:1778–1783.
35. Hogg ME, Besselink MG, Clavien PA, Fingerhut A, Jayaraha DR,
Kooby DA et al. (2017) Training in Minimally Invasive Pancreatic Resections:
a paradigm shift away from “See one, Do one, Teach one”.
HPB 19:234–245.
36. Barkun J, Fisher W, Davidson G, Wakabayashi G, Besselink M, Pitt H
et al. (2017) Research considerations in the evaluation of minimally
invasive pancreatic resection (MIPR). HPB 19:246–253.
37. Conlon KC, de Rooij T, van Hilst J, Abu Hidal M, Fleshman J,
Talamonti M et al. (2017) Minimally invasive pancreatic resections: cost
and value perspectives. HPB 19:225–233.
38. Zhang H, Wu X, Zhu F, Shen M, Tian R, Shi CJ et al. (2016) Systematic
review and meta-analysis of minimally invasive versus open approach
for pancreaticoduodenectomy. Surg Endosc 30:5173–5184.
39. Adam MA, Choudhury K, Dinan MA, Reed SD, Scheri RP, Blazer DG
et al. (2015) Minimally invasive versus open pancreaticoduodenectomy
for cancer: practice patterns and short-term outcomes among 7061
patients. Ann Surg 262:372–377.
40. Wu W, He J, Cameron JL, Makary M, Soares K, Ahuja N et al. (2014) The
impact of postoperative complications on the administration of adjuvant
therapy following pancreaticoduodenectomy for adenocarcinoma. Ann
Surg Oncol 21:2873–2881.
41. Croome KP, Farnell MB, Que FG, Reid-Lombardo KM, Truty MJ,
Nagorney DM et al. (2015) Pancreaticoduodenectomy with major
vascular resection: a comparison of laparoscopic versus open approaches.
J Gastrointest Surg 19:189–194.
van Hilst J, de Rooij T, Klompmaker S, Rawashdeh M, Aleotti F, Al-Sarireh B, Alseidi A, Ateeb Z, Balzano G, Berrevoet F, Björnsson B, Boggi U, Busch OR, Butturini G, Casadei R, Del Chiaro M, Chikhladze S, Cipriani F, van Dam R, Damoli I, van Dieren S, Dokmak S, Edwin B, van Eijck C, Fabre JM, Falconi M, Farges O, Fernández-Cruz L, Forgione A, Frigerio I, Fuks D, Gavazzi F, Gayet B, Giardino A, Bas Groot K, Hackert T, Hassenpflug M, Kabir I, Keck T, Khatkov I, Kusar M, Lombardo C, Marchegiani G, Marshall R, Menon KV, Montorsi M, Orville M, de Pastena M, Pietrabissa A, Poves I, Primrose J, Pugliese R, Ricci C, Roberts K, Røsok B, Sahakyan MA, Sánchez-Cabús S, Sandström P, Scovel L, Solaini L, Soonawalla Z, Souche FR, Sutcliffe RP, Tiberio GA, Tomazic A, Troisi R, Wellner U, White S, Wittel UA, Zerbi A, Bassi C, Besselink MG, Abu Hilal M; European Consortium on Minimally Invasive Pancreatic Surgery (E-MIPS).
Ann Surg. 2017 Nov 2. doi: 10.1097/SLA.0000000000002561. [Epub ahead of print]
Watkins AA, Kent TS, Gooding WE, Boggi U, Chalikonda S, Kendrick ML, Walsh RM, Zeh HJ 3rd, Moser AJ.
HPB (Oxford). 2017 Sep 28. pii: S1365-182X(17)30937-1. doi: 10.1016/j.hpb.2017.08.032. [Epub ahead of print]
Napoli N, Kauffmann EF, Menonna F, Costa F, Iacopi S, Amorese G, Giorgi S, Baggiani A, Boggi U.
Surg Endosc. 2017 Aug 15. doi: 10.1007/s00464-017-5798-0. [Epub ahead of print]
45. Minimally invasive pancreatoduodenectomy.
Kendrick ML, van Hilst J, Boggi U, de Rooij T, Walsh RM, Zeh HJ, Hughes SJ, Nakamura Y, Vollmer CM, Kooby DA, Asbun HJ; Minimally Invasive Pancreatic Resection Organizing Committee.
HPB (Oxford). 2017 Mar;19(3):215-224. doi: 10.1016/j.hpb.2017.01.023.
46. Standardizing terminology for minimally invasive pancreatic resection.
Montagnini AL, Røsok BI, Asbun HJ, Barkun J, Besselink MG, Boggi U, Conlon KC, Fingerhut A, Han HS, Hansen PD, Hogg ME, Kendrick ML, Palanivelu C, Shrikhande SV, Wakabayashi G, Zeh H, Vollmer CM, Kooby DA.
47.Minimally invasive pancreatic resections: cost and value perspectives.
Conlon KC, de Rooij T, van Hilst J, Abu Hidal M, Fleshman J, Talamonti M, Vanounou T, Garfinkle R, Velanovich V, Kooby D, Vollmer CM; Minimally Invasive Pancreatic Resection Organizing Committee.
48. Worldwide survey on opinions and use of minimally invasive pancreatic resection.
van Hilst J, de Rooij T, Abu Hilal M, Asbun HJ, Barkun J, Boggi U, Busch OR, Conlon KC, Dijkgraaf MG, Han HS, Hansen PD, Kendrick ML, Montagnini AL, Palanivelu C, Røsok BI, Shrikhande SV, Wakabayashi G, Zeh HJ, Vollmer CM, Kooby DA, Besselink MG.
49.Minimally invasive distal pancreatectomy.
Røsok BI, de Rooij T, van Hilst J, Diener MK, Allen PJ, Vollmer CM, Kooby DA, Shrikhande SV; Organizing Committee for the State of the Art Conference on Minimally Invasive Pancreas Resection.
Hogg ME, Besselink MG, Clavien PA, Fingerhut A, Jeyarajah DR, Kooby DA, Moser AJ, Pitt HA, Varban OA, Vollmer CM, Zeh HJ 3rd, Hansen P; Minimally Invasive Pancreatic Resection Organizing Committee.
Vollmer CM, Asbun HJ, Barkun J, Besselink MG, Boggi U, Conlon KC, Han HS, Hansen PD, Kendrick ML, Montagnini AL, Palanivelu C, Røsok BI, Shrikhande SV, Wakabayashi G, Zeh HJ, Kooby DA.
1. Venkat R, Edil BH, Schulick RD, Lidor AO, Makary MA, Wolfgang CL.
(2012) Laparoscopic distal pancreatectomy is associated with significantly
less overall morbidity compared to the open technique: a systematic
review and meta-analysis. Ann Surg 2012:1048–1059.
2. Mehrabi A, Hafezi M, Arvin J, Esmaeilzadeh M, Garoussi C, Emami G
et al. (2015) A systematic review and meta-analysis of laparoscopic
versus open distal pancreatectomy for benign and malignant lesions of
the pancreas: it’s time to randomize. Surgery 157:45–55.
3. Gagner M, Pomp A. (1994) Laparoscopic pylorus-preserving pancreatoduodenectomy.
Surg Endosc 8:408–410.
4. Vollmer CM, Asbun HJ, Barkun J, Besselink MG, Boggi U, Conlon KCP
et al. (2017) Proceedings of the first international state-of-the-art conference
on minimally-invasive pancreatic resection (MIPR). HPB 19:
171–177.
5. Moher D, Liberati A, Tetzlaff J, Altman DG. (2009) Preferred reporting
items for systematic review and meta-analysis: the PRISMA statement.
BMJ 339:b2535.
6. Bassi C, Dervenis C, Butturini G, Fingerhut A, Yeo C, Izbicki J et al.
(2005) Postoperative pancreatic fistula: an international study group
(ISGPF) definition. Surgery 138:6–13.
7. Wente MN, Bassi C, Dervenis C, Fingerhut A, Gouma DJ, Izbicki J et al.
(2007) Delayed gastric emptying (DGE) after pancreatic surgery: a
suggested definition by the international study group of pancreatic
surgery (ISGPS). Surgery 142:761–768.
8. Wente MN, Veit JA, Bassi C, Dervenis C, Fingerhut A, Gouma DJ et al.
(2007) Postpancreatectomy hemorrhage (PPH): an international study
group of pancreatic surgery (ISGPS) definition. Surgery 142:20–25.
9. Asbun HJ, Stauffer JA. (2012) Laparoscopic vs. open pancreaticoduodenectomy:
overall outcomes and severity of complications
using the accordion severity grading system. J Am Coll Surg 215:
810–819.
10. Croome KP, Farnell MB, Que FG, Reid-Lombardo KM, Truty MJ,
Nagorney DM et al. (2014) Total laparoscopic pancreaticoduodenectomy
for pancreatic ductal adenocarcinoma: oncologic advantages over
open approaches? Ann Surg 260:633–640.
11. Dokmak S, Fteriche F, Aussilhou B, Bensafta Y, Levy P, Ruszniewski P
et al. (2015) Laparoscopic pancreaticoduodenectomy should not be
routine for resection of periampullary tumors. J Am Coll Surg 220:
831–838.
12. Hakeem AR, Verbeke CS, Cairns A, Aldouri A, Smith AM, Menon KV.
(2014) A matched-pair analysis of laparoscopic versus open pancreaticoduodenectomy:
oncological outcomes using Leeds Pathology
Protocol. Hepatobiliary Pancreat Dis Int 13:435–441.
13. Lei Z, Zhifei W, Jun X, Chang L, Lishan X, Yinghui G et al. (2013)
Pancreaticojejunostomy sleeve reconstruction after pancreaticoduodenectomy
in laparoscopic and open surgery. JSLS 17:68–73.
14. Mesleh MG, Stauffer JA, Bowers SP, Asbun HJ. (2013) Cost analysis of
open and laparoscopic pancreaticoduodenectomy: a single institution
comparison. Surg Endosc 27:4518–4523.
Song KB, Kim SC, Hwang DW, Lee JH, Lee DJ, Lee JW et al. (2015)
Matched case-control analysis comparing laparoscopic and open
pylorus-preserving pancreaticoduodenectomy in patients with periampullary
tumors. Ann Surg 262:146–155.
16. Speicher PG, Nussbaum DP, White RR, Zani S, Mosca PJ, Blazer DG
et al. (2014) Defining the learning curve for team-based laparoscopic
pancreaticoduodenectomy. Ann Surg Oncol 21:4014–4019.
17. Tan CL, Zhang H, Peng B, Li KZ. (2015) Outcome and costs of laparoscopic
pancreaticoduodenectomy during the initial learning curve vs.
laparotomy. World J Gastroenterol 21:5311–5319.
18. Tee MC, Croome KP, Shubert CR, Farnell MB, Truty MJ, Que FG et al.
(2015) Laparoscopic pancreatoduodenectomy does not completely
mitigate increased perioperative risks in elderly patients. HPB 17:
909–918.
19. Zureikat AH, Breaux JA, Steel JL, Hughes SJ. (2011) Can laparoscopic
pancreaticoduodenectomy be safely implemented? J Gastrointest Surg
15:1151–1157.
20. Cho A, Yamamoto H, Nagata M, Takiguchi N, Shimada H, Kainuma O
et al. (2009) Comparison of laparoscopy-assisted and open pyloruspreserving
pancreaticoduodenectomy for periampullary disease. Am J
Surg 198:445–449.
21. Kuroki T, Adachi T, Okamoto T, Kanematsu T. (2012) A non-randomized
comparative study of laparoscopy-assisted pancreaticoduodenectomy
and open pancreaticoduodenectomy. Hepato-Gastroenterol 59:570–573.
22. Langan RC, Graham JA, Chin AB, Rubinstein AJ, Oza K, Nusbaum JA
et al. (2014) Laparoscopic-assisted versus open pancreaticoduodenectomy:
early favorable physical quality-of-life measures. Surgery 156:
379–384.
23. Liang S, Jayaraman S. (2015) Getting started with minimally invasive
pancreaticoduodenectomy: is it worth it? J Laparoendosc Adv Surg
Tech A 25:712–719.
24. Mendoza AS, Han HS, Yoon YS, Cho JY, Choi YR. (2015) Laparoscopyassisted
pancreaticoduodenectomy as minimally invasive surgery for
periampullary tumors: a comparison of short-term clinical outcomes of
laparoscopy-assisted pancreaticoduodenectomy and open pancreaticoduodenectomy.
J Hepatobiliary Pancreat Sci 22:819–824.
25. Wellner UF, Küsters S, Sick O, Busch C, Bausch D, Bronsert P et al.
(2014) Hybrid laparoscopic versus open pylorus-preserving pancreatoduodenectomy:
retrospective matched case comparison in 80 patients.
Langenbecks Arch Surg 399:849–856.
26. Baker EH, Ross SW, Seshadri R, Swan RZ, Iannitti DA, Vrochides D
et al. (2015) Robotic pancreaticoduodenectomy for pancreatic
adenocarcinoma: role in 2014 and beyond. J Gastrointest Oncol 6:
396–405.
27. Bao PQ, Mazirka PO, Watkins KT. (2014) Retrospective comparison of
robot-assisted minimally invasive versus open pancreaticoduodenectomy
for periampullary neoplasms. J Gastrointest Surg 18:
682–689.
28. Buchs NC, Addeo P, Bianco FM, Ayloo S, Benedetti E, Giulianotti PC.
(2011) Robotic versus open pancreaticoduodenectomy: a comparative
study at a single institution. World J Surg 35:2739–2746.
29. Chalikonda S, Aguilar-Saavedra JR, Walsh RM. (2012) Laparoscopic
robotic-assisted pancreaticoduodenectomy: a case-matched comparison
with open resection. Surg Endosc 26:2397–2402.
30. Chen S, Chen JZ, Zhan Q, Deng XX, Shen BY, Peng CH et al. (2015)
Robot-assisted laparoscopic versus open pancreaticoduodenectomy: a
prospective, matched, mid-term follow-up study. Surg Endosc 29:
3698–3711.
31. Lai EC, Yang GP, Tang CN. (2012) Robot-assisted laparoscopic
pancreaticoduodenectomy versus open pancreaticoduodenectomy – a
comparative study. Int J Surg 10:475–479.
32. Sharpe SM, Talamonti MS, Wang CE, Prinz RA, Roggin KK, Bentrem DJ
et al. (2015) Early national experience with laparoscopic pancreaticoduodenectomy
for ductal adenocarcinoma: a comparison of laparoscopic
pancreaticoduodenectomy and open pancreaticoduodenectomy
from the national cancer data base. J Am Coll Surg 221:175–184.
33. Nussbaum DP, Adam MA, Youngwirth LM, Ganapathi AM, Roman SA,
Tyler DS et al. (2015) Minimally invasive pancreaticoduodenectomy
does not improve use or time to initiation of adjuvant chemotherapy for
patients with pancreatic adenocarcinoma. Ann Surg Oncol 23:
1026–1033.
34. Tran TB, Dua MM, Worhunsky DJ, Poultsides GA, Norton JA, Visser BC.
(2016) The first decade of laparoscopic pancreaticoduodenectomy in
the United States: cost and outcomes using the nationwide inpatient
sample. Surg Endosc 30:1778–1783.
35. Hogg ME, Besselink MG, Clavien PA, Fingerhut A, Jayaraha DR,
Kooby DA et al. (2017) Training in Minimally Invasive Pancreatic Resections:
a paradigm shift away from “See one, Do one, Teach one”.
HPB 19:234–245.
36. Barkun J, Fisher W, Davidson G, Wakabayashi G, Besselink M, Pitt H
et al. (2017) Research considerations in the evaluation of minimally
invasive pancreatic resection (MIPR). HPB 19:246–253.
37. Conlon KC, de Rooij T, van Hilst J, Abu Hidal M, Fleshman J,
Talamonti M et al. (2017) Minimally invasive pancreatic resections: cost
and value perspectives. HPB 19:225–233.
38. Zhang H, Wu X, Zhu F, Shen M, Tian R, Shi CJ et al. (2016) Systematic
review and meta-analysis of minimally invasive versus open approach
for pancreaticoduodenectomy. Surg Endosc 30:5173–5184.
39. Adam MA, Choudhury K, Dinan MA, Reed SD, Scheri RP, Blazer DG
et al. (2015) Minimally invasive versus open pancreaticoduodenectomy
for cancer: practice patterns and short-term outcomes among 7061
patients. Ann Surg 262:372–377.
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Verifica orale.
Test pratico mediante esercizi di base al simulatore robotico
Oral examination.
Practical test using basic exercises in the robotic simulator