机器人辅助胰十二指肠切除术培训的现状与思考

中图分类号 R656 文献标识码 A 文章编号 2096-7721（2025）06-1051-06

Current status and considerations on training for robot-assisted pancreaticoduodenectomy

LI Pengyu，XU Qiang，DAI Menghua， ZHAO Yupei

（DepartmentofGeneralSurgery，PekingUnionMedicalCollgeHospital/ChineseAcademyofMedicalSciencesandPekingUnioMdical College，Beijing 100730， China）

AbstractRobot-asistedpancreaticoduodenectomy （RPD）hasemergedasaoneofthemostfavoredsurgcalapproachsforpancreaticoduodenectomy（PD）inrecentyears.DuetotheproceduralcomplexityandprolongedlearnigcurveofRPD，strategies tosorten thetrainingcycleandehancearly-phasesurgicalsafetyhavebcomecriticalchalengesinclinicaleducation.Curentlyasedon theexperieneofthe UniversityofPitsburgh，proficiency-basedstructuredtraining programshavebeenestablished.Theseprograms mainlyincludevialality（R）iulatiomodles，o-liingsesiulatioussuicalvidebedtrngtaie mentoringandcontinuous fedback loops.Results haveshownthatsuch training programscan help next-generationsurgeonsreducethe learmingcurvewhileenhancingthesafetyandeficacyofRPD.Futureoptimizations may includecaseselectionstratifiedbycomplexity dual-consolecolaboratietaiing，Dvirtualmodlingandugmentedralitynavigatio.Thisviewprovdesanovevieoftt training programs of RPD， offering insights for the development of future training curriculum.

KeywordsRobot-assisted Pancreaticoduodenectomy;Clinical Efficacy; Training Program

近年来，随着腹腔镜设备的不断发展、达芬奇手术机器人的引进和普及，微创手术逐渐成为大容量医疗中心治疗胰头、胆管及十二指肠良恶性肿瘤的重要方式之一。（剩余16772字）