The application of da Vinci robot-assisted laparoscopy for elderly patients with hepatobiliary and pancreas diseases

Objective To evaluate the effect of da Vinci robot-assisted laparoscopy to elderly patients with hepatobiliary and pancreas diseases. Methods Retrospectively analyze the clinical data of 11 elderly patients whose laparoscopic operations were performed by da Vinci robot-assisted laparoscopic. Results Ten cases were operated on successfully by using da Vinci robot-assisted laparoscopy,except one case which was transferred to open pancreatic-enterostomy. The total operative time was(365.0±172.3) min,and robot using time was(251.0±110.6)min. No blood transfusion was needed. Postoperative bowl movement recovery time was (43.0±22.0)h,and the average postoperative hospital stay time was(8.8±6.0)d. One old female was found with postoperative pulmonary infection after laparoscopic common bile duct exploration. Bile leakage was found in one patient. They were all cured by medicine, and no further complications were found. Conclusions Thanks to the three-dimensional imaging system and flexible surgical instruments of the da Vinci robot-assisted system,we performed a series of hepatobiliary pancreas laparoscopic operations for elderly patients. And the superiority of these systems was more obviously demonstrated in the complex laparoscopic operation for selected patients.