Liver and pancreatic tumour, gallbladder stone and Mirizzi syndrome
Conditions
Interventions
Robotic surgery group:Using Cornerstone Robotics Sentire Surgical System C1000 to perform major hepatobiliary and pancreatic robotic operations.
Sponsors
The Chinese University of Hong Kong
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: General Inclusion Criteria for All Procedures 1. Body mass index 1.5cm, and/or multiple stones > 3, and/or narrow and angled distal common bile duct (CBD) (< 135 degree). 3.Mirizzi syndrome.
Exclusion criteria
Exclusion criteria: General Exclusion Criteria for All Procedures 1. Contraindication to general anesthesia. 2. Severe concomitant illness that drastically shortens life expectancy or increases risk of therapeutic intervention. 3. Untreated active infection. 4. Noncorrectable coagulopathy. 5. Presence of another malignancy or distant metastasis. 6. Emergency surgery. 7. Vulnerable population (e.g., mentally disabled, pregnancy). Procedure-Specific Criteria Robotic partial hepatectomy Exclusion: 1. Presence of inoperable primary tumor or extra-hepatic disease involvement; 2.Patients with advanced cirrhosis and/or portal hypertension ; 3.Extensive previous abdominal surgery precluding minimally invasive surgery. Robotic choledochochal cyst excision and hepatojejunostomy Exclusion: extensive previous abdominal surgery precluding minimally invasive surgery. Robotic Distal Pancreatectomy and Splenectomy (DPS) Exclusion: extensive previous abdominal surgery precluding minimally invasive surgery. Robotic distal pancreatectomy with Splenic Vessels and spleen Preservation (SVP) Exclusion: extensive previous abdominal surgery precluding minimally invasive surgery. Robotic enucleation of pancreatic lesion Exclusion: extensive previous abdominal surgery precluding minimally invasive surgery. Robotic Cholecystectomy with or without exploration of common bile duct Exclusion: extensive previous abdominal surgery precluding minimally invasive surgery.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Rate of conversions to open surgery ;Perioperative complications; | — |
Secondary
| Measure | Time frame |
|---|---|
| Operative time;Blood loss during operation;Length of hospital stay; | — |
Countries
China
Contacts
Public ContactChok Siu Ho Kenneth
The Chinese University of Hong Kong
Outcome results
None listed