Minimally Invasive Surgery - Pancreas Center Italy - Treatment Of Cancer Pancreatic In Italy

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Minimally invasive surgery is performed through small incisions,  usually between 5-15 mm. The surgeon then inserts specially designed,  thin instruments and sophisticated video equipment to perform the  operation through the smaller opening. Depending on the procedure,  minimally invasive surgery can be performed with the surgeon  manipulating the instruments by hand (laparoscopic surgery) or with the surgeon directing robotic arms (robot-assisted surgery).
Minimally invasive surgery offers many benefits over traditional  techniques, including less injury to tissue, less postoperative pain,  shorter hospital stays, quicker return to normal activities, minimal  scarring, less incisional hernias. Over the past 20 years minimally  invasive surgery has evolved to such an extent that in suitably  qualified hands the majority of general surgical procedures can be  safely carried out.
The complexity of pancreatic surgery has meant that the development of laparoscopic techniques and particularly formal resections has been relatively slow compared  with procedures in many other surgical specialties. Consequently its  incorporation into regular clinical practice is recent, and initial  indications were limited to benign and borderline neoplasms. Recent data  indicate that laparoscopic pancreatic resections are oncologically  adequate, and can be safely applied to malignant neoplasms. The most  commonly performed laparoscopic pancreatic resections are left pancreatectomy and enucleation, whereas the experience with pancreaticoduodenectomy and middle pancreatectomy is limited.
Miimally invasive surgery has been further enhanced by the use of robotics. Robotic surgery is a technique in which a surgeon performs surgery using a computer  that remotely controls very small instruments attached to a robot. With  the surgeon sitting at a console a few metres from the patient, the  robot translates that surgeon’s hand movements into corresponding  micro-movements of instruments inside the patient’s body. The robotic  system provides better visualization, dexterity, precision and control  than open surgery, while enabling the surgeon to perform procedures  through tiny, 1-2 cm incisions. The world experience on the use of  robotic systems for surgery on the pancreas is growing, but remains  limited.
The Unit of Pancreatic Surgery in Verona has one of the largest minimally invasive practice in Italy.  Our program has a history of pioneering innovative, minimally invasive  approaches such as left pancreatectomy with splenectomy,  spleen-preserving left pancreatectomy, enucleation, middle  pancreatectomy. We have developed experience with the da Vinci Si HD robotic system for left pancreatectomy, with or without splenectomy, and enucleation.

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