胰腺位于腹腔深处,周围有大血管,因此胰腺外科的手术难度高、风险大,长期以来以开腹手术为主。在很长一段时间内,微创手术在胰腺外科的发展始终较其他外科慢。20世纪末问世的达芬奇机器人手术系统使得这一局面终于有了转机。达芬奇机器人特有的优势使胰腺外科医师也能采用微创方式挑战高难度的外科手术。血管的切除与重建作为胰腺外科最难的步骤,在胰十二指肠切除术、胰体尾切 The pancreas is located in the depths of the abdominal cavity with large blood vessels around it. Therefore, surgical operation of pancreas is very difficult and risky. It has long been dominated by laparotomy. For a long time, minimally invasive surgery has always been slower than other surgical procedures in pancreatic surgery. The da Vinci robotic surgery system that came out at the end of the 20th century made this situation finally a turning point. The unique advantages of DaVinci robots enable pancreatic surgeons to challenge difficult surgical procedures in a minimally invasive manner. Vascular resection and reconstruction as the most difficult steps in pancreatic surgery, pancreaticoduodenectomy, pancreatic body tail