It is feasible and safe to perform PD using the Da Vinci robot-assisted surgical system; patients recovered faster postoperatively with less blood loss during surgery.

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The incidence of PSMs after robotic surgery for biliary malignancies is relatively low, and biliary cancer can be an indication of robotic surgery.

Nearly monodispersive CaF2 hollow microspheres were synthesized by a facile aqueous solution route from the mixed aqueous solutions of CaCl2, Na2WO4, and NaF at room temperature. The as-prepared products were characterized by X-ray diffraction (XRD), scanning electron microscopy, transmission electron microscopy (TEM), high-resolution transmission electron microscopy, and N2 adsorption-desorption techniques. The CaF2 hollow microspheres have an average diameter of about 1.5 microm and a hollow interior of 0.5 microm. The shell is composed of numerous single-crystalline nanoparticles with diameter of about 20 nm. The morphologies and diameters of the CaF2 products are strongly dependent on the experimental parameters, such as the concentration of the aqueous NaF solution and the reaction temperature. The synthetic experiments indicate that the growth process of CaF2 hollow microspheres involves first the formation of CaWO4 solid microspheres and then the formation of CaF2 solid microspheres through the reaction between CaWO4 and F(-) ions controlled by the difference of the solubility product for CaWO4 and CaF2. Phenomenological elucidation based on TEM observations and XRD patterns of intermediate products at different precipitation stages indicates that the formation mechanism for the CaF2 hollow microspheres is related to the Ostwald ripening mechanism. N2 adsorption-desorption measurement shows that the CaF2 hollow microspheres possess a high Brunauer-Emmett-Teller surface area and porosity properties. The synthetic procedure is straightforward and represents a new example of the Ostwald ripening mechanism for the formation of inorganic hollow structures in an aqueous solution at room temperature.