达芬奇机器人系统在血管外科的应用现状  

Current Status of da Vinci Surgical System in Vascular Surgery

作　　者：吴志远[1] 李拥军[1] 

机构地区：[1]中国医学科学院北京协和医学院北京协和医院血管外科,北京100730

出　　处：《中国普外基础与临床杂志》2016年第9期1142-1145,共4页Chinese Journal of Bases and Clinics In General Surgery

摘　　要：目的总结达芬奇机器人系统在血管外科的应用现状。方法查阅国内外达芬奇机器人系统应用于血管外科相关疾病的文献,进行总结。结果达芬奇机器人系统在血管外科领域的应用主要涉及主髂动脉闭塞症、动脉瘤、血管腔内修复术后Ⅱ型内漏、腹腔干动脉压迫综合征等。目前主要用于暴露血管、辅助动脉结扎或者分离等。达芬奇机器人系统在缩短术中血管阻断时间方面具有较大优势,但其主要缺点是费用更高、触觉反馈缺失及整体学习曲线较长。结论达芬奇机器人系统在血管外科领域的应用是安全可靠的,但是仍需要更多的临床试验以评估其远期效果及相关并发症情况。Objective To review the current status of da Vinci surgical system in vascular surgery. Methods Recent literatures published in Chinese or English about the application of da Vinci surgical system in vascular surgery were reviewed and analyzed. Results da Vinci surgical system was mainly applied in diseases such as aortoiliac occlusive disease, aneurysm, type Ⅱ endoleak after endovascular aortic repair, celiac artery compression syndrome, and so on. It was used to expose arteries, or assist to ligate and dissect arteries, da Vinci surgical system showed apparent advantages in shorting the time of aortic clamping, however, the high cost, the loss of tactile feedback, and the long learning curve may be its shortcomings. Condusion da Vinci surgical system is safe and effective in vascular surgery, while much more experience is required to evaluate its long-term effect and complication.

关 键 词：达芬奇机器人系统 血管外科 应用 综述 

分 类 号：R654.3[医药卫生—外科学]