机器人手术系统在结直肠癌手术临床应用现状  

Application status of robotic surgical system resection for colorectal cancer

作　　者：许平平[1] 许剑民[1] 

机构地区：[1]复旦大学附属中山医院结直肠外科,上海200032

出　　处：《中国实用外科杂志》2016年第11期1144-1148,共5页Chinese Journal of Practical Surgery

摘　　要：机器人手术系统的优点是三维图像清晰和操作稳定灵活,缺点是力反馈缺失、费用昂贵和手术时间延长。其可安全应用于结直肠癌手术,具有创伤小和术后恢复快的特点。机器人结肠癌手术的安全性和有效性已得到肯定,但关于长期生存的研究证据仍不够。目前,与腹腔镜手术比较,机器人直肠癌手术并未在肿瘤短期和长期结局方面显现出优势。机器人手术系统在结直肠癌手术中的合理应用还需进一步的前瞻性随机对照研究。随着第4代达芬奇Xi手术系统面世和外科技术的不断进步,机器人手术系统将在结直肠癌手术中发挥更重要的作用。The outstanding advantages of robotic surgical system include the stable and three-dimension image and the convenience of surgery manipulation. The disadvantages include the lack of force feedback, high cost and prolonged surgery time. It was reported that robotic surgery for colorectal cancer was safe and feasible and it was associated with less trauma stress and faster recovery. Safety and efficacy of robotic colectomy was confirmed, but long-term survival benefit was still unclear. Currently, when compared to laparoscopic surgery, robotic rectal surgery has no short-term or long-term survival advantage. Above all, randomized controlled trials arenecessarily conducted to convince the application of da Vinci surgical system resection for colorectal cancer. The latest da Vinci Xi surgical system may make up for the deficiencies through new technologies. With the advantage of more advanced surgical technique, robotic surgical system will play a more important role in the treatment of colorectal cancer.

关 键 词：机器人手术系统 结直肠癌 

分 类 号：R6[医药卫生—外科学]