中国结直肠肿瘤机器人手术开展的现状与思考  

Current status and consideration of robotic surgery for colorectal cancer in China

作　　者：郑鹏[1] 冯青阳[1] 许剑民[1,2] Zheng Peng;Feng Qingyang;Xu Jianmin(Department of General Surgery,Zhongshan Hospital,Fudan University,Shanghai 200032,China;Minimally Invasive Engineering Technology Research Center Colorectal Cancer,Shanghai 200032,China)

机构地区：[1]复旦大学附属中山医院普通外科,上海200032 [2]上海结直肠肿瘤微创工程技术研究中心,200032

出　　处：《中华胃肠外科杂志》2020年第4期336-340,共5页Chinese Journal of Gastrointestinal Surgery

基　　金：国家自然科学基金(8147228);上海申康新兴前沿项目(SHDC12016104)。

摘　　要：自问世以来,手术机器人系统凭借其技术优势,很快成为当代外科新潮流,在国内外得到广泛应用。大量回顾性研究和少数随机对照研究已经显示了机器人手术相较于传统腹腔镜手术存在的优势,例如降低中转开腹率、减少术后功能障碍、减少术中出血等,但仍需要更多、更高级别循证医学证据的支持。中国机器人结直肠肿瘤手术起步稍晚,但发展迅速。不仅手术量增长迅猛,而且创新了很多术式,同时也暴露出诸多问题,比如缺乏统一的技术规范,手术机器人设备基本依赖进口等。通过开展高质量临床研究与大数据分析,制定规范化标准,建立培训体系,通过医-研-产结合等途径,解决问题,提升质量,促进推广,机器人手术必将继续引领新时代外科手术发展的潮流。Since its inception,the surgical robot system with technical advantages has quickly become a new trend in surgery,and has been widely used at home and abroad.A large number of retrospective studies and a small number of randomized controlled studies have shown that compared with traditional laparoscopic surgery,robotic surgery presented some improvements,such as lower conversion rate,less urinary and sexual dysfunction,and less intraoperative blood loss,though more convincing evidence is needed.Robotic colorectal cancer surgery started late in China,but developed rapidly.Not only the number of surgeries has increased rapidly,but also many new surgeries have been innovated.Meanwhile,many problems emerged,such as lack of unified technical specifications,and excessive dependence on imported surgical robot equipment.Through high-quality clinical researches and big data analyses,the formulation of standardization,the establishment of training system,and the combination of medicine,research and production,robotic surgery will continue to lead the development trend of surgery in the new era.

关 键 词：结直肠肿瘤 机器人手术 疗效 

分 类 号：R735.3[医药卫生—肿瘤]