机器人辅助食管裂孔疝修补手术的发展历程及现状  

The development and current status of robot-assisted hiatal hernia repair surgery

作　　者：麦麦提艾力·麦麦提明 王浩[1,2] 克力木·阿不都热依木 Maimaitiaili Maimaitiming;Wang hao;Kelimu Abudureyimu(Department of Minimally Invasive Surgery,Hernias and Abdominal Wall Surgery,People's Hospital of Xinjiang Uygur Autonomous Region,Xinjiang Clinical Research Center for Gastroesophageal Reflux Disease and Bariatric Metabolic Surgery,Research Institute of General and Minimally Invasive Surgery,Xinjiang Uygur Autonomous Region,Urumqi 830002,China;Graduate School,Xinjiang Medical University,Urumqi830054,China)

机构地区：[1]新疆维吾尔自治区人民医院微创、疝和腹壁外科、新疆维吾尔自治区胃食管反流病与减肥代谢外科临床研究中心,新疆维吾尔自治区普外科与微创外科研究所,乌鲁木齐830002 [2]新疆医科大学研究生院,乌鲁木齐830054

出　　处：《中华普通外科杂志》2024年第6期414-417,共4页Chinese Journal of General Surgery

基　　金：新疆维吾尔自治区重点研发任务专项-厅厅联动项目(2023B03010);新疆维吾尔自治区人民医院院内项目(20230131)。

摘　　要：食管裂孔疝(HH)是消化系统常见的良性疾病,由胃或其他内脏器官通过横膈膜上的食管裂孔隆起所形成,往往伴有胃灼热、烧心、反酸等症状,有症状且药物治疗效果欠佳的患者需要手术治疗.近年来,机器人辅助手术(RAS)快速发展,RAS有着精准的操作感、3D立体视野和灵活转腕的机械手臂,能滤除手震颤等优势而被用于HH修补术.国内RAS食管裂孔疝修补术缺乏规范培训体系,机器人设备昂贵,培训推广困难等均是制约因素.本文就RAS手术治疗HH及培训做一总结分析.Hiatal hernia(HH)is a common benign disease in the digestive system,where the stomach or other internal organs bulges and displaces into posterior mediastinum through the esophageal hiatus on the diaphragm,often accompanied by symptoms such as heartburn,acid reflux,and chest pain.Patients with symptoms that are unresponsive to medical treatment require surgical intervention for relief.In recent years,robotic-assisted surgery(RAS)has rapidly advanced,offering precise manipulation,three-dimensional visualization,and a flexible wrist-turning robotic arm,capable of filtering out hand tremors.These advantages have led to the increasing use of RAS in HH repair procedures.This article provides a summary and analysis of RAS for the treatment of HH.

关 键 词：机器人 疝 食管裂孔 

分 类 号：R655.4[医药卫生—外科学]