机器人肝切除术的研究进展及现状  

Research advances and current status of robotic hepatectomy

作　　者：罗雯 张华阳 涂兵[1] Luo Wen;Zhang Huayang;Tu Bing(Department of Hepatobiliary Surgery,The Second Affiliated Hospital of Chongqing Medical University)

机构地区：[1]重庆医科大学附属第二医院肝胆外科,重庆400010

出　　处：《重庆医科大学学报》2025年第2期145-151,共7页Journal of Chongqing Medical University

基　　金：国家自然科学基金青年科学基金资助项目(编号:81701950)。

摘　　要：肝脏微创手术对于特定的病例具有明确的作用,是目前公认的开放手术的替代方案。与开放手术相比,腹腔镜手术能改善围术期结局,同时也能提供同等的肿瘤学结果。尽管如此,由于肿瘤位置较深、肝脏暴露困难、出血难以控制等原因,部分手术仍通过开放手术进行。机器人手术的三维图像、手腕式的仪器等优势,为微创手术带来了新的发展。总体而言,目前的证据表明,机器人手术在肝脏手术中是安全可行的,短期和长期肿瘤学结局均显示出可观的结果。由于机器人是一项相对较新的技术,因此很少有大型高质量研究可用。该领域的大多数已发表研究包括回顾性综述、病例对照研究等,需要大型前瞻性随机研究来进一步支持其使用。Minimally invasive liver surgery has a marked clinical effect on specific cases and is currently considered an alternative to open surgery.Compared with open surgery,laparoscopy can improve perioperative outcomes and provide equivalent oncological outcomes.Nevertheless,open surgery is still performed in certain cases due to the reasons such as the deep location of the tumor and the difficulty in exposing the liver and controlling bleeding.Robotic surgery brings new development to minimally invasive surgery with its advantages of three-dimensional image and wrist-mounted instruments.Overall,current evidence suggests that robotic surgery is safe and feasible in liver surgery,with considerable short-and long-term oncological outcomes.Since robotic surgery is a relatively new technique,there are few large-scale high-quality studies.The studies published in this area mainly include retrospective reviews and case-control studies,and large-scale randomized prospective studies are needed to further support its application in clinical practice.

关 键 词：机器人 肝切除术 腹腔镜 研究进展 

分 类 号：R657[医药卫生—外科学]