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机器人直肠手术的前景。

Perspective of robotic rectal surgery.

作者信息

Patriti A, Ceccarelli G, Bartoli A, Casciola L

机构信息

Division of General, Vascular, Minimally Invasive and Robotic Surgery, Department of Surgery, San Matteo degli Infermi Hospital, Spoleto, Perugia, Italy.

出版信息

Minerva Chir. 2010 Apr;65(2):153-9.

Abstract

Laparoscopy is widely recognized as a feasible and safe approach to rectal cancer associated with an improved early outcome. Robotic surgery overcomes intrinsic limitation of laparoscopic surgery by a three-dimensional view and wristed instruments, improving its outcome as well. Robot-assisted rectal surgery resulted to be safe and feasible. Prospective studies demonstrated its efficacy in allowing a high rate of negative circumferential resection margins with a consequent reduction in solitary loco-regional recurrences. A better local disease control and a reduced surgical trauma will be the conceivable benefit of this surgery.

摘要

腹腔镜检查被广泛认为是一种治疗直肠癌的可行且安全的方法,其早期疗效有所改善。机器人手术通过三维视野和腕部器械克服了腹腔镜手术的固有局限性,其疗效也得到了改善。机器人辅助直肠癌手术被证明是安全可行的。前瞻性研究表明,它能够实现高比例的环周切缘阴性,从而减少孤立性局部区域复发。更好的局部疾病控制和减少手术创伤将是这种手术可以想象到的益处。

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