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[腹腔镜结直肠手术——单孔腹腔镜手术、机器人手术及经自然腔道内镜手术]

[Laparoscopic colorectal surgery--SILS, robots, and NOTES].

作者信息

D'Hoore André, Wolthuis Albert M, Mizrahi Hagar, Parker Mike, Bemelman Willem A, Wara Pål

机构信息

Department of Abdominal Surgery, University Clinics Gasthuisberg, Leuven, Belgien.

出版信息

Ugeskr Laeger. 2011 Apr 4;173(14):1041-4.

Abstract

Single incision laparoscopic surgery resection of colon is feasible, but so far evidence of benefit compared to standard laparoscopic technique is lacking. In addition to robot-controlled camera, there is only one robot system on the market capable of performing laparoscopic surgery. The da Vinci robot may contribute to making complex laparoscopic procedures easier to perform, but the system is costly in purchase and maintenance. Natural orifice transluminal endoscopic surgery aiming to reduce abdominal wall trauma is developing and bringing new technology. Combinations of laparoscopic and endoscopic techniques will expand future indications.

摘要

单切口腹腔镜结肠切除术是可行的,但迄今为止,与标准腹腔镜技术相比,其益处的证据尚缺乏。除了机器人控制的摄像头外,市场上只有一种能够进行腹腔镜手术的机器人系统。达芬奇机器人可能有助于使复杂的腹腔镜手术更容易实施,但该系统的购买和维护成本高昂。旨在减少腹壁创伤的经自然腔道内镜手术正在发展并带来新技术。腹腔镜和内镜技术的结合将扩大未来的适应证。

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