Barret E, Sanchez-Salas R, Ercolani M, Forgues A, Rozet F, Galiano M, Cathelineau X
Department of Urology, Institut Montsouris, Université Paris Descartes, Paris, France.
Minerva Urol Nefrol. 2011 Jun;63(2):115-22.
The objective of this manuscript is to provide an evidence-based analysis of the current status and future perspectives of robotic laparoendoscopic single-site surgery (R-LESS). A PubMed search has been performed for all relevant urological literature regarding natural orifice transluminal endoscopic surgery (NOTES) and laparoendoscopic single-site surgery (LESS). All clinical and investigative reports for robotic LESS and NOTES procedures in the urological literature have been considered. A significant number of clinical urological procedures have been successfully completed utilizing R-LESS procedures. The available experience is limited to referral centers, where the case volume is sufficient to help overcome the challenges and learning curve of LESS surgery. The robotic interface remains the best fit for LESS procedures but its mode of use continues to evolve in attempts to improve surgical technique. We stand today at the dawn of R-LESS surgery, but this approach may well become the standard of care in the near future. Further technological development is needed to allow widespread adoption of the technique.
本手稿的目的是对机器人腹腔镜单孔手术（R-LESS）的现状和未来前景进行循证分析。我们在PubMed上检索了所有关于自然腔道内镜手术（NOTES）和腹腔镜单孔手术（LESS）的相关泌尿外科文献。所有泌尿外科文献中关于机器人LESS和NOTES手术的临床及研究报告均被纳入考虑。利用R-LESS手术已成功完成了大量临床泌尿外科手术。现有的经验仅限于转诊中心，在这些中心病例数量充足，有助于克服LESS手术的挑战和学习曲线。机器人接口仍是LESS手术的最佳选择，但其使用模式仍在不断发展，以尝试改进手术技术。我们正站在R-LESS手术的开端，但这种方法很可能在不久的将来成为标准治疗方式。需要进一步的技术发展以使该技术得到广泛应用。
