Satoh Seiji, Suda Koichi, Kawamura Yuichiro, Yoshimura Fumihiro, Taniguchi Keizo, Uyama Ichiro
, JapanDept. of Upper Gastrointestinal Surgery, Fujita Health University, Japan.
Gan To Kagaku Ryoho. 2012 Jul;39(7):1030-4.
In Japan, the usefulness of robot-assisted surgery using da Vinci surgical system(DVSS)has rapidly become widely acknowledged. At Fujita Health University, DVSS was introduced in 2009. Thus far, 347 patients were treated by DVSS at our institute, including 204 gastroenterological operations. In our department, robot-assisted gastrectomy(RAG, n=111)and robot-assisted esophagectomy(REG, n=26)have been technically standardized. Recently, we reported that both RAG and REG are minimally invasive. Moreover, we showed that the incidence of recurrent nerve palsy by lymphadenectomy was significantly reduced by REG, compared with conventional thoracoscopic esophagectomy. Although robot-assisted surgery is a highly expensive treatment, these results prompt the need for further evaluation of the effectiveness of robot-assisted surgery in the gastroenterological field. Development of a more accurate and less invasive robotic surgery system would contribute to a better quality of life patients with gastroenterological malignancies.
在日本，使用达芬奇手术系统（DVSS）的机器人辅助手术的有效性已迅速得到广泛认可。在藤田保健大学，DVSS于2009年引入。迄今为止，我院共有347例患者接受了DVSS治疗，其中包括204例胃肠手术。在我们科室，机器人辅助胃切除术（RAG，n = 111）和机器人辅助食管切除术（REG，n = 26）已在技术上实现标准化。最近，我们报告称RAG和REG均为微创手术。此外，我们还表明，与传统胸腔镜食管切除术相比，REG显著降低了淋巴结清扫导致的喉返神经麻痹的发生率。尽管机器人辅助手术是一种费用高昂的治疗方法，但这些结果促使人们需要进一步评估机器人辅助手术在胃肠领域的有效性。开发一种更精确、侵入性更小的机器人手术系统将有助于提高胃肠恶性肿瘤患者的生活质量。
