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机器人手术在结直肠癌切除术中的作用。

Role of robotic surgery in colorectal resections for cancer.

作者信息

Bertani E, Chiappa A, Ubiali P, Fiore B, Corbellini C, Cossu M L, Minicozzi A, Andreoni B

机构信息

General and Laparoscopic Surgery, European Institute of Oncology, Via G. Ripamonti 435, 20141 Milan, Italy.

出版信息

Minerva Gastroenterol Dietol. 2012 Sep;58(3):191-200.

Abstract

In recent years, robotic surgery is becoming a valid alternative in colorectal diseases treatment to laparoscopic and traditional open surgery. The most relevant reported technical advantages of the robotic surgery are 3D-view, tremor-filtering, seven degree-free motion and a higher comfortable setting for the surgeon. Both case series and comparative studies available in Literature report only short and mid-term outcomes. These studies are able to demonstrate that robotic surgery is as safe and feasible as laparoscopic surgery regarding perioperative outcomes. Trials with long term follow up are needed to establish the real safety and effectiveness of the robotic surgery especially concerning resections for cancer. The robotic surgery could be considered a promising surgical field. The high costs represent one of the most relevant drawbacks.

摘要

近年来,机器人手术正成为治疗结直肠疾病的一种有效的替代方法,可替代腹腔镜手术和传统开放手术。据报道,机器人手术最显著的技术优势是三维视野、震颤过滤、七自由度运动以及为外科医生提供更高的舒适环境。文献中现有的病例系列和对比研究仅报告了短期和中期结果。这些研究能够证明,就围手术期结果而言,机器人手术与腹腔镜手术一样安全可行。需要进行长期随访试验,以确定机器人手术的真正安全性和有效性,尤其是在癌症切除方面。机器人手术可被视为一个有前景的手术领域。高成本是最突出的缺点之一。

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