Kim Chang Woo, Kim Chang Hee, Baik Seung Hyuk
Division of Colon and Rectal Surgery, Department of Surgery, Severance Hospital Yonsei University College of Medicine, 50 Yonsei-ro, Seodaemun-gu, Seoul, 120-752, Republic of Korea.
J Gastrointest Surg. 2014 Apr;18(4):816-30. doi: 10.1007/s11605-014-2469-5. Epub 2014 Feb 5.
Robotic technology has been applied to colorectal surgery over the last decade. The aim of this review is to analyze the outcomes of robotic colorectal surgery systematically and to provide objective information to surgeons.
Studies were searched and identified using PubMed and Google Scholar from Jan 2001 to Feb 2013 with the search terms "robot," "robotic," "colon," "rectum," "colorectal," and "colectomy." Appropriate data in the studies about the outcomes of robotic colorectal surgery were analyzed.
Sixty-nine publications were included in this review and composed of 39 case series, 29 comparative studies, and 1 randomized controlled trial. Most of the studies reported that robotic surgery showed a longer operation time, less estimated blood loss, shorter length of hospital stay, lower complication and conversion rates, and comparable oncologic outcomes compared to laparoscopic or open surgery.
Robotic colorectal surgery is a safe and feasible option. Robotic surgery showed comparable short-term outcomes compared to laparoscopic surgery or open surgery. However, the long operation time and high cost are the limitations of robotic surgery.
在过去十年中，机器人技术已应用于结直肠手术。本综述的目的是系统分析机器人结直肠手术的结果，并为外科医生提供客观信息。
使用PubMed和谷歌学术搜索并识别2001年1月至2013年2月期间的研究，搜索词为“机器人”“机器人的”“结肠”“直肠”“结直肠”和“结肠切除术”。分析研究中有关机器人结直肠手术结果的适当数据。
本综述纳入了69篇出版物，包括39个病例系列、29项比较研究和1项随机对照试验。大多数研究报告称，与腹腔镜手术或开放手术相比，机器人手术的手术时间更长、估计失血量更少、住院时间更短、并发症和中转率更低，肿瘤学结果相当。
机器人结直肠手术是一种安全可行的选择。与腹腔镜手术或开放手术相比，机器人手术的短期结果相当。然而，手术时间长和成本高是机器人手术的局限性。
