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[直肠癌机器人手术的现状与新方法]

[Current status and novel approach of robotic surgery for rectal cancer].

作者信息

Du Xiaohui

机构信息

Department of General Surgery, Chinese PLA General Hospital, Beijing 100853, China.

出版信息

Zhonghua Wei Chang Wai Ke Za Zhi. 2015 Aug;18(8):755-8.

Abstract

With the development of minimally invasive surgery, laparoscopic technique is now widely used in rectal surgery because of its advantages in terms of pain control, recovery of bowel function, length of hospital stay, short- and long-term outcomes. Total mesorectal excision(TME) is recommended as the standard procedure for rectal cancer. Laparoscopic TME, however, can be challenging due to its two-dimensional vision, restricted instrument movements, and a prolonged learning curve. Robotic surgery overcomes these intrinsic limitations by superior three-dimensional magnified optics, stable retraction platform, and 7 degrees of freedom of instrument movements, and offers an easier operation and shorter learning curve. This review summarizes the advantages as well as the current status of robotic rectal surgery, and explores the novel approach and new techniques with the related literature and the author's own experience.

摘要

随着微创手术的发展,腹腔镜技术因其在疼痛控制、肠功能恢复、住院时间长短以及短期和长期疗效方面的优势,目前在直肠手术中得到广泛应用。全直肠系膜切除术(TME)被推荐为直肠癌的标准手术。然而,腹腔镜TME可能具有挑战性,因为其二维视野、器械操作受限以及学习曲线较长。机器人手术通过卓越的三维放大光学系统、稳定的牵拉平台和器械的7个自由度运动克服了这些固有局限性,并提供了更简便的操作和更短的学习曲线。本综述总结了机器人直肠手术的优势以及当前现状,并结合相关文献和作者自身经验探讨了新方法和新技术。

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