Kwak Jung Myun, Kim Seon Hahn
Colorectal Division, Department of Surgery, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Korea.
Cancer Res Treat. 2016 Apr;48(2):427-35. doi: 10.4143/crt.2015.478. Epub 2016 Feb 3.
During the last decade, robotic surgery for rectal cancer has rapidly gained acceptance among colorectal surgeons worldwide, with well-established safety and feasibility. The lower conversion rate and better surgical specimen quality of robotic compared with laparoscopic surgery potentially improves survival. Earlier recovery of voiding and sexual function after robotic total mesorectal excision is another favorable outcome. Long-term survival data are sparse with no evidence that robotic surgery offers major benefits in oncological outcomes. Although initial reports are promising, more rigorous scientific evaluation in multicenter, randomized clinical trials should be performed to definitely determine the advantages of robotic rectal cancer surgery.
在过去十年中，直肠癌机器人手术在全球结直肠外科医生中迅速获得认可，其安全性和可行性已得到充分确立。与腹腔镜手术相比，机器人手术的较低中转率和更好的手术标本质量可能会提高生存率。机器人全直肠系膜切除术后排尿和性功能的更早恢复是另一个有利结果。长期生存数据稀少，没有证据表明机器人手术在肿瘤学结局方面具有重大优势。尽管初步报告很有前景，但应在多中心随机临床试验中进行更严格的科学评估，以明确确定机器人直肠癌手术的优势。
