Kang Jeonghyun, Lee Kang Young
Department of Surgery, Yonsei University College of Medicine, 250 Seongsanno, Seodaemun-gu, Seoul, 120-752, Korea.
J Robot Surg. 2011 Mar;5(1):43-6. doi: 10.1007/s11701-010-0240-9. Epub 2011 Jan 9.
Rectal cancer surgery using a minimally invasive technique has been regarded as a challenging procedure. Since the introduction of the robotic surgical system into the operating theater, totally robotic rectal surgery has been attempted with several techniques. Abdomino-perineal resection might be a more reliable indication for totally robotic surgery than low anterior resection. Because the range of dissection is confined to the pelvic cavity and mobilization of the sigmoid colon, problems during totally robotic surgery can be minimized. With our technique, totally robotic surgery can be performed successfully. Technical advantages of the current robotic system can be reflected in patient benefits after totally robotic abdomino-perineal resection.
使用微创技术进行直肠癌手术一直被视为一项具有挑战性的操作。自从将机器人手术系统引入手术室以来，已经尝试了多种技术进行全机器人直肠癌手术。与低位前切除术相比，腹会阴联合切除术可能是全机器人手术更可靠的适应证。因为手术分离范围局限于盆腔以及乙状结肠的游离，全机器人手术过程中的问题可以降至最低。采用我们的技术，可以成功实施全机器人手术。当前机器人系统的技术优势可以体现在全机器人腹会阴联合切除术后给患者带来的益处上。
