Nakamura Hiroshige, Haruki Tomohiro
Division of General Thoracic Surgery, Department of Surgery, Faculty of Medicine, Tottori University, Yonago, Japan.
Kyobu Geka. 2018 Jan;71(1):55-66.
As surgical robots have widely spread, verification of their usefulness in the general thoracic surgery field is required. The most favorable advantage of robot-assisted surgery is the markedly free movement of joint-equipped robotic forceps under 3-dimensional high-vision. Accurate operation makes complex procedures straightforward and may overcome weak points of previous thoracoscopic surgery. Robot-assisted surgery for lung cancer and mediastinal disease have been safely introduced and initial results have shown favorable. It is still at the stage of clinical research, but recently a lot of merits of robot-assisted thoracic surgery are proved. Although safety management, education and significant cost are also important issues, the robotic-assisted thoracoscopic surgery will become one of the surgical options in minimally invasive surgery.
随着手术机器人的广泛应用，需要验证其在普通胸外科领域的实用性。机器人辅助手术最显著的优势是配备有关节的机器人钳在三维高清视野下能实现极为自由的移动。精确的操作使复杂手术变得简单直接，并且可能克服以往胸腔镜手术的不足之处。机器人辅助肺癌和纵隔疾病手术已被安全引入，初步结果显示良好。它仍处于临床研究阶段，但最近已证明机器人辅助胸外科手术有诸多优点。尽管安全管理、培训以及高昂成本也是重要问题，但机器人辅助胸腔镜手术将成为微创手术的手术选择之一。
