Stiegler Philipp, Schemmer Peter
Division of Transplant Surgery, Department of Surgery, Medical University of Graz, Graz, Austria.
Transplant Center Graz, Medical University of Graz, Graz, Austria.
Visc Med. 2018 Feb;34(1):24-30. doi: 10.1159/000485686. Epub 2018 Feb 7.
Minimally invasive surgery is standard procedure for many operations. Further refinements include the introduction of robotic surgery which is still an emerging field especially in laparoscopic surgery. Since the successful introduction of the da Vinci Robotic Surgical System, the robotic approach in organ transplantation has become of great interest in both the live donor organ retrieval and the recipient operation. Robotic surgery for kidney, liver, and pancreas transplantation is feasible. Over 700 donor nephrectomies and 100 kidney transplantations have been performed already, and robotic surgery is standard in a small number of pioneer centers; however, larger series and most importantly randomized controlled trials for the highest evidence are needed. Longer warm ischemia time and higher costs limit these procedures at the moment.
微创手术是许多手术的标准术式。进一步的改进包括引入机器人手术，这仍是一个新兴领域，尤其在腹腔镜手术方面。自达芬奇机器人手术系统成功引入以来，机器人手术在器官移植中的应用在活体供体器官获取和受体手术中都引起了极大兴趣。肾脏、肝脏和胰腺移植的机器人手术是可行的。目前已经进行了700多例供体肾切除术和100例肾移植手术，在少数先锋中心，机器人手术已成为标准术式；然而，需要更大规模的系列研究，最重要的是需要进行随机对照试验以获得最高级别的证据。较长的热缺血时间和较高的成本目前限制了这些手术的开展。
