Alhossaini Rana M, Altamran Abdulaziz A, Seo Won Jun, Hyung Woo Jin
Department of Surgery Yonsei University College of Medicine Seoul Korea.
Gastric Cancer Center Yonsei Cancer Center Yonsei University Health System Seoul Korea.
Ann Gastroenterol Surg. 2017 Jul 28;1(2):82-89. doi: 10.1002/ags3.12020. eCollection 2017 Jun.
The robotic system has gained wide acceptance in specialties such as urological and gynecological surgery. It has also been applied in the field of upper gastrointestinal surgery. Since the first implementation of the robotic system for the treatment of gastric adenocarcinoma, the procedure has been found to be safe and feasible. Although robotic gastrectomy does not meet our expectations and yield better results than laparoscopic gastrectomy, this procedure seems to provide several advantages over laparoscopy such as reduced blood loss, shorter learning curves and increased number of retrieved lymph nodes. However, as many case series, including a recent multicenter study, have revealed, higher cost and longer operation time are the major limitations of robotic gastrectomy. Furthermore, there are no results from well-designed randomized clinical trials comparing the two procedures. New procedures in much more technically demanding cases will test the genuine benefits of robotic gastrectomy.
机器人系统已在泌尿外科和妇科手术等专科领域获得广泛认可。它也已应用于上消化道手术领域。自首次将机器人系统用于治疗胃腺癌以来，已发现该手术安全可行。尽管机器人胃切除术未达我们的预期，且未产生比腹腔镜胃切除术更好的效果，但该手术似乎比腹腔镜手术具有一些优势，如减少失血、缩短学习曲线以及增加获取的淋巴结数量。然而，正如许多病例系列研究（包括最近的一项多中心研究）所揭示的那样，成本较高和手术时间较长是机器人胃切除术的主要局限性。此外，尚无精心设计的随机临床试验比较这两种手术的结果。在技术要求高得多的病例中开展的新手术将检验机器人胃切除术的真正益处。
