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机器人手术如何改变我们对解剖学的理解。

How robotic surgery is changing our understanding of anatomy.

作者信息

Dal Moro Fabrizio

机构信息

Department of Surgery, Oncology and Gastroenterology - Urology, University of Padua, Padua, Italy.

出版信息

Arab J Urol. 2017 Nov 6;16(3):297-301. doi: 10.1016/j.aju.2017.10.001. eCollection 2018 Sep.

Abstract

The most recent revolution in our understanding and knowledge of the human body is the introduction of new technologies allowing direct magnified vision of internal organs, as in laparoscopy and robotics. The possibility of viewing an anatomical detail, until now not directly visible during open surgical operations and only partially during dissections of cadavers, has created a 'new surgical anatomy'. Consequent refinements of operative techniques, combined with better views of the surgical field, have given rise to continual and significant decreases in complication rates and improved functional and oncological outcomes. The possibility of exploring new ways of approaching organs to be treated now allows us to reinforce our anatomical knowledge and plan novel surgical approaches. The present review aims to clarify some of these issues.

摘要

我们对人体的理解和认知方面的最新变革,是引入了新技术,能够直接对内部器官进行放大观察,比如腹腔镜检查和机器人手术。观察解剖细节的可能性,在此之前在开放手术中无法直接看到,在尸体解剖中也只能部分看到,这创造了一种“新的手术解剖学”。随之而来的手术技术的改进,再加上对手术视野更好的观察,使得并发症发生率持续显著降低,功能和肿瘤治疗效果得到改善。探索治疗器官新方法的可能性,现在使我们能够强化解剖学知识并规划新颖的手术方法。本综述旨在阐明其中的一些问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b173/6104660/7284d371e982/gr1.jpg

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