Zheng P, Feng Q Y, Xu J M
Department of General Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
Department of General Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China; Minimally Invasive Engineering Technology Research Center Colorectal Cancer, Shanghai 200032, China.
Zhonghua Wei Chang Wai Ke Za Zhi. 2020 Apr 25;23(4):336-340. doi: 10.3760/cma.j.cn.441530-20200216-00056.
Since its inception, the surgical robot system with technical advantages has quickly become a new trend in surgery, and has been widely used at home and abroad. A large number of retrospective studies and a small number of randomized controlled studies have shown that compared with traditional laparoscopic surgery, robotic surgery presented some improvements, such as lower conversion rate, less urinary and sexual dysfunction, and less intraoperative blood loss, though more convincing evidence is needed. Robotic colorectal cancer surgery started late in China, but developed rapidly. Not only the number of surgeries has increased rapidly, but also many new surgeries have been innovated. Meanwhile, many problems emerged, such as lack of unified technical specifications, and excessive dependence on imported surgical robot equipment. Through high-quality clinical researches and big data analyses, the formulation of standardization, the establishment of training system, and the combination of medicine, research and production, robotic surgery will continue to lead the development trend of surgery in the new era.
自问世以来，具有技术优势的手术机器人系统迅速成为外科手术的新趋势，并在国内外得到广泛应用。大量回顾性研究和少量随机对照研究表明，与传统腹腔镜手术相比，机器人手术有一些改进，如较低的中转率、较少的泌尿和性功能障碍以及较少的术中失血，尽管还需要更有说服力的证据。机器人结直肠癌手术在中国起步较晚，但发展迅速。不仅手术数量迅速增加，还创新了许多新手术。与此同时，也出现了许多问题，如缺乏统一的技术规范，以及对外科手术机器人设备过度依赖。通过高质量的临床研究和大数据分析、制定标准化、建立培训体系以及医研产结合，机器人手术将继续引领新时代外科手术的发展趋势。
