Du X H, Yan Y
Department of General Surgery, First Medical Center, PLA General Hospital, Beijing 100853, China.
Zhonghua Wei Chang Wai Ke Za Zhi. 2020 Apr 25;23(4):341-344. doi: 10.3760/cma.j.cn.441530-20200212-00051.
Since its introduction in China, the rapid development of robotic surgical system has brought a new trend in gastrointestinal surgery. Although clinical trials have proven its safety and effectiveness compared with traditional laparoscopic surgery, robotic gastrointestinal surgery has no obvious advantages in either short-term efficacy or long-term survival after surgery. Significantly increased costs have not brought corresponding clinical benefits, and that has limited robotic surgery to become the mainstream option for gastrointestinal surgery. In this paper, the clinical findings of robotic gastrointestinal surgery were reviewed, and the application of robotic surgical system in gastrointestinal surgery should be viewed rationally. The majority of gastrointestinal surgeons should not take the so-called "advanced equipment" as a monopolized asset, but choose surgery methods that the patients can benefit from, doctors are satisfied with, and can reflect the best socioeconomic benefits for the patients. With the development of a new generation of robotic surgical system and the support of more high-quality evidence-based medicine, it is believed that robotic gastrointestinal surgery will go towards a better future along a rational and objective track.
自机器人手术系统引入中国以来，其快速发展给胃肠外科带来了新趋势。尽管临床试验已证明与传统腹腔镜手术相比它具有安全性和有效性，但机器人胃肠手术在术后短期疗效或长期生存方面并无明显优势。成本显著增加并未带来相应的临床益处，这限制了机器人手术成为胃肠外科的主流选择。本文回顾了机器人胃肠手术的临床研究结果，应理性看待机器人手术系统在胃肠外科中的应用。大多数胃肠外科医生不应将所谓的“先进设备”视为独占资产，而应选择患者能从中受益、医生满意且能为患者带来最佳社会经济效益的手术方式。随着新一代机器人手术系统的发展以及更多高质量循证医学的支持，相信机器人胃肠手术将沿着理性和客观的轨道迈向更美好的未来。
