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机器人技术在复杂结直肠疾病管理中的应用

Use of Robotic Technology in the Management of Complex Colorectal Pathology.

作者信息

Wunker Claire, Montenegro Grace

机构信息

Claire Wunker, MD, is a Resident Physician and Grace Montenegro, MD, MS, is Assistant Professor, Department of Surgery, Colon and Rectal Surgery, Saint Louis University School of Medicine, St. Louis, Missouri.

出版信息

Mo Med. 2020 Mar-Apr;117(2):149-153.

PMID:32308241
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7144695/
Abstract

Use of robotic surgery is increasing in multiple surgical specialties including colorectal. We argue that the improved visualization and better instrumentation outweigh the increased cost and operating room time. However, the indications for its use are not clearly defined. This is especially true in complex pathologies such as rectal cancer and complicated diverticulitis. We explore the limited clinical data on the subject to support or dismiss the use of this currently developing technology.

摘要

机器人手术在包括结直肠外科在内的多个外科专科中的应用正在增加。我们认为,其改善的可视化效果和更好的器械性能超过了增加的成本和手术室时间。然而,其使用指征尚未明确界定。在诸如直肠癌和复杂性憩室炎等复杂病理情况下尤其如此。我们探讨了关于该主题的有限临床数据,以支持或反对使用这种目前正在发展的技术。

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Use of Robotic Technology in the Management of Complex Colorectal Pathology.机器人技术在复杂结直肠疾病管理中的应用
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2
Robotic technology for colorectal surgery : Procedures, current applications, and future innovative challenges.用于结直肠手术的机器人技术:手术方法、当前应用及未来创新挑战
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Laparosc Endosc Robot Surg. 2022 Jun;5(2):57-60. doi: 10.1016/j.lers.2022.03.001. Epub 2022 Mar 22.
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The Barriers of the Assistive Robotics Market-What Inhibits Health Innovation?辅助机器人市场的障碍-是什么阻碍了健康创新?
Sensors (Basel). 2021 Apr 29;21(9):3111. doi: 10.3390/s21093111.

本文引用的文献

1
Anatomic Distribution of Colorectal Adenocarcinoma in Young Patients.青年患者结直肠腺癌的解剖分布。
Dis Colon Rectum. 2019 Aug;62(8):920-924. doi: 10.1097/DCR.0000000000001422.
2
Robotic-assisted surgery for complicated and non-complicated diverticulitis: a single-surgeon case series.机器人辅助手术治疗复杂和非复杂憩室炎:单外科医生病例系列。
J Robot Surg. 2019 Dec;13(6):765-772. doi: 10.1007/s11701-018-00914-x. Epub 2019 Jan 23.
3
Colorectal cancer screening for average-risk adults: 2018 guideline update from the American Cancer Society.美国癌症协会 2018 年普通风险成年人结直肠癌筛查指南更新
CA Cancer J Clin. 2018 Jul;68(4):250-281. doi: 10.3322/caac.21457. Epub 2018 May 30.
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Effect of Robotic-Assisted vs Conventional Laparoscopic Surgery on Risk of Conversion to Open Laparotomy Among Patients Undergoing Resection for Rectal Cancer: The ROLARR Randomized Clinical Trial.机器人辅助手术与传统腹腔镜手术对直肠癌切除患者中转开腹风险的影响:ROLARR随机临床试验
JAMA. 2017 Oct 24;318(16):1569-1580. doi: 10.1001/jama.2017.7219.
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Lighted ureteral stents in laparoscopic colorectal surgery; a five-year experience.腹腔镜结直肠手术中使用带光源输尿管支架:五年经验
Ann Transl Med. 2017 Feb;5(3):44. doi: 10.21037/atm.2017.02.01.
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Mortality and complications following surgery for diverticulitis: Systematic review and meta-analysis.憩室炎手术后的死亡率和并发症:系统评价与荟萃分析。
United European Gastroenterol J. 2016 Oct;4(5):706-713. doi: 10.1177/2050640615617357. Epub 2015 Nov 13.
7
Effect of BMI on Short-Term Outcomes with Robotic-Assisted Laparoscopic Surgery: a Case-Matched Study.体重指数对机器人辅助腹腔镜手术短期结局的影响:一项病例匹配研究。
J Gastrointest Surg. 2016 Mar;20(3):488-93. doi: 10.1007/s11605-015-3016-8. Epub 2015 Dec 24.
8
Robotic versus laparoscopic resection for sigmoid diverticulitis with fistula.机器人手术与腹腔镜手术治疗伴有瘘管的乙状结肠憩室炎的比较
J Robot Surg. 2015 Jun;9(2):137-42. doi: 10.1007/s11701-015-0503-6. Epub 2015 Feb 26.
9
Effect of Laparoscopic-Assisted Resection vs Open Resection on Pathological Outcomes in Rectal Cancer: The ALaCaRT Randomized Clinical Trial.腹腔镜辅助与开放手术切除直肠癌对病理结局的影响:ALA-CART 随机临床试验。
JAMA. 2015 Oct 6;314(13):1356-63. doi: 10.1001/jama.2015.12009.
10
Effect of Laparoscopic-Assisted Resection vs Open Resection of Stage II or III Rectal Cancer on Pathologic Outcomes: The ACOSOG Z6051 Randomized Clinical Trial.腹腔镜辅助切除术与开放性切除术治疗Ⅱ期或Ⅲ期直肠癌对病理结果的影响:美国外科医师学会肿瘤学组Z6051随机临床试验
JAMA. 2015 Oct 6;314(13):1346-55. doi: 10.1001/jama.2015.10529.