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机器人辅助肺叶切除术的端口放置策略:一项叙述性综述

Port Placement Strategies for Robotic Pulmonary Lobectomy: A Narrative Review.

作者信息

Parini Sara, Massera Fabio, Papalia Esther, Baietto Guido, Bora Giulia, Rena Ottavio

机构信息

Division of Thoracic Surgery, Ospedale Maggiore della Carità, 28100 Novara, Italy.

Department of Health Sciences, Università del Piemonte Orientale, 28100 Novara, Italy.

出版信息

J Clin Med. 2022 May 6;11(9):2612. doi: 10.3390/jcm11092612.

DOI:10.3390/jcm11092612
PMID:35566741
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9103382/
Abstract

BACKGROUND

Despite the use of robotics becoming increasingly popular among thoracic surgeons worldwide, there remains debate over the best robotic approach for lung resections. In this paper, we delineated the main port placement strategies and discussed their advantages and disadvantages.

METHODS

A PubMed literature review was performed using key phrases such as "robotic lobectomy technique", "RATS lobectomy", and "port placement robotic lobectomy". After the final review, 22 articles were included as references, of which 10 described common robotic port mapping techniques.

RESULTS

Several port strategies for robot-assisted pulmonary lobectomies have been proposed and described in the literature, each showing its own limitations and advantages.

CONCLUSIONS

New robotic surgeons may choose their port strategy according to personal preference and previous surgical experience, especially regarding open or VATS resections. Robust data comparing different port placements in robotic surgery are lacking. Further research should be directed toward comparisons of clinical outcomes with different robotic approaches.

摘要

背景

尽管机器人技术在全球胸外科医生中越来越受欢迎,但对于肺切除的最佳机器人手术方法仍存在争议。在本文中,我们阐述了主要的端口放置策略,并讨论了它们的优缺点。

方法

使用“机器人肺叶切除术技术”、“RATS肺叶切除术”和“端口放置机器人肺叶切除术”等关键词进行PubMed文献综述。最终评审后,纳入22篇文章作为参考文献,其中10篇描述了常见的机器人端口映射技术。

结果

文献中提出并描述了几种机器人辅助肺叶切除术的端口策略,每种策略都有其自身的局限性和优点。

结论

新的机器人外科医生可以根据个人偏好和以前的手术经验选择端口策略,特别是关于开放或VATS切除术。缺乏比较机器人手术中不同端口放置的有力数据。进一步的研究应针对不同机器人手术方法的临床结果比较。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a38/9103382/6dda7a260394/jcm-11-02612-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a38/9103382/b09ccc449355/jcm-11-02612-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a38/9103382/e3f22e822049/jcm-11-02612-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a38/9103382/2586a70d5097/jcm-11-02612-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a38/9103382/5de1a4534bf1/jcm-11-02612-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a38/9103382/9379cd444234/jcm-11-02612-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a38/9103382/6dda7a260394/jcm-11-02612-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a38/9103382/b09ccc449355/jcm-11-02612-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a38/9103382/e3f22e822049/jcm-11-02612-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a38/9103382/2586a70d5097/jcm-11-02612-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a38/9103382/5de1a4534bf1/jcm-11-02612-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a38/9103382/9379cd444234/jcm-11-02612-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a38/9103382/6dda7a260394/jcm-11-02612-g006.jpg

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Int J Med Robot. 2021 Dec;17(6):e2326. doi: 10.1002/rcs.2326. Epub 2021 Sep 2.
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A uniportal right upper lobectomy by three-arm robotic-assisted thoracoscopic surgery using the (Xi) Surgical System in the treatment of early-stage lung cancer.使用(Xi)手术系统通过三臂机器人辅助胸腔镜手术进行单孔右上肺叶切除术治疗早期肺癌。
Transl Lung Cancer Res. 2021 Mar;10(3):1571-1575. doi: 10.21037/tlcr-21-207.
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Impact of da Vinci Xi robot in pulmonary resection.
机器人辅助胸腔镜手术(RATS)治疗肺癌的方法和结果:叙述性综述。
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Applications of Robotic Surgery in Thoracic Diseases.机器人手术在胸科疾病中的应用
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达芬奇Xi机器人在肺切除术中的影响。
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Port Strategies for Robot-Assisted Lobectomy by High-Volume Thoracic Surgeons: A Nationwide Survey.高年资胸外科医生实施机器人辅助肺叶切除术的手术入路策略:一项全国性调查
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