Ryu Hyo Seon, Kim Jin
Division of Colon and Rectal Surgery, Department of Surgery, Korea University College of Medicine, Seoul, Korea.
Ann Surg Treat Res. 2022 Jul;103(1):1-11. doi: 10.4174/astr.2022.103.1.1. Epub 2022 Jul 7.
Utilization of robotic surgical systems has increased over the years. Robotic surgery is presumed to have advantages of enhanced visualization, improved dexterity, and reduced tremor, which is purported to be more suitable for rectal cancer surgery in a confined space than laparoscopic or open surgery. However, evidence supporting improved clinical and oncologic outcomes after robotic surgery remains controversial and limited despite the widespread adoption of robotic surgical systems. To date, numerous observational studies and a few randomized controlled trials have failed to demonstrate that short-term, oncological, and functional outcomes after a robotic surgery are superior to those of laparoscopic surgery for low rectal cancer patients. The objective of this review is to summarize the current state of robotic surgery and its impact on low-lying rectal cancer.
多年来，机器人手术系统的使用有所增加。机器人手术被认为具有增强可视化、提高灵活性和减少震颤的优点，据称在狭窄空间内进行直肠癌手术比腹腔镜手术或开放手术更合适。然而，尽管机器人手术系统已被广泛采用，但支持机器人手术后临床和肿瘤学结果改善的证据仍然存在争议且有限。迄今为止，大量观察性研究和一些随机对照试验未能证明机器人手术治疗低位直肠癌患者的短期、肿瘤学和功能结果优于腹腔镜手术。本综述的目的是总结机器人手术的现状及其对低位直肠癌的影响。
