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本文引用的文献

1
Comparing oncologic and surgical outcomes of robotic and laparoscopic pancreatoduodenectomy in patients with pancreatic cancer: a propensity-matched analysis.比较机器人与腹腔镜胰十二指肠切除术治疗胰腺癌患者的肿瘤学和手术结局:倾向匹配分析。
Surg Endosc. 2024 May;38(5):2602-2610. doi: 10.1007/s00464-024-10783-1. Epub 2024 Mar 18.
2
Short-term outcomes of robot-assisted versus conventional minimally invasive esophagectomy for esophageal cancer: a systematic review and meta-analysis of 18,187 patients.机器人辅助与传统微创食管癌切除术治疗食管癌的短期疗效比较:18187 例患者的系统评价和荟萃分析。
J Robot Surg. 2024 Mar 16;18(1):125. doi: 10.1007/s11701-024-01880-3.
3
Robotic Technology in Emergency General Surgery Cases in the Era of Minimally Invasive Surgery.机器人技术在微创外科时代的急诊普通外科手术中的应用。
JAMA Surg. 2024 May 1;159(5):493-499. doi: 10.1001/jamasurg.2024.0016.
4
Advancements in Robotic Surgery: A Comprehensive Overview of Current Utilizations and Upcoming Frontiers.机器人手术的进展:当前应用及未来前沿的全面概述。
Cureus. 2023 Dec 12;15(12):e50415. doi: 10.7759/cureus.50415. eCollection 2023 Dec.
5
Robotic Appendicectomy: A review of feasibility.机器人阑尾切除术:可行性综述。
Sultan Qaboos Univ Med J. 2023 Nov;23(4):440-446. doi: 10.18295/squmj.7.2023.043. Epub 2023 Nov 30.
6
Robotic Surgery: A Comprehensive Review of the Literature and Current Trends.机器人手术:文献综述与当前趋势
Cureus. 2023 Jul 24;15(7):e42370. doi: 10.7759/cureus.42370. eCollection 2023 Jul.
7
Evaluation of the Versius Robotic System for Infant Surgery-A Study in Piglets of Less than 10 kg Body Weight.用于婴儿手术的Versius机器人系统评估——对体重小于10千克仔猪的研究
Children (Basel). 2023 May 3;10(5):831. doi: 10.3390/children10050831.
8
Propensity-score Matched and Coarsened-exact Matched Analysis Comparing Robotic and Laparoscopic Major Hepatectomies: An International Multicenter Study of 4822 Cases.倾向评分匹配和粗糙精确匹配分析比较机器人和腹腔镜肝切除术:4822 例国际多中心研究。
Ann Surg. 2023 Dec 1;278(6):969-975. doi: 10.1097/SLA.0000000000005855. Epub 2023 Apr 14.
9
An introductory review of robotically assisted surgical systems.机器人辅助手术系统简介综述。
Int J Med Robot. 2022 Aug;18(4):e2409. doi: 10.1002/rcs.2409. Epub 2022 May 4.
10
Autonomous robotic laparoscopic surgery for intestinal anastomosis.自主式机器人腹腔镜肠吻合术。
Sci Robot. 2022 Jan 26;7(62):eabj2908. doi: 10.1126/scirobotics.abj2908.

机器人辅助手术:普通外科的当前应用与未来趋势

Robot-Assisted Surgery: Current Applications and Future Trends in General Surgery.

作者信息

Rojas Burbano Juan Carlos, Ruiz Nicolás Idárraga, Rojas Burbano Gustavo Andrés, Guacho Inca José Sebastián, Arragan Lezama Carlos Alejandro, González Manuel Sánchez

机构信息

General Medicine, Pontificia Universidad Católica del Ecuador, Quito, ECU.

Surgery, Clínica Medicádiz, Ibagué, COL.

出版信息

Cureus. 2025 Apr 15;17(4):e82318. doi: 10.7759/cureus.82318. eCollection 2025 Apr.

DOI:10.7759/cureus.82318
PMID:40376327
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12080974/
Abstract

Advancements in digital equipment have been applied to treating complex medical cases. However, the literature has not comprehensively reported these applications, and the outcomes of conventional surgeries have not been compared with robot-assisted surgeries to determine efficacy. Therefore, this literature review aimed to find and compare outcomes. According to existing literature, robot-assisted surgery has brought significant changes to various aspects of general surgical practice. The research outcomes have shown that robotic surgery minimizes surgical invasiveness by enabling smaller incisions, reducing blood loss, and accelerating patient recovery. The da Vinci Surgical System has shown enhanced surgical accuracy due to better control when operating in complex cases such as colorectal resections, pancreaticoduodenectomy, and hernia repairs. The use of robotic systems enables surgeons to remain comfortable while performing complex procedures because the system allows them to maintain ergonomic body positions. Robotic systems lead to better clinical outcomes for patients, such as rapid hospital discharge, fewer complications, and faster recovery times. The advantages of robotic surgery will become more apparent once technical challenges regarding costs, learning curves, and haptic feedback are fully addressed.

摘要

数字设备的进步已应用于治疗复杂的医疗病例。然而,文献中尚未全面报道这些应用,并且尚未将传统手术的结果与机器人辅助手术的结果进行比较以确定疗效。因此,本综述旨在寻找并比较结果。根据现有文献,机器人辅助手术给普通外科手术实践的各个方面带来了重大变化。研究结果表明,机器人手术通过采用更小的切口、减少失血和加速患者康复,将手术创伤降至最低。达芬奇手术系统在诸如结直肠切除术、胰十二指肠切除术和疝修补术等复杂病例中操作时,由于控制更好,显示出更高的手术精度。使用机器人系统使外科医生在进行复杂手术时能保持舒适,因为该系统允许他们保持符合人体工程学的身体姿势。机器人系统为患者带来更好的临床结果,如快速出院、更少的并发症和更快的恢复时间。一旦关于成本、学习曲线和触觉反馈的技术挑战得到充分解决,机器人手术的优势将更加明显。