摘要
结直肠癌是我国高发的恶性肿瘤,以直肠癌占多数.外科手术是直肠癌最主要的治疗方式,而且微创手术已成为主流.腹腔镜手术在临床中应用广泛,但是其在部分直肠癌,尤其是中低位直肠癌的治疗中仍存在一定的局限性.相比之下,达芬奇机器人手术系统凭借其操作灵活稳定、高清三维成像、机械臂的多活动自由度等优点,能够实现在狭小的盆腔内进行精细的手术操作,具有临床应用优势.本文阐述机器人手术在直肠癌中的应用概况,并从学习曲线和主刀医师的疲劳程度、术中情况、术后短期恢复效果、手术并发症、肿瘤学结局等角度论述机器人手术与腹腔镜手术治疗直肠癌的优劣.
Abstract
Colorectal cancer is a highly prevalent malignancy in China,with rectal cancer accounting for the majority.Sur-gical resection is the primary treatment for rectal cancer,and minimally invasive surgery has become the mainstream ap-proach.Laparoscopic surgery is widely used in clinical practice,but it still has certain limitations in the treatment of some rectal cancers,especially in the middle and lower rectal cancer.In contrast,the da Vinci® robotic surgical system,with its advantages of flexible and stable operation,high-definition three-dimensional imaging,and multiple degrees of freedom of the robot arm movement,enables precise surgical manipulations in the confined space of the pelvic cavity,demonstrating clinical advantages.This article elaborates on the application of robotic surgery in rectal cancer and dis-cusses the pros and cons of robotic surgery versus laparoscopic surgery for rectal cancer from the perspectives of the learning curve,surgeon-in-chief fatigue,intraoperative conditions,short-term postoperative recovery,surgery-related compli-cations,and oncologic outcomes.
维普
万方数据