机器人直肠癌经自然腔道取标本手术方式的选择策略
Selection strategy of robotic natural orifice specimen extraction surgery for rectal cancer
叶善平 1邹睿祥 1胡文俊 1肖锋 1李太原1
作者信息
- 1. 南昌大学第一附属医院普通外科,南昌 330006
- 折叠
摘要
机器人手术因其操作灵活且安全可行的特点逐步应用于胃肠外科领域,尤其是在盆腔狭小空间进行直肠癌根治手术具有明显优势.经自然腔道取标本手术(NOSES)是近年来胃肠外科发展较快的热点手术方式.机器人手术与NOSES技术相互交融将直肠癌微创手术推到新高度.机器人直肠癌NOSES视取出途径不同分为经直肠肛门和经阴道取标本手术.手术方式的选择策略是机器人直肠癌NOSES规范、健康、有序开展的关键.笔者查阅国内外相关文献以及指南,结合团队实践经验,阐述机器人直肠癌NOSES方式的选择策略,旨在为更加科学、安全地开展机器人直肠癌NOSES提供参考.
Abstract
Robotic surgery is applied in gastrointestinal surgery for their flexible and safe operation,especially in the narrow space of the pelvic cavity for radical surgery of rectal cancer,which has obvious advantages.Natural orifice specimen extraction surgery(NOSES)is a hot surgical technique that has developed rapidly in gastrointestinal surgery in recent years.The integration of robotic surgery and NOSES surgery has pushed minimally invasive surgery for rectal cancer to a new level.Robotic NOSES surgery for rectal cancer can be divided into two types based on the different extraction methods:transrectal and transvaginal specimen extraction.The selection and flexibility of surgical procedures are the keys to the standardized,healthy,and orderly development of robotic NOSES for rectal cancer.Based on domestic and foreign literature and guidelines and combined with the team's practical experience,the authors elaborate on the selection strategy of robotic NOSES for rectal cancer,in order to provide reference for more scientific and safe implementation of robotic NOSES for rectal cancer.
关键词
直肠肿瘤/机器人手术系统/经自然腔道取标本手术/手术方式/疗效/安全性Key words
Rectal neoplasms/Robotic surgical system/Natural orifice specimen extraction surgery/Surgical procedures,operative/Efficacy/Safety引用本文复制引用
基金项目
江西省卫生健康委科技项目(202310016)
出版年
2024
NETL
NSTL
万方数据