机器人手术系统在经肛腔镜外科体系中的应用进展
Advance in the application of robotic surgical system in transanal endoscopic surgery
牛森 1张烨 1李增耀 1王彤1
作者信息
- 1. 214000 无锡,南京医科大学附属无锡人民医院腔镜外科
- 折叠
摘要
近年来,机器人手术系统在国内外经肛腔镜外科体系中日益发展成熟,凭借着高度符合人体工程力学、3D高清视野、Endowrist™技术允许7个自由度的转腕以及震颤消除功能等优势,被认为是腹腔镜辅助经肛门微创手术的宝贵替代平台.然而,机器人手术系统也存在手术时间长,成本高,缺乏长期循证医学数据等争议.目前研究报道,各种新型机器人辅助经肛门微创手术已经成功用于复杂直肠肿瘤局部切除,经肛门全直肠系膜切除,直肠瘘修复等手术.在未来,机器人手术系统的技术更新将极大拓展经肛腔镜外科体系的施展空间.文章主要就机器人辅助经肛门微创手术的发展、在国内外的应用进展以及存在的争议问题进行综述.
Abstract
In recent years,robotic surgical systems have become increasingly sophisticated in both domestic and international transanal endoscopic surgical systems,and are considered to be a valuable alternative platform for endoscope-assisted minimally inva-sive transanal surgery,with the advantages of highly ergonomic mechanics,3D high-definition field of view,Endowrist™ technology that allows for 7-degree-of-freedom wrist rotation,and tremor-elimination capabilities.However,robotic surgical systems also suffer from controversies such as long operative times,high costs,and lack of long-term evidence-based medical data.Current studies have reported that various novel robotic-assisted transanal minimally invasive surgeries have been successfully used for local excision of complex rectal tumors,transanal total rectal mesentery resection,and rectal fistula repair.In the future,technological updates of ro-botic surgical systems will greatly expand the scope of transanal endoscopic surgical systems.This article mainly reviews the develop-ment of robot-assisted transanal minimally invasive surgery,its application progress at home and abroad,as well as the controversial issues that exist.
关键词
经肛门微创手术/机器人手术系统/直肠肿瘤/经肛门全直肠系膜切除Key words
transanal minimally invasive surgery/robotic surgery system/rectal tumor/transanal total mesorectal excision引用本文复制引用
基金项目
国家自然科学基金(81371683)
"太湖人才计划"顶尖医学专家团队基金(2021)(2021-THRC-DJ-PWK)
出版年
2024
NETL
NSTL
万方数据