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达芬奇机器人手术系统结直肠癌根治术的现状和展望
引用本文:汤思哲,王仆,孔大陆. 达芬奇机器人手术系统结直肠癌根治术的现状和展望[J]. 中国肿瘤临床, 2019, 46(7): 370-374. DOI: 10.3969/j.issn.1000-8179.2019.07.153
作者姓名:汤思哲  王仆  孔大陆
作者单位:天津医科大学肿瘤医院结直肠肿瘤科,国家肿瘤临床医学研究中心,天津市肿瘤防治重点实验室,天津市恶性肿瘤临床医学研究中心(天 津市300060)
摘    要:达芬奇机器人手术系统的出现是微创外科的重大变革。创新性机器人技术克服了传统腹腔镜的许多技术缺点。目前达芬奇机器人系统结直肠手术是安全可行的,术后短期效果与传统腹腔镜手术相似。但是,显著增加的手术费用未产生与之相应的肿瘤学优势。开发新技术克服现有机器人系统缺陷的同时,需开展多中心前瞻性随机对照临床试验评估达芬奇机器人手术系统结直肠癌根治术的长期疗效和潜在优势。本文旨在阐述机器人结直肠外科的发展现状,并展望新一代机器人平台的应用前景。

关 键 词:结直肠肿瘤  微创外科  腹腔镜  达芬奇机器人手术系统
收稿时间:2019-02-10

Updates and prospect of da Vinci robotic surgical system in radical resection of colorectal cancer
Sizhe Tang,Pu Wang,Dalu Kong. Updates and prospect of da Vinci robotic surgical system in radical resection of colorectal cancer[J]. Chinese Journal of Clinical Oncology, 2019, 46(7): 370-374. DOI: 10.3969/j.issn.1000-8179.2019.07.153
Authors:Sizhe Tang  Pu Wang  Dalu Kong
Affiliation:Department of Colorectal Cancer, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center for Cancer, Tianjin's Key Laboratory of Cancer Prevention and Therapy, Tianjin's Clinical Research Center for Cancer, Tianjin 300060, China
Abstract:Introduction of the da Vinci robotic surgical system has revolutionized the field of minimally invasive surgery. Innovative robotic technologies have helped surgeons overcome the technical difficulties of conventional laparoscopic surgery. At present, da Vinci robotic colorectal surgery is a safe and feasible option and has shown comparable short-term outcomes with conventional laparoscopic surgery. However, it has no oncological advantage despite its significantly higher cost. Promising technologies have been developed to overcome the drawbacks and obstacles of the current robotic systems. Moreover, further randomized controlled clinical trials are required to assess the long-term results and potential benefits of robotic surgery over laparoscopy. This review aimed to elucidate the current developments in robotic colorectal surgery and to explore emerging surgical robotic technologies currently available or in development. 
Keywords:colorectal neoplasms  minimally invasive surgery  laparoscopy  da Vinci robotic surgical system
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