机器人辅助胃癌根治术的应用评价

微创技术与器械设备的进步给外科治疗模式提供了广阔的发展空间。在这一进程中，手术机器人系统正在扮演着重要角色，已经并将继续带给医生更多潜在的技术获益及患者更大的疗效获益。胃癌手术是外科最常见的手术之一。已有许多研究证实．机器人胃癌手术具有满意的短期疗效（如快速的术后康复），而且与开腹手术具有相同的根治效果。但是，机器人胃癌手术也存在一些不足和隐患，如手术时间延长，费用较高。远期疗效不明确。因此，机器人胃癌手术的作用还存在争议。本文基于现有的循证医学证据，对机器人胃癌根治手术的技术特点和疗效及临床应用前景进行评述。

Evaluation of robotic gastrectomy for gastric cancer based on the current evidence

Surgical modality undoubtedly has been developing rapidly resulting from the improvement of minimally invasive approach and instruments. Robotic gastrectomy for gastric cancer, as one of the most common performed operations worldwide, is playing a key role in maximizing potential benefits for both patients and surgeons. Most studies have demonstrated its satisfactory short-term outcomes including fast postoperative recovery course and similar ontological adequacy, while followed by several disadvantages or pitfall such as longer operation time, relatively high costs, and uncertain long-term outcome. However, the role of roboticgastrectomy is still controversial. This article is a review about robotic gastrectomy for treating gastric cancer based on the current evidence in terms of technology, application, clinical trials, and future prospects.