机器人单孔腹腔镜手术在泌尿外科的发展现状及展望

随着微创观念在外科手术中的进一步深入,医生和患者都期待无瘢痕手术的实现。如今,机器人单孔腹腔镜(Robotic laparoendoscopic single-site,R-LESS)手术无疑是最接近此目标的方法之一,其不仅具有单孔腹腔镜手术微创、美观、少痛、恢复快等优点,同时具有机器人独有的3D手术视野、术者震颤消除等优点。单孔腹腔镜和机器人手术系统结合而生的R-LESS使得微创手术向前迈进了一大步。本综述以R-LESS的发展历史为切入点,总结国内外发展现状,分析其优势与不足,并对未来进行展望,旨在促进R-LESS在泌尿外科领域的发展。

Current status and prospects of robotic laparoscopic single-site surgery in urology

With the further deepening of the concept of minimally invasive surgery, both doctors and patients look forward to the realization of scarless surgery. Nowdays, robotic laparoendoscopic single-site(R-LESS) is undoubtedly one of the methods closest to this goal. It has the advantages of single-port laparoscopic surgery, which is minimally invasive,aesthetic, less painful, and quick to recover. Meanwhile, it has 3 D surgical field of vision and tremor filtering system. By combining single port laparoscopic and robotic surgery system, R-LESS makes minimally invasive surgery a big step forward.This article presents the development history of R-LESS as an entry point, summarizes the current status of R-LESS at home and abroad, analyzes its advantages and disadvantages, and looks forward to its future, aiming to promote the development of R-LESS in urology.