机器人单切口手术在结肠次全切除术中的探索与应用

Exploration and application of robotic single-incision surgery in subtotal colectomy

  • 摘要: 结肠次全切除术是结直肠手术中一种较复杂、难度较高的手术方式,目前临床已开展开放手术、常规腹腔镜手术和单孔腹腔镜手术,但这些手术方式均存在操作难点和劣势。随着微创平台和手术技术的不断进步,机器人手术在结直肠手术中的应用越来越广泛。机器人单切口结肠次全切除术既结合腹腔镜及单孔手术操作的特色,如可显著减少腹部创伤,减轻术后疼痛,加快康复时间;又充分利用机器人手术系统独特的优势,如更清晰的三维视野和更灵活、稳定的器械操作,具有较好的临床应用前景。笔者查阅相关文献并结合团队实践经验,初步概述机器人单切口结肠次全切除术手术操作的重点和难点,探讨其优势和不足,旨在为该技术规范化的推广和普及提供参考。

     

    Abstract: Subtotal colectomy is a complex and difficult surgical method in colorectal surgery. There are currently open surgery, conventional laparoscopic surgery and single-port laparoscopic surgery, but these surgical methods have certain operational difficulties and disadvantages. With the continuous advancement of minimally invasive platforms and surgical techniques, robotic surgical systems are becoming more and more widely used in colorectal surgery. Robotic single-incision sub-total colectomy combines the characteristics of laparoscopic and single-port surgical operations, such as significantly reducing abdominal trauma, reducing postoperative pain, and speeding up recovery time, it also makes full use of the unique advantages of the robotic surgical system, such as a clearer three-dimensional field of view and more flexible and stable instrument operation, and has a good clinical application prospect. Based on domestic and foreign research, the authors summarize the key points of robotic single-incision subtotal colectomy combined with their own experience, expound its advantages and disadvantages, aiming to provide reference for promotion and popularization of standardization of this technique.

     

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