机器人手术在疝外科领域的应用现状与研究进展

Current applications and research advances of robotic surgery in hernia surgery

  • 摘要: 机器人手术是微创外科领域一项重要的技术变革,其依靠精准的操作性能、良好的器械灵活性、高清三维成像等优点,为疝外科疾病的治疗开辟了全新的途径。研究表明,机器人辅助疝修补术在减少并发症发生率、优化精细操作、加速术后康复等方面体现出独特价值,与传统开放手术、腹腔镜手术相比,在疝复发率方面没有显著差异。不同类型疝的机器人手术成本有所差异,随着国产机器人设备成本降低以及手术方式的改进,机器人疝修补术的整体费用有望大幅降低,在复杂疝的临床应用里,其成本优势会更加显著。笔者全面梳理机器人手术的技术原理和分类特点,着重讲述其在腹股沟疝、腹壁疝、盆底疝、造口旁疝、食管裂孔疝等疾病中的临床应用状况、疗效比较和技术优势,同时介绍了国产机器人手术系统在疝修补术中的临床应用、远程手术技术进展、标准化培训模式建立情况,旨在为疝外科临床实践、后续研究提供循证参考,推动学科向智能化、精准化方向发展,提高技术可及性。

     

    Abstract: Robotic surgery represents a significant technological advancement in the field of minimally invasive surgery. Leveraging advantages such as precise operational performance, superior instrument flexibility, and high‑definition three‑dimensional imaging, it has opened up new avenues for the treatment of hernias. Research indicates that robotic‑assisted hernia repair offers unique value in reducing complication rates, optimizing fine motor control, and accelerating post-operative recovery, while showing no significant difference in hernia recurrence rates compared to traditional open surgery or laparoscopic surgery. The costs of robotic surgery vary depending on the type of hernia. However, with the reduction in the cost of domestically produced robotic equipment and improvements in surgical techniques, the overall cost of robotic hernia repair is expected to decrease significantly, making its cost advantage more pronounced in the clinical application of complex hernias. The authors provide a comprehensive overview of the technical principles and classification characteristics of robotic surgery, with a focus on its clinical application, efficacy, and technical advantages in conditions such as inguinal hernia, ventral hernia, pelvic floor hernia, paras-tomal hernia, and hiatal hernia. They also discuss the clinical application of domestically developed robotic surgical systems in hernia repair, advancements in remote surgical techniques, and the estab-lishment of standardized training models.This article aims to provide evidence‑based guidance for clinical practice and future research in hernia surgery, promote the development of the discipline toward intelligence and precision, and enhance the accessibility of this technology.

     

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