达芬奇机器人手术系统在消化外科的应用与展望

Application and prospects of Da Vinci robotic surgical system in digestive surgery

  • 摘要: 达芬奇机器人手术系统由于具有除颤,三维视野及操作灵活等优点,在消化外科领域,逐步应用于胃癌根治术、结直肠癌根治术、复杂肝段切除、胆道手术、胰腺部分切除和胰十二指肠切除术等手术中,取得了满意的临床疗效。与传统腹腔镜与开腹手术比较,达芬奇机器人手术系统在消化外科手术中操作更精准、灵活,有明显的微创优势,具有良好的应用价值与前景,但仍存在手术时间较长,手术费用高,恶性肿瘤远期疗效尚不确切等不足。

     

    Abstract: Da Vinci robotic surgical system have some advantages of defibrillation, threedimensional (3D) view and flexible operation, and it has been gradually applied in radical gastrectomy, colorectal cancer radical resection, complex hepatic resection, biliary tract surgery, partial resection of pancreas and pancreaticoduodenectomy in the field of digestive surgery, with satisfactory clinical efficacy. Compared with traditional laparoscopic and open operations, Da Vinci robotic surgical system is more precise and flexible, with advantages of minimal invasion and good application value, however, longer operation time, expensive surgery cost and indefinite longterm efficacy of malignant tumor need to be further improved.

     

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