达芬奇机器人手术系统胃癌手术存在的问题与对策

Problems and strategies in the Da Vinci robotic surgery for gastric cancer

  • 摘要: 达芬奇机器人手术系统胃癌手术由于其除去手颤抖,3D放大视野及操作灵活、精准、稳定等优势在国内外逐步得到开展并被广大外科医师接受。但其手术适应证仍存在争议,手术操作流程、淋巴结清扫及消化道重建需进一步规范,近、远期临床疗效目前尚缺乏大样本前瞻性随机对照研究。笔者认为:研究者应深入探讨达芬奇机器人手术系统胃癌手术中存在的问题,并寻找对策,加强相关循证医学的研究,为达芬奇机器人手术系统胃癌手术的广泛开展提供切实可信的临床依据。

     

    Abstract: Da Vinci robotic surgery for gastric cancer has been performed and accepted gradually in domestic and abroad,due to the advantages of defibrillation, three dimensional (3D) view and flexible, precise, stable operation. However, its indication is controversy, surgical process, lymphadenectomy, digestive reconstruction need to be further regulated. There is lack of prospective casecontrol study of large sample on short and long term efficacy. Therefore, problems and strategies in the Da Vinci robotic surgery for gastric cancer should be analyzed and evidence based researches should be strengthened to provide tangible and credible evidence for the Da Vinci robotic surgery for gastric cancer.

     

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