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中华普外科手术学杂志(电子版)

中华普外科手术学杂志(电子版) ›› 2022, Vol. 16 ›› Issue (05) : 568 -571. doi: 10.3877/cma.j.issn.1674-3946.2022.05.026

综述

机器人系统在结直肠肿瘤外科中的应用现状与挑战
李孝琼1, 袁野1, 李源2, 曹阳2, 陶凯雄2, 王国斌3, 王征4,†()   
  1. 1. 430022　武汉，华中科技大学同济医学院附属协和医院胃肠外科；430022　武汉，华中科技大学同济医学院附属协和医院组织工程与再生医学研究中心
    2. 430022　武汉，华中科技大学同济医学院附属协和医院胃肠外科
    3. 430022　武汉，华中科技大学同济医学院附属协和医院胃肠外科；430022　武汉，华中科技大学同济医学院附属协和医院微创外科医学临床研究中心
    4. 430022　武汉，华中科技大学同济医学院附属协和医院胃肠外科；430022　武汉，华中科技大学同济医学院附属协和医院组织工程与再生医学研究中心；430022　武汉，华中科技大学同济医学院附属协和医院微创外科医学临床研究中心
  • 收稿日期:2021-12-29 出版日期:2022-10-26
  • 通信作者: 王征

Current status and challenges of robotic system in colorectal cancer surgery

Xiaoqiong Li1, Ye Yuan1, Yuan Li2, Yang Cao2, Kaixiong Tao2, Guobin Wang3, Zheng Wang4,†()   

  1. 1. Department of Gastrointestinal Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan Hubei Province 430022, China; Research Center for Tissue Engineering and Regenerative Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan Hubei Province 430022, China
    2. Department of Gastrointestinal Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan Hubei Province 430022, China
    3. Department of Gastrointestinal Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan Hubei Province 430022, China; Minimally Invasive Surgery Center, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan Hubei Province 430022, China
    4. Department of Gastrointestinal Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan Hubei Province 430022, China; Research Center for Tissue Engineering and Regenerative Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan Hubei Province 430022, China; Minimally Invasive Surgery Center, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan Hubei Province 430022, China
  • Received:2021-12-29 Published:2022-10-26
  • Corresponding author: Zheng Wang
  • Supported by:
    The Major Scientific and Technological Innovation Projects of Hubei Province(2018ACA136)
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引用本文：

李孝琼, 袁野, 李源, 曹阳, 陶凯雄, 王国斌, 王征. 机器人系统在结直肠肿瘤外科中的应用现状与挑战[J]. 中华普外科手术学杂志(电子版), 2022, 16(05): 568-571.

Xiaoqiong Li, Ye Yuan, Yuan Li, Yang Cao, Kaixiong Tao, Guobin Wang, Zheng Wang. Current status and challenges of robotic system in colorectal cancer surgery[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2022, 16(05): 568-571.

使用机器人系统治疗结直肠肿瘤是微创外科领域重大改革和创新，并被证实安全可行。相比腹腔镜手术，机器人手术操作空间大且中转开腹率低。但是，机器人手术吻合口并发症发生率及泌尿生殖功能保护能力仍存争议，切除肿瘤远期效果与腹腔镜相比未见显著优势，有待进一步随访数据证实。目前机器人系统不断升级和改进，与更多新技术智能结合希望促进机器人手术推广普及。本文旨在阐述机器人系统在结直肠肿瘤根治术中发展现状，展望其应用前景。

关键词: 结直肠肿瘤, 机器人手术, 腹腔镜

The use of robotic system in the treatment of colorectal tumor is a major innovation in minimally invasive surgery and has been proven safe and feasible. Compared with laparoscopic surgery，robotic surgery has larger operating space and lower conversion rate to open surgery. However，the incidence of anastomotic complications and the urogenital function protection of robotic surgery are still controversial，and the long-term effect of tumor resection is not significantly superior to that of laparoscopy，which needs to be confirmed by further follow-up data. At present，the robot system is constantly upgraded and improved，and the combination with more new technologies is expected to promote the popularization of robotic surgery. The purpose of this paper is to describe the development status of robotic system in radical resection of colorectal tumor and forecast its application prospect.

Key words: Colorectal neoplasms, Robotic surgical procedures, Laparoscopes
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