中国胸心血管外科临床杂志

中国胸心血管外科临床杂志

机器人手术系统在食管癌治疗中的发展与展望

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目前机器人辅助手术系统在食管癌手术治疗中的应用逐渐兴起,在外科领域中也越来越被广泛应用和认可。通过国内外文献报道得出,机器人有很多优点,并且其辅助食管癌手术已被证实是安全有效的,短期疗效也显著优于开胸手术;也有研究指出在长期随访中,其效果却与腔镜辅助手术相当。因此本文现就机器人辅助手术系统的发展历史、机器人辅助食管切除术的安全性、手术方法、近期疗效及远期预后影响进行系统的回顾,并把它与传统的开放手术和胸腹腔镜下微创食管癌切除术进行了详细的对比。希望能为食管癌手术机器人系统提供一些建议和理论依据。

At present, the application of the robot assisted surgery system in the surgical treatment of esophageal cancer is gradually emerging, and it is more and more widely used and recognized in the field of surgery. According to the domestic and foreign literatures, the robot has many advantages, and Robotic assisted esophageal cancer surgery has been proved to be safe and effective, and its short-term efficacy is significantly better than thoracotomy. Other studies have shown that in long-term follow-up, the effect is comparable toVideo-assisted thoracoscopic surgery. In this paper, the author are systematic reviewed the development history of the robot assisted surgery system, The effect of robotic assisted esophagectomy on safety, surgical method, short-term efficacy and long-term prognosis. Also put it with the traditional open surgery and thoracoscopic laparoscopic esophagectomy has carried on the detailed comparison. Hope to provide some advice and theoretical basis for esophageal cancer surgery robot system.

关键词: 食管肿瘤; 机器人辅助胸外科手术; 微创手术; Ivor-Lewis; McKeown; 并发症

Key words: Esophageal cancer; robot assisted thoracic surgery; minimally invasive surgical system; Ivor-Lewis; McKeown; complication

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