达芬奇机器人手术系统辅助对比胸腹腔镜辅助食管癌根治术的研究进展

Advances in research of da Vinci robot assisted versus thoracic laparoscopic video-assisted in minimally invasive esophagectomy

目的食管癌根治术是食管癌治疗的主要手段,其规范、彻底的淋巴结清扫与其分期、预后等密切相关。达芬奇机器人手术系统作为微创外科领域最先进的技术正在被广泛应用,其特点是高清3D视角、可旋转手臂、震颤过滤等优势,使其在狭小空间易于完成高精度和高难度的手术操作。近年来,达芬奇机器人手术系统正开始应用于食管癌根治术中。相较于胸腹腔镜辅助食管癌根治术,本文就达芬奇机器人手术系统辅助食管癌根治术在手术的安全性和可行性、纵膈淋巴结清扫、喉返神经保护及其学习曲线方面做一综述。

Radical resection is the main method for the treatment of esophageal cancer and standard and thorough lymph node dissection is closely related to the staging and prognosis of esophageal cancer. da Vinci Surgical System is being widely used as the most advanced technology in the field of minimally invasive surgery. Because of the three-dimensional（ 3 D） camera with a magnified view,rotatable arm,and hand-tremor filtration,da Vinci Surgical System is easy to perform high precision and difficult surgical operations in a small space. In recent years,da Vinci Surgical System has been used in esophagectomy. This article is to review its safety and feasibility,dissection of mediastinal lymph nodes,protection of the recurrent laryngeal nerve and learning curve of da Vinci robot-assisted minimally invasive esophagectomy（ RAMIE） compared to video-assisted minimally invasive esophagectomy.