机器人手术系统在不同分期肺癌根治术中的应用

Application of robotic surgery system in radical operation on different stages of lung cancer

作为新一代微创手术平台,机器人手术系统具有三维高清术野、操作灵活的机械腕和震颤过滤系统等优势。目前,已有多项研究证实了机器人辅助肺癌根治术的安全性和有效性。对于不同分期的肿瘤,机器人肺癌根治术的应用情况不尽相同。出于手术复杂性和安全性考虑,在开展初期机器人肺癌根治术多应用于Ⅰ/Ⅱ期等早期肿瘤,采用肺段或肺叶切除术等术式。随着机器人辅助下血管和支气管吻合技术逐渐成熟,袖式切除术等复杂肺部手术得以开展,机器人手术系统也逐渐用于Ⅲ期等进展期肺癌根治术中。本文就机器人手术系统在不同分期肺癌根治术中的应用做一综述。

As a new generation of minimally invasive surgery platform,robotic surgery system is equipped with threedimensional and high-definition surgery field,flexible mechanical wrist,tremor filtering system and so on.At present,many studies have confirmed the safety and effectiveness of robot-assisted radical surgery in lung cancer.For different stages of cancer,different robotic surgery strategies shall be adopted in radical operation of lung cancer.Considering the complexity and safety of the operation,robot is mostly used in early stage tumors(stage I or II)for segmental resection or lobectomy.With the development of vascular and bronchial anastomosis technology assisted by robot,complex lung operations can be realized,such as sleeve resection.Therefore,the robotic surgery system is gradually used in(stageⅢ)local advanced lung cancer.This paper reviews the application of robotic surgery system in radical operation on different stages of lung cancer.