机器人辅助McKeown食管癌切除术的临床应用现状及进展

Clinical application and progress of robot-assisted McKeown esophagectomy

机器人辅助McKeown食管癌切除术应用于食管癌的微创外科治疗是安全、有效的,但费用高昂、术中缺乏力反馈、学习曲线较长,其能否给外科医师及患者带来短期或长期获益、降低手术难度、提高手术切除及淋巴结清扫精度和广度、降低周围组织损伤、改善围术期疗效和生活质量,以及最终能否改善患者生存和预后等诸多问题,尚缺乏循证医学证据。本综述针对机器人辅助McKeown食管癌切除术在临床中的应用进行临床证据的探讨和更新。

Robot-assisted McKeown esophagectomy(RAME)is safe and effective in minimally invasive treatment on esophageal cancer.However,due to its high cost,lacking of force feedback and learning curve problem,it needs further evidence-based medical results to determine whether it can bring short-term or long-term benefits to surgeons and patients,including reducing the operation difficulty,improving the precision of esophageal resection and lymph node dissection,reducing peripheral tissue injury,improving perioperative efficacy and quality of life,as well as finally improving patient survival and prognosis.This article aims to update the clinical evidence and discuss the clinical application of RAME.