机器人辅助手术系统和腹腔镜手术切除胆总管囊肿疗效的Meta分析

Efficacy of robot-assisted surgery and laparoscopic surgery for choledochal cyst:a Meta-analysis

胆总管囊肿是一种非常罕见的先天性胆管异常。早期进行囊肿切除术和肝空肠Roux‑en‑Y吻合术是外科治疗该病的首选方式。随着快速康复外科的发展,腹腔镜手术有效减少了胆道并发症及创口感染发生率等,但其仍未满足人们对手术微创的要求。机器人手术系统因其清晰的手术视野及灵活的机械臂可以提高手术精准度及外科医师的操作性。笔者查阅国内外相关文献,采用Meta分析评价机器人手术系统与腹腔镜手术治疗胆总管囊肿的疗效。

The Choledochal cyst is an extremely rare congenital anomaly of the bile duct.Early cyst resection and Roux-en-Y hepatojejunostomy are the primary surgical methods for treating choledochal cyst.With the emergence of enhanced recovery after surgery,laparoscopic surgery has effectively reduced the incidence of biliary complications and wound infections,but it still does not meet people's requirements for minimally invasive surgery.Robotic surgery system has the potential to enhance surgical precision and the maneuverability of surgeons due to clear surgical visualization and flexible mechanical arms.The authors review the relevant literatures and conduct a Metaanalysis to evaluate the efficacy of robot-assisted surgery and laparoscopic surgery for choledochal cyst.