机器人胃癌手术新进展及热点问题

Progresses and hot spots of robotic surgery for gastric cancer

以腹腔镜和机器人为代表的微创技术已成为胃癌治疗的重要方法,其手术质量和安全性不断提升,近期临床结局不断改善,肿瘤远期预后可与传统开腹手术相媲美。机器人胃切除术在淋巴结清扫、术中出血、术中输血率、术中失误、患者康复和并发症等方面的优势,可能成为改善患者预后的重要因素。由于手术机器人独特的技术优势,其在减孔及单孔机器人手术、远程机器人手术领域应用方面也积累了一定经验,被视为未来外科学的重要发展方向。但目前尚缺乏高质量临床研究作为临床证据。

Minimally invasive techniques represented by laparoscopy and robotic system have become important methods for the treatment of gastric cancer.The quality and safety of surgery and patients'short-term outcomes have been constantly improving.The long-term prognosis of tumors can be comparable to traditional open surgery.The advantages of robotic gastrectomy in tumor prognosis related indicators such as lymph node dissection,intraoperative bleeding,transfusion rate,intraoperative errors,patient recovery,and complications may translate into important aspects of improved prognosis.Due to the unique technological advantages of surgical robots,some experience has been accumulated in the fields of single port robotic gastrectomy and telesurgery,which is an important development direction for future surgery.However,at present,there is a lack of high-quality trials as clinical evidence.