机器人辅助手术在早期非小细胞肺癌治疗中的应用现状及前景

Application status and prospect of robot-assisted surgery in the treatment of early non-small cell lung cancer

随着科技发展和理念更新,早期肺癌微创化、精准化治疗的认识已深入人心。以电视胸腔镜手术(VATS)和机器人辅助胸外科手术(RATS)为代表的微创技术在早期肺癌的治疗中发挥着越来越重要的地位。RATS具有可以放大10~15倍的高清3D视野、灵活的操作臂和精确稳定的操作系统,克服了传统VATS的缺点,在手术准确性和彻底性上与开放式手术不相上下。此外,RATS在精确肺段切除方面也具有很大优势,其可以最大限度地减少因技术限制或为规避风险而进行的不必要肺组织切除。当然,除了这些临床公认的优势外,随着机器人手术系统与快速发展的5G通信相结合,进一步打破了传统手术的空间限制,使得“远程手术”不断完善,这对促进医疗资源的下沉及医学技术的交流具有积极意义。本研究旨在就机器人手术在早期非小细胞肺癌治疗中应用现状及前景进行综述。

With the advance of science and technology and renewal of concepts,minimally invasive and accurate treatment of early lung cancer has been widely accepted by public.Surgical technologies represented by video-assisted thoracoscopic surgery(VATS)and robot-assisted thoracic surgery(RATS)play a more and more important role in the treatment of early lung cancer.With its 3D high-definition vision,clear imaging,flexible operating arm and stable operating system,RATS overcomes the shortcomings of traditional VATS,and is comparable to open surgery in accuracy and thoroughness.In addition,RATS also has great advantages in accurate segmental pneumonectomy,which can minimize unnecessary pneumonectomy due to technical limitations or risk avoidance.Furthermore,the combination of robotic surgery and 5G communication technology also enables operators to perform telesurgeries,it breaks the limitations of time and space of surgeries,and promotes the exchange of medical technology,as well as contributes to rational distribution of medical resources.The application status and prospect of robotic surgery in the treatment of early non-small cell lung cancer is reviewed in this study.