机器人辅助肺癌手术淋巴结清扫的研究进展

Research Progress in Lymph Node Dissection of Robot-Assisted Thoracic Surgery for Lung Cancer

肺癌是一种严重威胁人类生命的疾病,其发病率及病死率在全球范围内都处于领先地位。而对于肺癌早期来说,手术治疗依然是最有效的。肺癌的手术方式已经从原来的开放式手术过渡到现在的微创手术。而胸腔镜以及机器人辅助手术等微创技术也在胸外科领域发挥着日益重要的作用。借助着精确的控制系统、高清晰的成像系统和灵活的机械手臂,该机器人操作的手术方式大大弥补了胸腔镜传统操作的缺陷,同时其精准性、彻底性及安全性与开放式手术操作完全相当,尤其适合淋巴结清扫。机器人手术能提供术后病理分期的准确依据,对于患者预后和后续辅助治疗具有重要意义。

World-wide, lung cancer is the most common malignant tumor with the highest morbidity and mortality rates, and for early stage lung cancer, surgery is still the most effective treatment. Lung cancer surgery has undergone a transition from open surgery to minimally invasive surgery, and minimally invasive techniques represented by thoracoscopy and robotic surgery have played an increasing role in thoracic surgery. With its perfect mechanical control system, high-definition im-aging quality and flexible robotic arms, compared to traditional thoracoscopic surgery, robotic sur-gery provides advantages, and is comparable to open surgery in terms of accuracy, thoroughness and safety, especially when it comes to the dissection of lymph nodes during lung cancer surgery. Robotic surgery can provide a basis for accurate postoperative pathological staging, which is of great significance for patient prognosis and subsequent adjuvant therapy.