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中华结直肠疾病电子杂志 ›› 2023, Vol. 12 ›› Issue (01) : 28 -33. doi: 10.3877/cma.j.issn.2095-3224.2023.01.004

达芬奇机器人专栏

机器人结直肠癌NOSES的应用现状及体会
叶善平1, 唐博1, 李太原1,()   
  1. 1. 330000 南昌大学第一附属医院普外科
  • 收稿日期:2022-07-25 出版日期:2023-02-25
  • 通信作者: 李太原
  • 基金资助:
    江西省重点研发项目(20202BBG73032); 江西省卫健委科技计划项目(202310016)

On the superiority and limitations of applying the da Vinci robotic surgical platform to perform NOSES surgery for rectal cancer

Shanping Ye1, Bo Tang1, Taiyuan Li1,()   

  1. 1. Department of General Surgery, the First Affiliated Hospital of Nanchang University, Nanchang 330000, China
  • Received:2022-07-25 Published:2023-02-25
  • Corresponding author: Taiyuan Li
引用本文:

叶善平, 唐博, 李太原. 机器人结直肠癌NOSES的应用现状及体会[J]. 中华结直肠疾病电子杂志, 2023, 12(01): 28-33.

Shanping Ye, Bo Tang, Taiyuan Li. On the superiority and limitations of applying the da Vinci robotic surgical platform to perform NOSES surgery for rectal cancer[J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2023, 12(01): 28-33.

随着达芬奇“机器人”在我国各大医院装机数的不断增加,以及国产机器人的投入使用,“机器人”在结直肠癌手术中应用逐渐增多,与腹腔镜手术相比,机器人结直肠癌手术在降低术中中转开腹、减少术后并发症发生率以及改善术后泌尿生殖功能等方面具有一定的优势。2015年王锡山教授系统提出NOSES理念,随着理论体系的不断完善,以及NOSES技术不断推广,已在国内外引起广泛关注。创新的技术平台联合创新的微创技术在给患者带来最大获益的同时也面临着一些争议。笔者将对“机器人”在结直肠癌NOSES的应用现状进行粗浅评价并结合本团队开展的“机器人”结直肠癌NOSES体会作一分享。

With the continuous increase of Da Vinci's robot surgical system installed in central hospitals in China and the production of domestic robot surgical system, the application of robot surgical system in colorectal cancer is gradually increasing. Compared with laparoscopic surgery, robotic colorectal cancer surgery has certain advantages in reducing the conversion rates, reducing the incidence of postoperative complications and protecting urogenital function. In 2015, professor Wang Xishan systematically proposed the concept of NOSES. With the continuous improvement of the theoretical system and the continuous promotion of NOSES technology, it has attracted widespread attention at home and abroad. Innovative technology platform combined with innovative minimally invasive surgery technology brings maximum benefits to patients, at same time, its also faces some disputes. The author will make a superficial evaluation of the application status of robot surgical system in colorectal cancer NOSES and share with the experience of robot surgical system on colorectal cancer NOSES.

图1 消化道重建方式
图2 侧侧吻合步骤展示
图3 NOSES Ⅰ式体外离断
图4 NOSES-Ⅰ式盆底游离界面
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