达芬奇机器人手术系统结直肠癌根治术的现状和展望

汤思哲; 王仆; 孔大陆

doi:10.3969/j.issn.1000-8179.2019.07.153

达芬奇机器人手术系统结直肠癌根治术的现状和展望

doi: 10.3969/j.issn.1000-8179.2019.07.153

天津医科大学肿瘤医院结直肠肿瘤科，国家肿瘤临床医学研究中心，天津市肿瘤防治重点实验室，天津市恶性肿瘤临床医学研究中心（天津市300060）

详细信息

作者简介:
汤思哲专业方向为结直肠肿瘤临床及基础研究。E-mail：tangsizhe@hotmail.com

通讯作者:
王仆 18622221093@163.com

计量
- 文章访问数: 116
- HTML全文浏览量: 94
- PDF下载量: 10
- 被引次数: 0
出版历程
- 收稿日期: 2019-02-10
- 修回日期: 2019-04-08
- 刊出日期: 2019-04-15

Updates and prospect of da Vinci robotic surgical system in radical resection of colorectal cancer

Department of Colorectal Cancer, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center for Cancer, Tianjin's Key Laboratory of Cancer Prevention and Therapy, Tianjin's Clinical Research Center for Cancer, Tianjin 300060, China

More Information

Corresponding author: Pu Wang; E-mail:18622221093@163.com

摘要

摘要: 达芬奇机器人手术系统的出现是微创外科的重大变革。创新性机器人技术克服了传统腹腔镜的许多技术缺点。目前达芬奇机器人系统结直肠手术是安全可行的，术后短期效果与传统腹腔镜手术相似。但是，显著增加的手术费用未产生与之相应的肿瘤学优势。开发新技术克服现有机器人系统缺陷的同时，需开展多中心前瞻性随机对照临床试验评估达芬奇机器人手术系统结直肠癌根治术的长期疗效和潜在优势。本文旨在阐述机器人结直肠外科的发展现状，并展望新一代机器人平台的应用前景。
- 结直肠肿瘤 /
- 微创外科 /
- 腹腔镜 /
- 达芬奇机器人手术系统
Abstract: Introduction of the da Vinci robotic surgical system has revolutionized the field of minimally invasive surgery. Innovative robotic technologies have helped surgeons overcome the technical difficulties of conventional laparoscopic surgery. At present, da Vinci robotic colorectal surgery is a safe and feasible option and has shown comparable short-term outcomes with conventional laparoscopic surgery. However, it has no oncological advantage despite its significantly higher cost. Promising technologies have been developed to overcome the drawbacks and obstacles of the current robotic systems. Moreover, further randomized controlled clinical trials are required to assess the long-term results and potential benefits of robotic surgery over laparoscopy. This review aimed to elucidate the current developments in robotic colorectal surgery and to explore emerging surgical robotic technologies currently available or in development.
- colorectal neoplasms /
- minimally invasive surgery /
- laparoscopy /
- da Vinci robotic surgical system

HTML全文

参考文献(37)

[1]	郑民华, 马君俊.微创外科在结直肠肿瘤手术的新进展[J].中华结直肠疾病电子杂志, 2015, 4(5):460-464. doi: 10.3877/cma.j.issn.2095-3224.2015.05.02
[2]	中国医师协会外科医师分会结直肠外科医师委员会, 中国研究型医院学会机器人与腹腔镜外科专业委员会.机器人结直肠癌手术专家共识(2015版)[J].中华消化外科杂志, 2015, 14(11):891-897. doi: 10.3760/cma.j.issn.1673-9752.2015.11.002
[3]	Papanikolaou IG. Robotic surgery for colorectal cancer: systematic review of the literature[J]. Surg Laparosc Endosc Percutan Tech, 2014, 24(6):478-483. http://d.old.wanfangdata.com.cn/OAPaper/oai_pubmedcentral.nih.gov_3359666
[4]	许剑民, 陈竟文.达芬奇机器人手术系统在结直肠癌根治术中的应用[J].中华消化外科杂志, 2013, 12(5):332-335. doi: 10.3760/cma.j.issn.1673-9752.2013.05.004
[5]	Tam MS, Kaoutzanis C, Mullard AJ, et al. A population-based study comparing laparoscopic and robotic outcomes in colorectal surgery [J]. Surg Endosc, 2016, 30(2):455-463. doi: 10.1007/s00464-015-4218-6
[6]	Dolejs SC, Waters JA, Ceppa EP, et al. Laparoscopic versus robotic colectomy: a national surgical quality improvement project analysis [J]. Surg Endosc, 2017, 31(6):2387-2396. doi: 10.1007/s00464-016-5239-5
[7]	Kim CW, Kim CH, Baik SH. Outcomes of robotic-assisted colorectal surgery compared with laparoscopic and open surgery: a systematic review[J]. J Gastrointest Surg, 2014, 18(4):816-830. doi: 10.1007/s11605-014-2469-5
[8]	Xiong B, Ma L, Zhang C, et al. Robotic versus laparoscopic total mesorectal excision for rectal cancer: a metaanalysis[J]. J Surg Res, 2014, 188(2):404-414. doi: 10.1016/j.jss.2014.01.027
[9]	de Jesus JP, Valadão M, de Castro Araujo RO, et al. The circumferential resection margins status: A comparison of robotic, laparoscopic and open total mesorectal excision for mid and low rectal cancer [J]. Eur J Surg Oncol, 2016, 42(6):808-812. doi: 10.1016/j.ejso.2016.03.002
[10]	Allemann P, Duvoisin C, Di Mare L, et al. Robotic-assisted surgery improves the quality of total mesorectal excision for rectal cancer compared to laparoscopy: results of a case-controlled analysis[J]. World J Surg, 2016, 40(4):1010-1016. doi: 10.1007/s00268-015-3303-2
[11]	Aselmann H, Kersebaum JN, Bernsmeier A, et al. Robotic-assisted total mesorectal excision (TME) for rectal cancer results in a significantly higher quality of TME specimen compared to the laparoscopic approachreport of a singlecenter experience[J]. Int J Colorectal Dis, 2018, 33(11):1575-1581. doi: 10.1007/s00384-018-3111-x
[12]	Kwak JM, Kim SH. Robotic surgery for rectal cancer: An update in 2015[J]. Cancer Res Treat, 2016, 48(2):427-435. http://cn.bing.com/academic/profile?id=4c5396365912ac1e32160be23618a62d&encoded=0&v=paper_preview&mkt=zh-cn
[13]	Park EJ, Cho MS, Baek SJ, et al. Long-term oncologic outcomes of robotic low anterior resection for rectal cancer: a comparative study with laparoscopic surgery[J]. Ann Surg, 2015, 261(1):129-137. doi: 10.1097/SLA.0000000000000613
[14]	D'Annibale A, Pernazza G, Morpurgo E, et al. Robotic right colon resection: evaluation of first 50 consecutive cases for malignant disease[J]. Ann Surg Oncol, 2010, 17:2856-2862. doi: 10.1245/s10434-010-1175-0
[15]	Trastulli S, Desiderio J, Farinacci F, et al. Robotic right colectomy for cancer with intracorporeal anastomosis: shortterm outcomes from a single institution[J]. Int J Colorectal Dis, 2013, 28(6):807- 814. doi: 10.1007/s00384-012-1604-6
[16]	Trastulli S, Coratti A, Guarino S, et al. Robotic right colectomy with intracorporeal anastomosis in comparison with the laparoscopic approach with extracorporeal and intracorporeal anastomosis: a retrospective multicentre study[J]. Surg Endosc, 2015, 29(6):1512- 1521. doi: 10.1007/s00464-014-3835-9
[17]	Trastulli S, Cirocchi R, Desiderio J, et al. Robotic versus laparoscopic approach in colonic resections for cancer and benign diseases: systematic review and meta-analysis[J]. PLoS One, 2015, 10(7):e0134062. doi: 10.1371/journal.pone.0134062
[18]	Keller DS, Senagore AJ, Lawrence JK, et al. Comparative effectiveness of laparoscopic versus robotassisted colorectal resection[J]. Surg Endosc, 2014, 28(1):212-221. doi: 10.1007%2Fs00464-013-3163-5
[19]	池畔.机器人全直肠系膜切除技巧与要领[J].中国实用外科杂志, 2016, 36(11):1148-1151. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=zgsywkzz201611003
[20]	池畔, 王枭杰.机器人和腹腔镜全直肠系膜切除术中Denonvilliers筋膜解剖的意义及技巧[J].中国实用外科杂志, 2017, 37(6):609- 615. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=zgsywkzz201706005
[21]	Kim JY, Kim NK, Lee KY, et al. A comparative study of voiding and sexual function after total mesorectal excision with autonomic nerve preservation for rectal cancer: laparoscopic versus robotic surgery[J]. Ann Surg Oncol, 2012, 19(8):2485-2493. doi: 10.1245/s10434-012-2262-1
[22]	Park SY, Choi GS, Park JS, et al. Short-term clinical outcome of robotassisted intersphincteric resection for low rectal cancer: a retrospective comparison with conventional laparoscopy[J]. Surg Endosc, 2013, 27(1):48-55. http://cn.bing.com/academic/profile?id=52625b00cc4418eae90e5579feb129b0&encoded=0&v=paper_preview&mkt=zh-cn
[23]	D'Annibale A, Pernazza G, Monsellato I, et al. Total mesorectal excision: a comparison of oncological and functional outcomes between robotic and laparoscopic surgery for rectal cancer[J]. Surg Endosc, 2013, 27(6):1887-1895. doi: 10.1007/s00464-012-2731-4
[24]	Park SY, Choi GS, Park JS, et al. Urinary and erectile function in men after total mesorectal excision by laparoscopic or robotassisted methods for the treatment of rectal cancer: A case-matched comparison[J]. World J Surg, 2014, 38(7):1834-1842. doi: 10.1007/s00268-013-2419-5
[25]	Broholm M, Pommergaard HC, Gögenür I. Possible benefits of robotassisted rectal cancer surgery regarding urological and sexual dysfunction: a systematic review and metaanalysis[J]. Color Dis, 2015, 17(5):375-381. doi: 10.1111/codi.2015.17.issue-5
[26]	Guerra F, Pesi B, Amore BS, et al. Does robotics improve minimally invasive rectal surgery? Functional and oncological implications[J]. J Dig Dis, 2016, 17(2):88-94. doi: 10.1111/cdd.2016.17.issue-2
[27]	Park EJ, Baik SH. Robotic surgery for colon and rectal cancer[J]. Curr Oncol Rep, 2016, 18(1):1-8. doi: 10.1007/s11912-015-0487-4
[28]	Luca F, Craigg D K, Senthil M, et al. Sexual and urinary outcomes in robotic rectal surgery: review of the literature and technical considerations[J]. Updates Surg, 2018, 70(3):415-421. doi: 10.1007/s13304-018-0581-x
[29]	Kim NK, Kim YW, Cho MS. Total mesorectal excision for rectal cancer with emphasis on pelvic autonomic nerve preservation: expert technical tips for robotic surgery[J]. Surg Oncol, 2015, 24(3):172- 180. doi: 10.1016/j.suronc.2015.06.012
[30]	Cho MS, Baek SJ, Hur H, et al. Short and long-term outcomes of robotic versus laparoscopic total mesorectal excision for rectal cancer: a casematched retrospective study[J]. Medicine(Baltimore), 2015, 94(11):e522.
[31]	Lim DR, Bae SU, Hur H, et al. Long-term oncological outcomes of robotic versus laparoscopic total mesorectal excision of mid-low rectal cancer following neoadjuvant chemoradiation therapy[J]. Surg Endosc, 2017, 31(4):1728-1737. doi: 10.1007/s00464-016-5165-6
[32]	Kim J, Baek SJ, Kang DW, et al. Robotic resection is a good prognostic factor in rectal cancer compared with laparoscopic resection: long-term survival analysis using propensity score matching[J]. Dis Colon Rectum, 2017, 60(3):266-273. http://cn.bing.com/academic/profile?id=716db951f9ecd29fc3e60f60dc4e461b&encoded=0&v=paper_preview&mkt=zh-cn
[33]	Rondelli F, Balzarotti R, Villa F, et al. Is robot-assisted laparoscopic right colectomy more effective than the conventional laparoscopic procedure?A metaanalysis of shortterm outcomes[J]. Int J Surg, 2015, 18:75-82. doi: 10.1016/j.ijsu.2015.04.044
[34]	Spinoglio G, Bianchi PP, Marano A, et al. Robotic versus laparoscopic right colectomy with complete mesocolic excision for the treatment of colon cancer: perioperative outcomes and 5-Year survival in a consecutive series of 202 patients[J]. Ann Surg Oncol, 2018, 25 (12):3580-3586. doi: 10.1245/s10434-018-6752-7
[35]	Jayne D, Pigazzi A, Marshall H, et al. Effect of roboticassisted vs conventional laparoscopic surgery on risk of conversion to open laparotomy among patients undergoing resection for rectal cancer: The ROLARR randomized clinical trial[J]. JAMA, 2017, 318(16):1569- 1580. doi: 10.1001/jama.2017.7219
[36]	杜晓辉, 邢晓伟.达芬奇机器人手术系统结直肠癌根治术的现状与展望[J].中华消化外科杂志, 2017, 16(8):800-803. doi: 10.3760/cma.j.issn.1673-9752.2017.08.008
[37]	Whealon M, Vinci A, Pigazzi A. Future of minimally invasive colorectal surgery[J]. Clin Colon Rectal Surg, 2016, 29(3):221-231. doi: 10.1055/s-0036-1584499