中国实用外科杂志

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腹腔镜及机器人技术在肝脏恶性肿瘤治疗中的应用及评价

彭承宏赵舒霖金佳斌   

  1. 上海交通大学医学院附属瑞金医院普外科,上海200025
  • 出版日期:2016-06-01 发布日期:2016-05-31

  • Online:2016-06-01 Published:2016-05-31

摘要:

微创手术正成为外科疾病诊疗的首选方法。腹腔镜及机器人在肝脏恶性肿瘤的微创治疗中的应用越来越多,在较多的肝脏外科中心已经是首选方案。但是,对于肝脏Ⅰ、Ⅶ、Ⅷ段的手术等,腹腔镜虽有成功尝试,但尚未广泛推广,而机器人辅助手术因其特有的技术优势,对这些特殊部位手术会更方便。对于肝脏恶性肿瘤的手术疗效,微创手术已获得与开放手术相似的效果。开放手术、腹腔镜手术及机器人辅助手术会在今后相当长一段时间内共存,三种术式有着各自的优势,各自的适应证,个体化的术式选择尤为重要。

关键词: 肝脏恶性肿瘤, 腹腔镜, 杂交腹腔镜, 机器人

Abstract:

Application and evaluation of laparoscopy and robot in the treatment of malignant liver tumor        PENG Cheng-hong, ZHAO Shu-lin, JIN Jia-bin. Department of General Surgery, Ruijin Hospital Affiliated to School of Medicine of Shanghai Jiao Tong University,Shanghai 200025,China
Corresponding author: PENG Cheng-hong, E-mail: chhpeng@188.com
Abstract    Minimally invasive surgery has become the fist choice for surgical diseases, which lead to more and more application of laparoscopy and robot surgery in liver cancers. In lots of liver surgery centers, the minimally invasive surgeries are taken as the first choice. Although there are some success approaches,laparoscopy is not widely spread in liver resection surgeries such as segment Ⅰ/Ⅶ/Ⅷ resection. Robotic surgery may be more practical in operations related to those regions because of its unique technical advantages. For the oncological outcomes of liver cancers,laparoscopy and laparotomy are almost equivalent. Laparotomy,laparoscopic surgery and robot assisted surgery will coexist for a long time. The three operative methods have their own advantages and indications. Individualized choice of surgical method is especially important for patients.

Key words: malignant liver tumor, laparoscopy, hybrid laparoscopy, robot