关键词: 机器人手术系统, 肝脏肿瘤, 肝切除术

Abstract:

Application of robotic surgical system in the treatment of liver neoplasms: Current status and limitations                           WANG Xiao-ying. Department of Liver Surgery，Zhongshan Hospital，Fudan University，Shanghai 200032，China
Abstract    Robotic platforms has overcome many of the limitations of conventional laparoscopic surgery. The indications for robotic liver surgery include all the indications for laparoscopic liver surgery and comprise both benign lesions and malignancies. The current literatures and data demonstrate that robotic liver surgery is a feasible and safe option. In properly selected patients，robotic approach associated with less invasion and fast recovery compared to open approach. Both robotic and laparoscopic approaches are similar in perioperative outcomes and long-term oncologic outcomes. Robotic approach may increase percentage of major hepatectomies in a purely minimally invasive fashion，facilitate the resection of superior and posterior liver tumors，and provide better precision in intracorporeal biliary and vascular reconstruction. However，robotic approach has significantly longer operative time and higher cost. Since the case number of available study was probably too small to allow firm conclusions，large randomized studies are needed to compare robotic liver surgery with conventional laparoscopy and open surgery.

Key words: robotic surgical system, liver neoplasm, liver resection