关键词: 机器人手术系统, 腹腔镜, 肝切除术, 术中超声

Abstract:

Difficulties and solutions of robot-assisted laparoscopic hepatectomy        ZHANG Bi-xiang, ZHU Peng. Department of Hepatic Surgery, Tongji Hospital, Tongji Medical College , Huazhong University of Science & Technology, Wuhan 430030,China
Corresponding author:ZHANG Bi-xiang,E-mail:bixiangzhang
@163.com
Abstract    In recent years, robotic surgical system has been used more and more in hepatic surgery, the indications of which are also expanded gradually. Besides less invasion and fast recovery, robotic laparoscopic system has more advantages in complex liver resections due to endo-wrist technique and fine performance ability compared to traditional laparoscopic hepatectomy. At present, there is still a long way to widespread application in robotic surgical system. There are not exactly the same in position, trocar layout, intraoperative tumor location, blood flow occlusion maneuvers, parenchymal transection, and so on between robot-assisted laparoscopic hepatectomy and traditional laparoscopic hepatectomy. Both robot-assisted and traditional laparoscopic approaches are similar in perioperative outcomes compared to open approach. Because of limited applied cases and short observation, the long term outcomes of robotic liver surgery still need to be further evaluated.

Key words: robot surgical system, laparoscopy, hepatectomy, intraoperative ultrasonography