机器人辅助 McKeown 食管癌切除术应用于食管癌的微创外科治疗是安全、有效的，但费用高昂、术中缺乏力反馈、学习曲线较长，其能否给外科医师及患者带来短期或长期获益、降低手术难度、提高手术切除及淋巴结清扫精度和广度、降低周围组织损伤、改善围术期疗效和生活质量，以及最终能否改善患者生存和预后等诸多问题，尚缺乏循证医学证据。本综述针对机器人辅助McKeown 食管癌切除术在临床中的应用进行临床证据的探讨和更新。

Robot-assisted McKeown esophagectomy (RAME) is safe and effective in minimally invasive treatment on esophageal cancer. However, due to its high cost, lacking of force feedback and learning curve problem, it needs further evidence-based medical results to determine whether it can bring short-term or long-term benefits to surgeons and patients, including reducing the operation difficulty, improving the precision of esophageal resection and lymph node dissection, reducing peripheral tissue injury, improving perioperative efficacy and quality of life, as well as finally improving patient survival and prognosis. This article aims to update the clinical evidence and discuss the clinical application of RAME.

收稿日期：2020-11-18  录用日期：2021-03-19

Received Date: 2020-11-18  Accepted Date: 2021-03-19

基金项目：天津市教委基础科研项目（2018KJ070）；白求恩公益基因会卓越外科基金（HZB-20181119-8）

Foundation Item: Basic Research Grant from Tianjin Municipal Education Commission (2018KJ070); Excellence in Surgery Grant from Bethune Charitable Foundation (HZB-20181119-8)

通讯作者：姜宏景，Email：jianghj@vip.163.com

Corresponding Author: JIANG Hongjing, Email: jianghj@vip.163.com

引用格式：段晓峰，姜宏景 . 机器人辅助 McKeown 食管癌切除术的临床应用现状及进展 [J]. 机器人外科学杂志（中英文），2021，2（4）：306-312.

Citation: DUAN X F, JIANG H J. Clinical application and progress of robot-assisted McKeown esophagectomy [J]. Chinese Journal of Robotic Surgery,  2021, 2(4):306-312.

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