中国的机器人外科学杂志 | ISSN 2096-7721 | CN 10-1650/R

机器人肝脏切除手术的临床现状与研究进展

Clinical status and progress of robot-assisted laparoscopic liver resection

作者:马靖雯,孟尧,何天霖

Vol. 3 No. 1 Feb. 2022 DOI: 10.12180/j.issn.2096-7721.2022.01.008 发布日期:2023-10-19
关键词:机器人手术;肝切除术;微创手术

作者简介:

随着外科手术器械和腹腔镜技术的不断发展,肝脏外科已经进入微创外科和精准外科时代。机器人辅助肝脏切除术已包含几乎所有传统开腹手术的适应证。目前临床研究显示,与开腹手术和传统腹腔镜手术相比,达芬奇手术机器人在肝脏切除术中的应用是安全、可行的。本文综合文献报道及临床实践,针对达芬奇机器人在肝脏切除术的临床现状和研究进展做一综述。

With the development of surgical instruments and laparoscopic techniques, the concept of minimally invasive and precision has deeply penetrated the field of liver surgery. Robot-assisted laparoscopic liver resection nearly can be applied to all open liver surgeries. Comparing with conventional open liver surgery, robot-assisted laparoscopic liver resection is safe and feasible. This review aims to describe and discuss the clinical status and progress of robot-assisted laparoscopic liver resection by summarizing and analyzing the current literatures.

稿件信息

收稿日期:2021-01-07  录用日期:2021-07-01

Received Date: 2021-01-07  Accepted Date: 2021-07-01

基金项目:上海市“医苑新星”杰出青年医学人才计划(2019020)

Foundation Item: Shanghai“Rising Stars of Medical Talent” Outstanding Youth Medical Talents(2019020)

通讯作者:何天霖,Email:tlhe@smmu.edu.cn

Corresponding Author: HE Tianlin, Email: tlhe@smmu.edu.cn

引用格式:马靖雯,孟尧,何天霖 . 机器人肝脏切除手术的临床现状与研究进展 [J]. 机器人外科学杂志(中英文),2022,3(1): 48-54.

Citation: MA J W, MENG Y, HE T L. Clinical status and progress of robot-assisted laparoscopic liver resection[J]. Chinese Journal of Robotic Surgery, 2022, 3(1): 48-54.

参考文献

[1] Giulianotti P C, Coratti A, Sbrana F, et al. Robotic liver surgery: results for 70 resections [J]. Surgery, 2011, 149(1): 29-39. 

[2] Kawaguchi Y, Fuks D, Kokudo N, et al. Difficulty of laparoscopic liver resection: proposal for a new classification [J]. Annals of Surgery, 2018, 267(1): 13- 17. 

[3] 刘荣 , 刘渠 , 王斐 . 微创肝切除手术入路动态匹配决策模型及应用 [J]. 腹腔镜外科杂志 , 2019, 24(3): 166-168. 

[4] 刘荣 , 王斐 . 腹腔镜肝切除手术入路合理选择及评价 [J]. 中国实用外科杂志 , 2017, 37(5): 466-468.

[5] 曹君 , 陈亚进 . 浅谈腹腔镜肝切除之入路 [J]. 中华外科杂志 , 2019, 57(7): 503-507. 

[6] 刘荣 , 赵之明 . 正确认识“达芬奇”手术机器人在 肝胆胰外科中的作用 [J]. 中华腔镜外科杂志 ( 电子版 ), 2012, 5(2): 83-85. 

[7] Couinaud C. Liver lobes and segments: notes on the anatomical architecture and surgery of the liver [J]. Presse Med, 1954, 62(33): 709-712. 

[8] Matsukuma S, Tokumitsu Y, Nakagami Y, et al. Laparoscopic resection reduces superficial surgical site infection in liver surgery [J]. Surgical Endoscopy, 2021. DOI: 10.1007/s00464-020-08233-9. 

[9] Haruna K, Katsura Y, Takeda Y, et al. Analysis of laparoscopic liver resection for hepatocellular carcinoma with cirrhosis[J]. Gan To Kagaku Ryoho Cancer & Chemotherapy, 2020, 47(13): 2388-2390.

[10] Elfrink A K E, Haring M P D, de Meijer V E, et al. Surgical outcomes of laparoscopic and open resection of benign liver tumours in the Netherlands: a nationwide analysis [J]. HPB : the Official Journal of the International Hepato Pancreato Biliary Association, 2020.DOI: 10.1016/j.hpb.2020.12.003.

[11] Rho S Y, Lee J G, Joo D J, et al. Outcomes of robotic living donor right hepatectomy from 52 consecutive cases: comparison with open and laparoscopy-assisted donor hepatectomy [J]. Annals of Surgery, 2020.DOI: 10.1097/SLA.0000000000004067.

[12] Goh B K, Low T Y, Teo J Y, et al. Adoption of robotic liver, pancreatic and biliary surgery in Singapore: a single institution experience with its first 100 consecutive cases [J]. Annals of the Academy of Medicine Singapore, 2020, 49(10): 742-748. 

[13] Lim C, Salloum C, Tudisco A, et al. Short-and long-term outcomes after robotic and laparoscopic liver resection for malignancies: a propensity score-matched study [J]. World Journal of Surgery, 2019, 43(6): 1594-1603. 

[14] Lee S J, Lee J H, Lee Y J, et al. The feasibility of robotic left-side hepatectomy with comparison of laparoscopic and open approach: consecutive series of single surgeon [J]. The International Journal of Medical Robotics+Computer Assisted Surgery: MRCAS, 2019, 15(2): e1982. 

[15] Montalti R, Scuderi V, Patriti A, et al. Robotic versus laparoscopic resections of posterosuperior segments of the liver: a propensity score-matched comparison [J]. Surgical Endoscopy, 2016, 30(3): 1004-1013. 

[16] 中国研究型医院学会肝胆胰外科专业委员会 . 腹腔镜肝切除术治疗肝细胞癌中国专家共识 (2020版 ) [J]. 中华消化外科杂志 , 2020, 19(11): 1119-1134. 

[17] 赵学勤 , 朴纪颖 , 张秉武 , 等 . 腹腔镜解剖性肝切除术与非解剖性肝切除术的前瞻性对比研究 [J]. 中华普外科手术学杂志 ( 电子版 ), 2020, 14(6): 581-584. 

[18] JI W B, WANG H G, ZHAO Z M, et al. Roboticassisted laparoscopic anatomic hepatectomy in China: initial experience [J]. Annals of Surgery, 2011, 253(2): 342-348.

[19] ZHU P, ZHANG B, WANG R, et al. Selective inflow occlusion technique versus intermittent pringle maneuver in hepatectomy for large hepatocellular carcinoma: a retrospective Study [J]. Medicine, 2015, 94(50): e2250.

[20] LIN N, LI J, KE Q, et al. Does intermittent pringle maneuver loss its clinical value in reducing bleeding during hepatectomy? A systematic review and metaanalysis [J]. International Journal of Surgery (London, England), 2020.DOI: 10.1016/j.ijsu.2020.06.034. 

[21] Lee K F, Chong C C N, Cheung S Y S, et al. Impact of intermittent pringle maneuver on long-term survival after hepatectomy for hepatocellular carcinoma: result from two combined randomized controlled trials [J]. World Journal of Surgery, 2019, 43(12): 3101-3109. 

[22] Lee K F, Wong J, Cheung S Y S, et al. Does intermittent pringle maneuver increase postoperative complications after hepatectomy for hepatocellular carcinoma? a randomized controlled trial [J]. World Journal of Surgery, 2018, 42(10): 3302-3311.

[23] Pesi B, Moraldi L, Bartolini I, et al. Pringle maneuver in robotic liver surgery: preliminary study [J]. Minerva Chirurgica, 2018, 73(5): 482-487. 

[24] Nota C L M A, Molenaar I Q, van Hillegersberg R, et al. Robotic liver resection including the posterosuperior segments: initial experience[J]. The Journal of Surgical Research, 2016, 206(1): 133-138. 

[25] Morel P, Jung M, Cornateanu S, et al. Robotic versus open liver resections: a case-matched comparison [J]. The International Journal of Medical Robotics+Computer Assisted Surgery : MRCAS, 2017.DOI: 10.1002/ rcs.1800.   

[26] Fruscione M, Pickens R, Baker E H, et al. Roboticassisted versus laparoscopic major liver resection: analysis of outcomes from a single center [J]. HPB: the Official Journal of the International Hepato Pancreato Biliary Association, 2019, 21(7): 906-911. 

[27] ZHANG L, YUAN Q, XU Y, et al. Comparative clinical outcomes of robot-assisted liver resection versus laparoscopic liver resection: a meta-analysis [J]. PLoS One, 2020, 15(10): e0240593. 

[28] Khan S, Beard R E, Kingham P T, et al. Long-term oncologic outcomes following robotic liver resections for primary hepatobiliary malignancies: a multicenter study [J]. Annals of Surgical Oncology, 2018, 25(9): 2652-2660. 

[29] WANG W H, KUO K K, WANG S N, et al. Oncological and surgical result of hepatoma after robot surgery [J]. Surgical Endoscopy, 2018, 32(9): 3918-3924.

[30] 张红萍 . 我国达芬奇手术机器人在肿瘤外科应用的文献计量分析 [J]. 中国肿瘤外科杂志 , 2020, 12(6): 543-547.

印象笔记
有道云笔记
微博
QQ空间
微信
二维码
意见反馈