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

机器人辅助单孔腹腔镜技术在泌尿外科的发展与展望

Progress and prospects of robot-assisted laparoendoscopic single-site technology in urology

作者:朱清毅,魏勇,顾民

Vol. 5 No. 1 Feb. 2024 DOI: 10.12180/j.issn.2096-7721.2024.01.001 发布日期:2024-03-06
关键词:机器人辅助手术;单孔腹腔镜手术;泌尿外科;微创手术

作者简介:

近年来,单孔腹腔镜技术一直是外科领域迫切需要但难以攻克的微创难点技术之一。机器人手术系 统作为现阶段微创外科领域最先进的技术已广泛应用于临床,与此同时机器人辅助单孔腹腔镜技术也发生了巨大的 飞跃。目前,机器人辅助单孔腹腔镜手术在临床的应用还处于快速成长阶段,其中也存在诸多的挑战。本文通过对 国内外相关文献进行综合分析,介绍了机器人辅助单孔腹腔镜技术在泌尿外科领域的发展现状,并进一步展望机器 人辅助单孔手术在泌尿外科的发展前景。

In recent years, laparoendoscopic single-site technology has been one of the most difficult minimally invasive techniques in surgical field. As the most advanced technology in the field of minimally invasive surgery, robotic surgical system has been widely used in clinical practice. Meanwhile, robot-assisted laparoendoscopic single-site technology has also made a huge leap. At present, the clinical application of robot-assisted laparoendoscopic single-site surgery is still in the stage of rapid growth, but there are also many challenges and obstacles. The current status and difficulties of robot-assisted laparoendoscopic single-site surgery in urology were introduced in this paper by comprehensive analysis of relevant literatures at home and abroad, and further development of robotic laparoendoscopic single-site surgery in urology was prospected.

稿件信息

收稿日期:2022-07-12  录用日期:2023-07-25 

Received Date: 2022-07-12  Accepted Date: 2023-07-25

基金项目:江苏省卫生健康委科研项目(ZD2021028)

Foundation Item: Scientific Research Project of Jiangsu Provincial Health Commission(ZD2021028) 

通讯作者:顾民,Email:lancetgu@aliyun.com 

Corresponding Author: GU Min, Email: lancetgu@aliyun.com 

引用格式:朱清毅,魏勇,顾民 . 机器人辅助单孔腹腔镜技术在泌尿外科的发展与展望 [J]. 机器人外科学杂志(中英文),2024,5(1): 1-6. 

Citation: ZHU Q Y, WEI Y, GU M. Progress and prospects of robot-assisted laparoendoscopic single-site technology in urology[J]. Chinese Journal of Robotic Surgery, 2024, 5(1): 1-6. 

注:朱清毅,魏勇为共同第一作者 

Co-first Author: ZHU Qingyi, WEI Yong

参考文献

[1] 王林辉 , 吴震杰 , 朱清毅 . 中国泌尿外科单孔腹腔 镜技术的发展与展望 [J]. 中华泌尿外科杂志 , 2020, 41(11): 807-810. 

[2] White M A, Haber G P, Autorino R, et al. Robotic laparoendoscopic single-site radical prostatectomy: technique and early outcomes[J]. Eur Urol, 2010, 58(4): 544-550. 

[3] 刘存东 , 周冉冉 , 包继明 . 单孔腹腔镜技术在泌 尿外科的应用进展及展望 [J]. 临床泌尿外科杂志 , 2022, 37(1): 1-5. 

[4] Lenfant L, Sawczyn G, Aminsharifi A, et al. Pure singlesite robot-assisted radical prostatectomy using singleport versus multiport robotic radical prostatectomy: a single-institution comparative study[J]. Eur Urol Focus, 2020. DOI: 10.1016/j.euf.2020.10.006. 

[5] Komninos C, Shin T Y, Tuliao P, et al. R-LESS partial nephrectomy trifecta outcome is inferior to multiport robotic partial nephrectomy: comparative analysis[J]. Eur Urol, 2014, 66(3): 512-517. 

[6] Haber G P, Crouzet S, Kamoi K, et al. Robotic NOTES (natural orifice transluminal endoscopic surgery) in reconstructive urology: initial laboratory experience[J]. Urology, 2008, 71(6): 996-1000. 

[7] Kaouk J H, Goel R K, Haber G P, et al. Robotic singleport transumbilical surgery in humans: initial report[J]. BJU Int, 2009, 103(3): 366-369. 

[8] Haber G P, White M, Autorino R, et al. Novel robotic Da Vinci instruments for laparoendoscopic single-site surgery[J]. Urology, 2010, 76(6): 1279-1282. 

[9] Kaouk J H, Autorino R, Laydner H, et al. Robotic single-site kidney surgery: evaluation of secondgeneration instruments in a cadaver model[J]. Urology, 2012, 79(5): 975-979. 

[10] Mathieu R, Verhoest G, Vincendeau S, et al. Roboticassisted laparoendoscopic single-site radical nephrectomy: first experience with the novel Da Vinci single-site platform[J]. World J Urol, 2014, 32(1): 273-276. 

[11] Morelli L, Guadagni S, Di Franco G, et al. Da Vinci single site© surgical platform in clinical practice: a systematic review[J].Int J Med Robot, 2016, 12(4): 724-734. 

[12] Lai A, Dobbs R W, Talamini S, et al. Single port robotic radical prostatectomy: a systematic review[J].Translational Andrology and Urology, 2020, 9(2): 898-905. 

[13] Mattevi D, Luciani L G, Vattovani V, et al. First case of robotic, laparoendoscopic single-site radical prostatectomy with single-site VesPa platform[J]. Journal of Robotic Surgery, 2018, 12(2): 381-385. 

[14] 杨波 , 王辉清 , 肖亮 , 等 . 机器人单孔腹腔镜下行猪 肾部分切除术及肾盂输尿管成形术的初步尝试 [J]. 第二军医大学学报 , 2011, 32(4): 409-412. 

[15] 马鑫 , 张旭 , 董隽 , 等 . 机器人辅助经脐单孔腹腔 镜肾囊肿去顶减压术 3 例报告 [J]. 微创泌尿外科杂 志 , 2014, 3(1): 8-11. 

[16] 吴震杰 , 王坚超 , 王杰 , 等 . 机器人单孔腹腔镜肾 上腺肿瘤切除术初步临床应用报告 [J]. 临床泌尿外 科杂志 , 2017, 32(6): 437-439, 443. 

[17] 吴震杰 , 刘冰 , 王坚超 , 等 . 机器人单孔腹腔镜下 零缺血肾部分切除术的初步应用经验 [J]. 中华泌尿 外科杂志 , 2017, 38(7): 498-501. 

[18] 姜帅 , 许培榕 , 姚家喜 , 等 . 耻骨上经膀胱单孔机 器人前列腺癌根治术的初步尝试 [J].中国临床医学 , 2019, 26(2): 215-217. 

[19] 丛戎 , 邵云强 , 田金勇 , 等 . 国产手术机器人辅助 单孔腹腔镜技术在泌尿外科的初步应用 [J]. 机器人 外科学杂志 ( 中英文 ), 2023, 4(6): 533-539. 

[20] WEI Y, JI Q Y, ZUO W R, et al. Efficacy and safety of single port robotic radical prostatectomy and multiport robotic radical prostatectomy: a systematic review and meta-analysis[J]. Transl Androl Urol, 2021, 10(12): 4402-4411. 

[21] Nelson R J, Chavali J S S, Yerram N, et al. Current status of robotic single-port surgery[J]. Urol Ann, 2017, 9(3): 217-222. 

[22] Kaouk J, Garisto J, Bertolo R, et al. Robotic urologic surgical, interventions performed with the single port dedicated platform: first clinical investigation[J]. European Urology, 2019, 75(4): 684-691. 

[23] Sendag F, Akdemir A, Zeybek B, et al. Single-site robotic total hysterectomy: standardization of technique and surgical outcomes[J]. J Minim Invasive Gynecol, 2014, 21(4): 689-694. 

[24] LIU C, LAI C, YAO X F, et al. Robot-assisted nephrectomy using the newly developed EDGE SP1000 single-port robotic surgical system: a feasibility study in porcine model[J]. J Endourol, 2020, 34(11): 1149-1154. 

[25] 魏勇 , 沈露明 , 杨健 , 等 . 运用国产单孔机器人手 术系统完成腹膜外入路前列腺根治性切除术的初 步经验 [J]. 南京医科大学学报 ( 自然科学版 ), 2023, 43(8): 1156-1160.

印象笔记
有道云笔记
微博
QQ空间
微信
二维码
意见反馈