摘要
肝切除术是解决大部分肝脏占位性疾病的有效方式,机器人辅助肝切除术是肝切除与最新科学技术的结合。与传统腹腔镜手术技术的诸多限制相比,包括操作角度受限、生理性震颤、人体工程学差、二维图像适配困难,机器人手术系统具有高清3D视野、多自由度的器械设计、精细操作等优势,有利于肝门的处理,减少术中损伤与加速术后康复。笔者探讨机器人辅助肝切除术在肝脏良(恶)性疾病、肝移植中的临床应用及进展,为肝切除术的进一步研究提供参考。
Hepatectomy is an effective way to solve most liver space occupying diseases.Robot assisted hepatectomy is the combination of hepatectomy and the latest science and technology.Compared with many limitations of traditional laparoscopic technology,including limited operating angle,physiological tremor,poor ergonomics and difficult two-dimensional image adaptation,the robotic surgical system has the advantages of high-definition 3D field of vision,multi degree of freedom instrument design and fine operation,which is conducive to the treatment of hilar,reduce intraoperative injury and accelerate postoperative rehabilitation.This paper will discuss the clinical application and progress of robot assisted hepatectomy in benign and malignant liver diseases and liver transplantation,so as to provide reference for further research of hepatectomy.
作者
张璐
王经琳
任昊桢
施晓雷
Zhang Lu;Wang Jinglin;Ren Haozhen;Shi Xiaolei(Department of Hepatobiliary Surgery,Nanjing Drum Tower Hospital,Nanjing 210008,China;Gulou Clinical College of Xuzhou Medical University,Nanjing 210008,China)
出处
《中华腔镜外科杂志（电子版）》
2021年第6期375-378,共4页
Chinese Journal of Laparoscopic Surgery(Electronic Edition)
关键词
机器人辅助手术
肝切除术
微创手术
加速康复
解剖性肝切除术
Robot assisted surgery
Hepatectomy
Minimally invasive surgery
Accelerated rehabilitation
Anatomical hepatectomy
