Guglielmo Niccolò Piozzi , Sentilnathan Subramaniam , Rauand Duhoky , Werner Hohenberger , Jim S. Khan
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引用次数: 0
摘要
结肠癌在全球发病率排名第五,死亡率排名第六。与直肠癌相比,目前结肠癌 II 期和 III 期患者的 5 年总生存率最差。结肠系膜完全切除术是结肠癌切除术中标准化和最优化的手术技术。由于腹腔镜手术通常被认为在技术上具有挑战性,因此这项技术传统上都是通过开放式方法进行的。机器人方法在结肠癌手术中的应用较为缓慢,但最新的机器人平台可为右侧结肠癌手术提供更安全、更优化的方法。目前已开发并探索出多种机器人方法。当前机器人平台生态系统的扩展逐渐为应用机器人方法进行完整结肠系膜切除术提供了新的产出。本综述对现有的右结肠癌机器人全结肠系膜切除术文献(学习曲线、培训、技术、方法、平台和未来展望)进行了梳理。
Robotic complete mesocolic excision for right colon cancer: Learning curve, training, techniques, approach, platforms, and future perspectives
Colon cancer has the fifth highest incidence worldwide and has the sixth highest mortality. Compared with rectal cancer, colon cancer currently has the worst 5-year overall survival for patients with stage II and III disease. Complete mesocolic excision has been developed as a standardized and optimized surgical technique for the excision of colon cancers. This technique has traditionally been performed through an open approach since laparoscopy is generally considered technically challenging. The robotic approach has been slowly implemented for colon cancer, but the newest robotic platforms allow for a safer and optimized approach for right colon cancer. Several robotic approaches have been developed and explored. The expansion of the current robotic platform ecosystem is gradually providing new outputs in the application of the robotic approach to complete mesocolic excision. This review gains an oversight of existing literature on robotic complete mesocolic excision for right colon cancer (learning curve, training, techniques, approach, platforms, and future perspectives).
期刊介绍:
Laparoscopic, Endoscopic and Robotic Surgery aims to provide an academic exchange platform for minimally invasive surgery at an international level. We seek out and publish the excellent original articles, reviews and editorials as well as exciting new techniques to promote the academic development.
Topics of interests include, but are not limited to:
▪ Minimally invasive clinical research mainly in General Surgery, Thoracic Surgery, Urology, Neurosurgery, Gynecology & Obstetrics, Gastroenterology, Orthopedics, Colorectal Surgery, Otolaryngology, etc.;
▪ Basic research in minimally invasive surgery;
▪ Research of techniques and equipments in minimally invasive surgery, and application of laparoscopy, endoscopy, robot and medical imaging;
▪ Development of medical education in minimally invasive surgery.