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中华腔镜外科杂志(电子版) ›› 2021, Vol. 14 ›› Issue (06): 375 -378. doi: 10.3877/cma.j.issn.1674-6899.2021.06.013

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机器人辅助肝切除术临床应用进展
张璐1, 王经琳2, 任昊桢2, 施晓雷3,()   
  1. 1. 210008 南京,徐州医科大学鼓楼临床学院
    2. 210008 南京鼓楼医院肝胆外科
    3. 210008 南京,徐州医科大学鼓楼临床学院;210008 南京鼓楼医院肝胆外科
  • 收稿日期:2021-10-30 出版日期:2021-12-30
  • 通信作者: 施晓雷

Progress in clinical application of robot assisted hepatectomy

Lu Zhang1, Jinglin Wang2, Haozhen Ren2, Xiaolei Shi3,()   

  1. 1. Department of Hepatobiliary Surgery, Nanjing Drum Tower Hospital, Nanjing 210008, China
    2. Gulou Clinical College of Xuzhou Medical University, Nanjing 210008, China
    3. Department of Hepatobiliary Surgery, Nanjing Drum Tower Hospital, Nanjing 210008, China.; Gulou Clinical College of Xuzhou Medical University, Nanjing 210008, China
  • Received:2021-10-30 Published:2021-12-30
  • Corresponding author: Xiaolei Shi

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.

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