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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

综述

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
引用本文:

张璐, 王经琳, 任昊桢, 施晓雷. 机器人辅助肝切除术临床应用进展[J/OL]. 中华腔镜外科杂志(电子版), 2021, 14(06): 375-378.

Lu Zhang, Jinglin Wang, Haozhen Ren, Xiaolei Shi. Progress in clinical application of robot assisted hepatectomy[J/OL]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2021, 14(06): 375-378.

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.

1
朱鹏,陈孝平.我国肝癌肝切除技术发展之路[J].中国实用外科杂志202141(7):721-724.
2
Reich H, Mcglynn F, Decaprio J, et al. Laparoscopic excision of benign liver lesions[J]. Obstetrics and Gynecology, 199178(5):956-958.
3
Pilgrim CH, To H, Usatoff V, et al. Laparoscopic hepatectomy is a safe procedure for cancer patients[J]. HPB (Oxford), 200911(3):247-251.
4
Pier CG, Andrea C, Marta A, et al. Robotics in general surgery: personal experience in a large community hospital[J]. Arch Surg, 2003138(7):777-784.
5
Lanfranco AR, Castellanos AE, Desai JP, et al. Robotic surgery: a current perspective[J]. Ann Surg, 2004239(1):14-21.
6
赵之明,刘荣.机器人在肝胆胰外科的创新与发展[J/CD].中国腔镜外科杂志(电子版)201710(5):267-269.
7
张斌,罗德,苏松.机器人辅助腹腔镜与开腹肝切除术治疗肝脏疾病效果比较的Meta分析[J].临床肝胆病杂志202136(8):1778-1782.
8
Lai EC, Yang GP, Tang CN. Robot-assisted laparoscopic liver resection for hepatocellular carcinoma: short-term outcome[J]. Am J Surg, 2013205(6):697-702.
9
Wang WH, Kuo KK, Wang SN, et al. Oncological and surgical result of hepatoma after robot surgery[J]. Surg Endosc, 201832(9):3918-3924.
10
Magistri P, Tarantino G, Guidetti C, et al. Laparoscopic versus robotic surgery for hepatocellular carcinoma: the first 46 consecutive cases[J]. J Surg Res, 2017217:92-99.
11
潘立超,尹注增,赵之明.吲哚菁绿荧光显像在肝胆胰机器人手术中的应用实践与教学[J/CD].中国腔镜外科杂志(电子版)202114(3):149-151.
12
宋孟铸,李碧露,孙传东.三维医学重建联合达芬奇机器人技术在肝切除术中的临床应用[J].精准医学杂志201934(2):105-112.
13
Magistri P, Olivieri T, Assirati G, et al. Robotic liver resection expands the opportunities of bridging before liver transplantation[J]. Liver Transpl, 201925(7):1110-1112.
14
Hu M, Liu Y, Li C, et al. Robotic versus laparoscopic liver resection in complex cases of left lateral sectionectomy[J]. Int J Surg, 201967:54-60.
15
Navarro J, Rho SY, Kang I, et al. Robotic simultaneous resection for colorectal liver metastasis: feasibility for all types of liver resection[J]. Langenbecks Arch Surg, 2019404(7):895-908.
16
Andres G, Iswanto S, Anthony D, et al. Combined robotic colon and liver resection for synchronous colorectal liver metastasis: a movement toward a new gold standard[J]. Am Surg, 201985(8):374-376.
17
Sucandy I, Schlosser S, Bourdeau T, et al. Robotic hepatectomy for benign and malignant liver tumors[J]. J Robot Surg, 202014(1):75-80.
18
Villano AM, Barrak D, Jain A, et al. Robot-assisted combined pancreatectomy/hepatectomy for metastatic pancreatic acinar cell carcinoma: case report and review of the literature[J]. Clin J Gastroenterol, 202013(5):973-980.
19
Calin ML, Sadiq A, Arevalo G, et al. The first case report of robotic multivisceral resection for synchronous liver metastasis from pancreatic neuroendocrine tumor: a case report and literature review[J]. J Laparoendosc Adv Surg Tech A, 201626(10):816-824.
20
Holloway RW, Brudie LA, Rakowski JA, et al. Robotic-assisted resection of liver and diaphragm recurrent ovarian carcinoma: description of technique[J]. Gynecol Oncol, 2011120(3):419-422.
21
Schnelldorfer T, Ware AL, Smoot R, et al. Management of giant hemangioma of the liver: resection versus observation[J]. J Am Coll Surg, 2010211(6):724-730.
22
Terkivatan T, Vrijland WW, Den Hoed PT, et al. Size of lesion is not a criterion for resection during management of giant liver haemangioma[J]. Br J Surg, 200289:1240-1244.
23
Efthimiadis C, Ioannidis A, Grigoriou M, et al. Robotic right segmental hepatectomy for the treatment of a giant hepatic hemangioma-a case report[J]. J Surg Case Rep, 20172017(6):118.
24
Giulianotti PC, Bustos R, Valle V, et al. Robot-assisted enucleation of gigantic liver hemangiomas: case series of 3 patients[J]. Int J Surg Case Rep, 201960:244-248.
25
Hu M, Chen K, Zhang X, et al. Robotic, laparoscopic or open hemihepatectomy for giant liver haemangiomas over 10 cm in diameter[J]. BMC Surg, 202020(1):93.
26
方晶晶,丁磊,解敬伟,等.达芬奇机器人辅助下复杂肝内胆管结石的外科治疗[J].中国普外基础与临床杂志201219(6):632-635.
27
Lorio E, Patel P, Rosenkranz L, et al. Management of hepatolithiasis: review of the literature[J]. Curr Gastroenterol Rep, 202022(6):30.
28
Yang T, Lau WY, Lai EC, et al. Hepatectomy for bilateral primary hepatolithiasis: a cohort study[J]. Ann Surg, 2010251(1):84-90.
29
Shu J, Wang XJ, Li JW, et al. Robotic-assisted laparoscopic surgery for complex hepatolithiasis: a propensity score matching analysis[J]. Surg Endosc, 201933(8):2539-2547.
30
李爱民,周宁新,陈军周,等.机器人和开腹手术治疗复杂肝胆管结石的对比研究[J].腹部外科201629(1):3-7,81.
31
Lee KF, Fong AK, Chong CC, et al. Robotic liver resection for primary hepatolithiasis: is it beneficial[J]. World J Surg, 201640(10):2490-2496.
32
Koffron AJ, Kung R, Baker T, et al. Laparoscopic-assisted right lobe donor hepatectomy[J]. Am J Transplant, 20066(10):2522-2525.
33
Eguchi S, Soyama A, Hara T, et al. Standardized hybrid living donor hemihepatectomy in adult-to-adult living donor liver transplantation[J]. Liver Transpl, 201824(3):363-368.
34
Giulianotti PC, Tzvetanov I, Jeon H, et al. Robot-assisted right lobe donor hepatectomy[J]. Transpl Int, 201225(1):5-9.
35
Chen PD, Wu CY, Hu RH, et al. Robotic liver donor right hepatectomy: a pure, minimally invasive approach[J]. Liver Transpl, 201622(11):1509-1518.
36
Hendele JB, Perkins JD, Sibulesky L. Expanding blood type a2-to-b liver transplantation: an alternative for high model for end-stage liver disease score patients[J]. Liver Transpl, 202026(11):1532-1533.
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