目的

为规范开展与合理推广机器人胆囊癌根治术,并减少术后并发症、改善患者预后,制定本专家共识。

方法

由中国研究型医院学会微创外科学专业委员会和智能医学专业委员会组织国内微创胆道肿瘤外科专家,结合文献报道和临床实践,通过多轮投票和修订形成本专家共识。

结果

对机器人胆囊癌根治术的术前评估与手术规划、适应证与禁忌证、围手术期安全性与疗效、生存与复发、学习曲线等五个方面提出了14条建议。

结论

微创外科经验丰富的外科中心对患者充分评估后,开展机器人胆囊癌根治术是安全、有效的。机器人手术在疗效、预后等方面相对其他手术方式的优势以及学习曲线仍需更高质量的研究去证实和揭示。

Objective

To standardize robotic radical resection for gallbladder cancer thereby reducing postoperative complications and improving patient prognosis, this expert consensus is formulated.

Methods

The Minimally Invasive Surgery Professional Committee and the Intelligent Medicine Professional Committee of the Chinese Research Hospital Association initiated and organized experts in minimally invasive surgery for biliary tract tumor in China. Based on literature and practice, this expert consensus was drafted,followed by several rounds of voting, feedback, discussion and revision.

Results

Fourteen recommendations were put forward in five aspects of this operation including preoperative evaluation and surgical planning,indications and contraindications, perioperative safety and efficacy, survival and recurrence as well as learning curve.

Conclusion

It is safe and effective for surgical centers with adequate experience in minimally invasive surgery to carry out robotic radical resection for gallbladder cancer following thorough evaluating and surgical planning. The advantages of robotic approach over other surgical approaches in terms of efficacy, prognosis and learning curve, still need to be confirmed and revealed by studies with higher quality.