Early experiences of robotic-assisted laparoscopic liver resection.
Early experiences of robotic-assisted laparoscopic liver resection.
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DOI：
10.3349/ymj.2008.49.4.632
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发表时间：
2008-08-30
影响因子：
2.4
通讯作者：
Kim BR
中科院分区：
文献类型：
--
作者：
Choi SB;Park JS;Kim JK;Hyung WJ;Kim KS;Yoon DS;Lee WJ;Kim BR
手术机器人系统在三维图像和更好的器械方面上级传统腹腔镜。机器人肝切除手术尚未广泛报道。在2007年3月至5月期间，我们进行了3例机器人辅助的肝脏左外侧部分切除术。例1为肝细胞癌（HCC），例2为结肠癌伴肝转移，例3为肝内胆管结石。所有患者均手术成功，术后恢复良好，无并发症。例1术后3个月肝癌复发，术后住院时间短，开始进食时间早，腹水量少。机器人辅助肝脏手术是一个新兴的领域，正处于发展阶段。对于小型恶性肿瘤和良性肝脏疾病患者，机器人辅助腹腔镜切除术是可行且安全的。通过经验，机器人技术的使用有望在良性疾病和恶性肿瘤的治疗中增加。然而，仔细选择患者是重要的，需要评估长期结果。
The surgical robotic system is superior to traditional laparoscopy in regards to 3-dimensional images and better instrumentations. Robotic surgery for hepatic resection has not yet been extensively reported. Between March and May 2007, we performed 3 robot-assisted left lateral sectionectomies of the liver. Case 1 had a hepatocellular carcinoma (HCC), case 2 had colon cancer with liver metastasis, and case 3 had intrahepatic duct stones. All patients had successful operation and recovered without complications. Shorter length of hospital stays, earlier start of oral feeding and less amount of ascites were found. However, case 1 had recurrent HCC at 3 months after operation. Robotic-assisted liver surgery is still a new field in its developing stage. In patients with small malignant tumors and benign liver diseases, robotic-assisted laparoscopic resection is feasible and safe. Through experience, the use of robotics is expected to increase in the treatment of benign diseases and malignant neoplsms. However, careful patient selection is important and long-term outcomes need to be evaluated.