机器人辅助手术系统的发展及应用前景
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摘要
机器人精准外科手术为精准外科提供了新的技术选择,机器人辅助手术系统是集多项现代高科技手段于一体的综合体,在世界精准微创外科领域是当之无愧的革命性外科手术工具。机器人辅助手术系统具有精准、稳定及三维放大视野等优点。"精准外科"是以手术为中心,涵盖病情评估、临床决策、手术规划、手术作业和围手术期管理在内的外科实践全过程,将来大多数微创精准手术,都将使用机器人辅助手术系统。机器人手术较传统腹腔镜手术具有一定优势,手术安全、可行,将来医生可以远程为病人手术,而人工智能技术的快速进展将使机器人辅助手术系统的应用达到一个前所未有的高度。
引文
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[9]KORNAROPOULOS M,MORIS D,BEAL E W,et al.Total robotic pancreaticoduodenectomy:A systematic review of the literature[J].Surg Endosc,2017,31(11):4382-4392.
[2]GIULIANOTTI P C,MANGANO A,BUSTOS R E,et al.Operative technique in robotic pancreaticoduodenectomy(RPD)at University of Illinois at Chicago(UIC):17steps standardized technique:Lessons learned since the first worldwide RPD performed in the year 2001[J].Surg Endosc,2018,32(10):4329-4336.
[3]GHEZA F,ESPOSITO S,GRUESSNER S,et al.Reasons for open conversion in robotic liver surgery:A systematic review with pooled analysis of more than 1000patients[J].Int JMed Robot,2019,15(2):e1976.
[4]朱呈瞻,董冰子,席跃,等.机器人辅助与传统腹腔镜肝切除术的效果比较[J].腹腔镜外科杂志,2018,23(12):881-884.
[5]MILONE L,DASKALAKI D,FERNANDES E,et al.State of the art in robotic hepatobiliary surgery[J].World J Surg,2013,37(12):2747-2755.
[6]GIULIANOTTI P C.Why I think the robot will be the future for laparoscopic cholecystectomies[J].Surgery,2017,161(3):637-638.
[7]PETZ W,SPINOGLIO G,CHOI G S,et al.Structured training and competence assessment in colorectal robotic surgery.Results of a consensus experts round table[J].Int J Med Robotics Comput Assist Surg,2016,12(4):634-641.
[8]MANGANO A,FERNANDES E,GHEZA F et al.Near-infrared indocyanine green-enhanced fluorescence and evaluation of the bowel microperfusion during robotic colorectal surgery:A retrospective original paper[J].Surg Technol Int,2019,34.pii:sti34/1099.
[9]KORNAROPOULOS M,MORIS D,BEAL E W,et al.Total robotic pancreaticoduodenectomy:A systematic review of the literature[J].Surg Endosc,2017,31(11):4382-4392.