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中华胸部外科电子杂志 ›› 2020, Vol. 07 ›› Issue (04) : 252 -256. doi: 10.3877/cma.j.issn.2095-8773.2020.04.09

所属专题: 机器人专题 机器人手术 文献

综述

机器人在胸腺瘤手术中的技术与临床应用
张家豪1, 张亚杰1, 李鹤成1,()   
  1. 1. 200025 上海,上海交通大学医学院附属瑞金医院胸外科
  • 收稿日期:2020-10-27 修回日期:2020-11-09 接受日期:2020-11-13 出版日期:2020-11-28
  • 通信作者: 李鹤成
  • 基金资助:
    国家自然科学基金(81871882;81902951); 上海市卫生计生系统优秀学科带头人培养计划(2017BR055); 上海市教育委员会高峰高原学科建设计划(20172005)

Technology and application of robot in thymoma surgery

Jiahao Zhang1, Yajie Zhang1, Hecheng Li1,()   

  1. 1. Department of Thoracic Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
  • Received:2020-10-27 Revised:2020-11-09 Accepted:2020-11-13 Published:2020-11-28
  • Corresponding author: Hecheng Li
  • About author:
    Corresponding author: Li Hecheng, Email:
引用本文:

张家豪, 张亚杰, 李鹤成. 机器人在胸腺瘤手术中的技术与临床应用[J]. 中华胸部外科电子杂志, 2020, 07(04): 252-256.

Jiahao Zhang, Yajie Zhang, Hecheng Li. Technology and application of robot in thymoma surgery[J]. Chinese Journal of Thoracic Surgery(Electronic Edition), 2020, 07(04): 252-256.

胸腺瘤是最常见的前纵隔原发肿瘤,目前标准的手术方式为胸腺扩大切除术,包括完整切除胸腺和纵隔脂肪组织。常用手术方法包括经胸骨切开术(ST)、电视胸腔镜手术(VATS)和机器人辅助胸腔镜手术(RATS)。随着微创胸腔镜技术发展,微创胸腺切除术已在临床越发普及。与常规胸腔镜相比,达芬奇机器人手术在高难度、高风险、操作精细的纵隔外科手术方面具有潜在的优势,该手术降低了手术操作的难度,且能让外科医生更加舒适地完成手术。RATS胸腺切除术常用手术入路包括经左胸、右胸、剑突下胸骨后入路等,适应证及手术步骤与VATS相似。然而其作为一种新的手术技术,已有证据初步证实其安全性及围手术期结局方面的优势,然而长期疗效尚待进一步验证

Thymoma is the most common primary tumor of the anterior mediastinum. The current standard surgical procedure is extended thymectomy, which includes complete removal of the thymus and mediastinal fat tissue. Common surgical methods include open surgery through median sternotomy (ST) , video-assisted thoracoscopic surgery (VATS) , and robot-assisted thoracoscopic surgery (RATS) . With the development of minimally invasive thoracoscopic technology, minimally invasive thymectomy has become extensively popular in clinical practice. Compared with conventional thoracoscopy, Da Vinci robotic surgery has potential advantages in complicated, high risky and elaborate mediastinal surgery. It reduces the difficulty of the operation and allows the surgeon to complete the surgery more comfortably. Common surgical approaches for RATS thymectomy include left transthoracic approach, right transthoracic approach, and subxiphoid retrosternal approach. The indications and surgical procedures are similar to those of VATS. Actually, as a new surgical technique, there are evidences preliminarily confirming its advantages in intraoperative safety and perioperative outcome. However, the long-term efficacy needs to be further verified.

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