中文English
ISSN 1001-5256 (Print)
ISSN 2097-3497 (Online)
CN 22-1108/R

留言板

尊敬的读者、作者、审稿人, 关于本刊的投稿、审稿、编辑和出版的任何问题, 您可以本页添加留言。我们将尽快给您答复。谢谢您的支持!

姓名
邮箱
手机号码
标题
留言内容
验证码

机器人辅助腹腔镜肝切除术的应用现状

王磊 刘康伟 段玉灵 李鑫垚 彭慈军

引用本文:
Citation:

机器人辅助腹腔镜肝切除术的应用现状

DOI: 10.3969/j.issn.1001-5256.2021.11.054
详细信息
    通信作者:

    彭慈军,doctorpengcijun@163.com

  • 中图分类号: R735.7

Current status of the application of robot-assisted laparoscopic hepatectomy

  • 摘要: 机器人辅助腹腔镜肝切除术(RALH)是一种外科手术的新技术。相比于传统的腹腔镜下肝切除术,RALH在微创手术方面更多应用于复杂及特殊部位肝脏肿瘤,但这项技术仍在开发中,受到高额成本的负担和手术器械的限制,同时缺乏被普遍接受和证实的临床数据,故目前RALH的作用仍在争论中。对RALH的手术适应证、学习曲线、优势、局限性等进行综述。

     

  • [1] MARCHESE U, ALLARD MA, TOBOME R, et al. Middle and left hepatic vein trunk control during laparoscopic liver resection (with video)[J]. Surg Endosc, 2021, 35(3): 1476-1481. DOI: 10.1007/s00464-020-08116-z.
    [2] XIAO L, LI JW, ZHENG SG. Cranial-dorsal approach along the middle hepatic vein facilitating laparoscopic left hemihepatectomy[J]. J Gastrointest Surg, 2021, 25(3): 868-869. DOI: 10.1007/s11605-020-04830-0.
    [3] ZIOGAS IA, GIANNIS D, ESAGIAN SM, et al. Laparoscopic versus robotic major hepatectomy: A systematic review and meta-analysis[J]. Surg Endosc, 2021, 35(2): 524-535. DOI: 10.1007/s00464-020-08008-2.
    [4] GIULIANOTTI PC, CORATTI A, ANGELINI M, et al. Robotics in general surgery: Personal experience in a large community hospital[J]. Arch Surg, 2003, 138(7): 777-784. DOI: 10.1001/archsurg.138.7.777.
    [5] KINGHAM TP, LEUNG U, KUK D, et al. Robotic liver resection: A case-matched comparison[J]. World J Surg, 2016, 40(6): 1422-1428. DOI: 10.1007/s00268-016-3446-9.
    [6] JI WB, WANG HG, ZHAO ZM, et al. Robotic-assisted laparoscopic anatomic hepatectomy in China: Initial experience[J]. Ann Surg, 2011, 253(2): 342-348. DOI: 10.1097/SLA.0b013e3181ff4601.
    [7] LAI EC, YANG GP, TANG CN. Robot-assisted laparoscopic liver resection for hepatocellular carcinoma: Short-term outcome[J]. Am J Surg, 2013, 205(6): 697-702. DOI: 10.1016/j.amjsurg.2012.08.015.
    [8] TSUNG A, GELLER DA, SUKATO DC, et al. Robotic versus laparoscopic hepatectomy: A matched comparison[J]. Ann Surg, 2014, 259(3): 549-555. DOI: 10.1097/SLA.0000000000000250.
    [9] GOH B, LEE LS, LEE SY, et al. Initial experience with robotic hepatectomy in Singapore: Analysis of 48 resections in 43 consecutive patients[J]. ANZ J Surg, 2019, 89(3): 201-205. DOI: 10.1111/ans.14417.
    [10] LIU R, WAKABAYASHI G, KIM HJ, et al. International consensus statement on robotic hepatectomy surgery in 2018[J]. World J Gastroenterol, 2019, 25(12): 1432-1444. DOI: 10.3748/wjg.v25.i12.1432.
    [11] BECKER F, MORGVL H, KATOU S, et al. Robotic liver surgery - current standards and future perspectives[J]. Z Gastroenterol, 2021, 59(1): 56-62. DOI: 10.1055/a-1329-3067.
    [12] MONTALTI R, BERARDI G, PATRITI A, et al. Outcomes of robotic vs laparoscopic hepatectomy: A systematic review and meta-analysis[J]. World J Gastroenterol, 2015, 21(27): 8441-8451. DOI: 10.3748/wjg.v21.i27.8441.
    [13] RAHIMLI M, PERRAKIS A, SCHELLERER V, et al. Robotic and laparoscopic liver surgery for colorectal liver metastases: An experience from a German Academic Center[J]. World J Surg Oncol, 2020, 18(1): 333. DOI: 10.1186/s12957-020-02113-1.
    [14] NOTA CL, RINKES I, HAGENDOORN J. Setting up a robotic hepatectomy program: A Western-European experience and perspective[J]. Hepatobiliary Surg Nutr, 2017, 6(4): 239-245. DOI: 10.21037/hbsn.2016.12.05.
    [15] XOURAFAS D, PAWLIK TM, CLOYD JM. Early morbidity and mortality after minimally invasive liver resection for hepatocellular carcinoma: A propensity-score matched comparison with open resection[J]. J Gastrointest Surg, 2019, 23(7): 1435-1442. DOI: 10.1007/s11605-018-4016-2.
    [16] MAGISTRI P, ASSIRATI G, BALLARIN R, et al. Major robotic hepatectomies: Technical considerations[J]. Updates Surg, 2021, 73(3): 989-997. DOI: 10.1007/s13304-020-00940-1.
    [17] ZHAO ZM, YIN ZZ, PAN LC, et al. Robotic anatomic isolated complete caudate lobectomy: Left-side approach and techniques[J]. Asian J Surg, 2021, 44(1): 269-274. DOI: 10.1016/j.asjsur.2020.07.011.
    [18] LAFARO KJ, STEWART C, FONG A, et al. Robotic liver resection[J]. Surg Clin North Am, 2020, 100(2): 265-281. DOI: 10.1016/j.suc.2019.11.003.
    [19] GUERRA F, DI MARINO M, CORATTI A. Robotic surgery of the liver and biliary tract[J]. J Laparoendosc Adv Surg Tech A, 2019, 29(2): 141-146. DOI: 10.1089/lap.2017.0628.
    [20] SUCANDY I, GRAVETZ A, ROSS S, et al. Technique of robotic left hepatectomy: How we approach it[J]. J Robot Surg, 2019, 13(2): 201-207. DOI: 10.1007/s11701-018-0890-6.
    [21] FERNANDES E, ELLI E, GIULIANOTTI P. The role of the dual console in robotic surgical training[J]. Surgery, 2014, 155(1): 1-4. DOI: 10.1016/j.surg.2013.06.023.
    [22] BUCHS NC, PUGIN F, VOLONTÉ F, et al. Learning tools and simulation in robotic surgery: State of the art[J]. World J Surg, 2013, 37(12): 2812-2819. DOI: 10.1007/s00268-013-2065-y.
    [23] CHEN PD, WU CY, HU RH, et al. Robotic major hepatectomy: Is there a learning curve?[J]. Surgery, 2017, 161(3): 642-649. DOI: 10.1016/j.surg.2016.09.025.
    [24] MAGISTRI P, GUERRINI GP, BALLARIN R, et al. Improving outcomes defending patient safety: The learning journey in robotic liver resections[J]. Biomed Res Int, 2019, 2019: 1835085. DOI: 10.1155/2019/1835085.
    [25] CHANDARANA M, PATKAR S, TAMHANKAR A, et al. Robotic resections in hepatobiliary oncology - initial experience with Xi da Vinci system in India[J]. Indian J Cancer, 2017, 54(1): 52-55. DOI: 10.4103/ijc.IJC_132_17.
    [26] HU L, YAO L, LI X, et al. Effectiveness and safety of robotic-assisted versus laparoscopic hepatectomy for liver neoplasms: A meta-analysis of retrospective studies[J]. Asian J Surg, 2018, 41(5): 401-416. DOI: 10.1016/j.asjsur.2017.07.001.
    [27] LEE W, HAN HS, YOON YS, et al. Comparison of laparoscopic liver resection for hepatocellular carcinoma located in the posterosuperior segments or anterolateral segments: A case-matched analysis[J]. Surgery, 2016, 160(5): 1219-1226. DOI: 10.1016/j.surg.2016.05.009.
    [28] TEO JY, KAM JH, CHAN CY, et al. Laparoscopic liver resection for posterosuperior and anterolateral lesions-a comparison experience in an Asian centre[J]. Hepatobiliary Surg Nutr, 2015, 4(6): 379-390. DOI: 10.3978/j.issn.2304-3881.2015.06.06.
    [29] CHERRICK GR, STEIN SW, LEEVY CM, et al. Indocyanine green: observations on its physical properties, plasma decay, and hepatic extraction[J]. J Clin Invest, 1960, 39: 592-600. DOI: 10.1172/JCI104072.
    [30] GIULIANOTTI PC, BIANCO FM, DASKALAKI D, et al. Robotic liver surgery: Technical aspects and review of the literature[J]. Hepatobiliary Surg Nutr, 2016, 5(4): 311-321. DOI: 10.21037/hbsn.2015.10.05.
    [31] LI CG, ZHOU ZP, TAN XL, et al. Robotic resection of liver focal nodal hyperplasia guided by indocyanine green fluorescence imaging: A preliminary analysis of 23 cases[J]. World J Gastrointest Oncol, 2020, 12(12): 1407-1415. DOI: 10.4251/wjgo.v12.i12.1407.
    [32] HINDS S, JAEGER HA, BURKE R, et al. An open electromagnetic tracking framework applied to targeted liver tumour ablation[J]. Int J Comput Assist Radiol Surg, 2019, 14(9): 1475-1484. DOI: 10.1007/s11548-019-01983-5.
    [33] SOLER L, NICOLAU S, PESSAUX P, et al. Real-time 3D image reconstruction guidance in liver resection surgery[J]. Hepatobiliary Surg Nutr, 2014, 3(2): 73-81. DOI: 10.3978/j.issn.2304-3881.2014.02.03.
    [34] MELSTROM LG, WARNER SG, WOO Y, et al. Selecting incision-dominant cases for robotic liver resection: Towards outpatient hepatectomy with rapid recovery[J]. Hepatobiliary Surg Nutr, 2018, 7(2): 77-84. DOI: 10.21037/hbsn.2017.05.05.
    [35] MONTALTI R, SCUDERI V, PATRITI A, et al. Robotic versus laparoscopic resections of posterosuperior segments of the liver: A propensity score-matched comparison[J]. Surg Endosc, 2016, 30(3): 1004-1013. DOI: 10.1007/s00464-015-4284-9.
    [36] AHMAD A, AHMAD ZF, CARLETON JD, et al. Robotic surgery: Current perceptions and the clinical evidence[J]. Surg Endosc, 2017, 31(1): 255-263. DOI: 10.1007/s00464-016-4966-y.
    [37] IKEGAMI T, SHIMADA M, IMURA S, et al. Argon gas embolism in the application of laparoscopic microwave coagulation therapy[J]. J Hepatobiliary Pancreat Surg, 2009, 16(3): 394-398. DOI: 10.1007/s00534-008-0039-5.
    [38] BAN D, ISHIKAWA Y, TANABE M. Can robotic liver resection compensate for weaknesses of the laparoscopic approach?[J]. Hepatobiliary Surg Nutr, 2020, 9(3): 385-387. DOI: 10.21037/hbsn.2019.11.02.
    [39] WU CY, CHEN PD, CHOU WH, et al. Is robotic hepatectomy cost-effective? In view of patient-reported outcomes[J]. Asian J Surg, 2019, 42(4): 543-550. DOI: 10.1016/j.asjsur.2018.12.010.
    [40] DASKALAKI D, GONZALEZ-HEREDIA R, BROWN M, et al. Financial impact of the robotic approach in liver surgery: A comparative study of clinical outcomes and costs between the robotic and open technique in a single institution[J]. J Laparoendosc Adv Surg Tech A, 2017, 27(4): 375-382. DOI: 10.1089/lap.2016.0576.
    [41] WAKABAYASHI GO, CHERQUI D, GELLER DA, et al. Recommendations for laparoscopic liver resection: A report from the second international consensus conference held in Morioka[J]. Ann Surg, 2015, 261(4): 619-29. DOI: 10.1097/SLA.0000000000001180.
    [42] CASCIOLA L, PATRITI A, CECCARELLI G, et al. Robot-assisted parenchymal-sparing liver surgery including lesions located in the posterosuperior segments[J]. Surg Endosc, 2011, 25(12): 3815-3824. DOI: 10.1007/s00464-011-1796-9.
    [43] GUAN R, CHEN Y, YANG K, et al. Clinical efficacy of robot-assisted versus laparoscopic liver resection: A meta analysis[J]. Asian J Surg, 2019, 42(1): 19-31. DOI: 10.1016/j.asjsur.2018.05.008.
    [44] ZHANG L, YUAN Q, XU Y, et al. Comparative clinical outcomes of robot-assisted liver resection versus laparoscopic liver resection: A meta-analysis[J]. PLoS One, 2020, 15(10): e0240593. DOI: 10.1371/journal.pone.0240593.
    [45] FRUSCIONE M, PICKENS R, BAKER EH, et al. Robotic-assisted versus laparoscopic major liver resection: Analysis of outcomes from a single center[J]. HPB (Oxford), 2019, 21(7): 906-911. DOI: 10.1016/j.hpb.2018.11.011.
    [46] CHOI SB, PARK JS, KIM JK, et al. Early experiences of robotic-assisted laparoscopic liver resection[J]. Yonsei Med J, 2008, 49(4): 632-638. DOI: 10.3349/ymj.2008.49.4.632.
    [47] CHOI GH, CHOI SH, KIM SH, et al. Robotic liver resection: Technique and results of 30 consecutive procedures[J]. Surg Endosc, 2012, 26(8): 2247-2258. DOI: 10.1007/s00464-012-2168-9.
    [48] LEE KF, CHEUNG YS, CHONG CC, et al. Laparoscopic and robotic hepatectomy: Experience from a single centre[J]. ANZ J Surg, 2016, 86(3): 122-126. DOI: 10.1111/ans.13339.
    [49] ZHAO ZM. Application and prospect of da Vinci robot in hepatopancreatobiliary surgery[J]. J Clin Hepatol, 2020, 36(12): 2659-2662. DOI: 10.3969/j.issn.1001-5256.2020.12.005.

    赵之明. 达芬奇机器人在肝胆胰外科手术中的应用与前景[J]. 临床肝胆病杂志, 2020, 36(12): 2659-2662. DOI: 10.3969/j.issn.1001-5256.2020.12.005.
    [50] Development Committee of Clinical Practice Guidelines for Robotic Hepatopancreatobiliary Surgery. Clinical practice guidelines for robotic hepatopancreatobiliary surgery[J]. J Clin Hepatol, 2019, 35(7): 1459-1471. DOI: 10.3969/j.issn.1001-5256.2019.07.009.

    《机器人肝胆胰手术操作指南》制定委员会. 机器人肝胆胰手术操作指南[J]. 临床肝胆病杂志, 2019, 35(7): 1459-1471. DOI: 10.3969/j.issn.1001-5256.2019.07.009.
    [51] CHOI GH, CHONG JU, HAN DH, et al. Robotic hepatectomy: The Korean experience and perspective[J]. Hepatobiliary Surg Nutr, 2017, 6(4): 230-238. DOI: 10.21037/hbsn.2017.01.14.
    [52] ZHANG W, CHEN XP. Application of robotic surgical system in hepatic surgery[J]. Chin J Dig Surg, 2021, 20(2): 143-148. DOI: 10.3760/cma.j.cn115610-20210120-00035.

    张伟, 陈孝平. 机器人手术系统在肝脏外科中的应用[J]. 中华消化外科杂志, 2021, 20(2): 143-148. DOI: 10.3760/cma.j.cn115610-20210120-00035.
    [53] GOH B, TEO JY, LEE SY, et al. Critical appraisal of the impact of individual surgeon experience on the outcomes of laparoscopic liver resection in the modern era: Collective experience of multiple surgeons at a single institution with 324 consecutive cases[J]. Surg Endosc, 2018, 32(4): 1802-1811. DOI: 10.1007/s00464-017-5864-7.
    [54] FAHRNER R, RAUCHFUβ F, BAUSCHKE A, et al. Robotic hepatic surgery in malignancy: Review of the current literature[J]. J Robot Surg, 2019, 13(4): 533-538. DOI: 10.1007/s11701-019-00939-w.
    [55] GONZALEZ-CICCARELLI LF, QUADRI P, DASKALAKI D, et al. Robotic approach to hepatobiliary surgery[J]. Chirurg, 2017, 88(Suppl 1): 19-28. DOI: 10.1007/s00104-016-0223-0.
    [56] CORTOLILLO N, PATEL C, PARRECO J, et al. Nationwide outcomes and costs of laparoscopic and robotic vs. open hepatectomy[J]. J Robot Surg, 2019, 13(4): 557-565. DOI: 10.1007/s11701-018-0896-0.
  • 加载中
计量
  • 文章访问数:  385
  • HTML全文浏览量:  85
  • PDF下载量:  30
  • 被引次数: 0
出版历程
  • 收稿日期:  2021-03-17
  • 录用日期:  2021-04-12
  • 出版日期:  2021-11-20
  • 分享
  • 用微信扫码二维码

    分享至好友和朋友圈

目录

    /

    返回文章
    返回