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机器人手术系统的优点是三维图像清晰和操作稳定灵活,缺点是力反馈缺失、费用昂贵和手术时间延长。其可安全应用于结直肠癌手术,具有创伤小和术后恢复快的特点。机器人结肠癌手术的安全性和有效性已得到肯定,但关于长期生存的研究证据仍不够。目前,与腹腔镜手术比较,机器人直肠癌手术并未在肿瘤短期和长期结局方面显现出优势。机器人手术系统在结直肠癌手术中的合理应用还需进一步的前瞻性随机对照研究。随着第4代达芬奇Xi手术系统面世和外科技术的不断进步,机器人手术系统将在结直肠癌手术中发挥更重要的作用。
The advantages of the robotic surgery system are that the three-dimensional image is clear and the operation is stable and flexible. The disadvantage is that the force feedback is missing, the cost is expensive and the operation time is prolonged. It can be safely applied to colorectal cancer surgery, with less trauma and postoperative recovery characteristics. The safety and effectiveness of robotic colon cancer surgery have been affirmed, but evidence of long-term survival remains insufficient. At present, robotic rectal cancer surgery does not show any advantage in short-term and long-term outcome of tumors compared with laparoscopic surgery. The rational application of robotic surgery system in colorectal cancer surgery needs further prospective randomized controlled studies. With the advent of the 4th DaVinci Xi surgical system and advances in surgical techniques, robotic surgery systems will play a more important role in colorectal cancer surgery.