2022/2023 年基本更新:机器人肝切除术当前主题回顾。

IF 2.9 4区 医学 Q2 GASTROENTEROLOGY & HEPATOLOGY Annals of Gastroenterological Surgery Pub Date : 2024-06-21 DOI:10.1002/ags3.12817
Tomohiko Adachi, Takanobu Hara, Hajime Matsushima, Akihiko Soyama, Susumu Eguchi
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引用次数: 0

摘要

由于肝脏的重要功能和复杂性,术中需要小心处理。传统的开腹肝切除术虽然标准,但创伤大,恢复期长。腹腔镜肝切除术是一种创伤较小的选择,但也有其自身的挑战。达芬奇®系统等机器人手术的兴起提高了手术的精确度和控制能力,解决了传统方法的局限性,但也带来了新的问题,如成本和培训。本综述重点关注2022/23篇文章中机器人肝切除术的最新进展,深入探讨 "肝移植中的机器人手术"、"机器人肝切除术治疗肝门胆管癌"、"肝切除术后的机器人血管重建"、"机器人重复肝切除术 "和 "机器人肝切除术的前瞻性试验 "等主题。为了检索文章,我们使用 PubMed 对 2022/23 年以来的文章进行了重点文献检索,并进行了 5 年筛选,但不包括综述。首先对摘要进行筛选,然后对机器人手术的相关文章进行全文检索,以纳入本综述。虽然上述所有项目都是前沿项目,而且许多参考文献必然是病例报告级别的,但近期的文章仍附有手术视频,这对读者,尤其是考虑模仿手术的外科医生很有帮助。总之,我们研究了机器人肝脏切除术的最新进展。加入介绍新技术的视频有助于知识的传播。我们期待着这一研究领域的持续发展。
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Essential updates 2022/2023: A review of current topics in robotic hepatectomy

The liver requires careful handling intra-operatively owing to its vital functions and complexity. Traditional open hepatectomy, while standard, is invasive and requires long recovery periods. Laparoscopic hepatectomy is a less invasive option, with its own challenges. The rise of robotic surgery, such as the da Vinci® system, improves precision and control, addressing the limitations of conventional methods, but brings new concerns, such as costs and training. This review focuses on the latest advancements in robotic hepatectomy from 2022/23 articles, delving into topics like “robotic surgery in liver transplantation,” “robotic hepatectomy for hilar cholangiocarcinoma,” “robotic vascular reconstruction following hepatectomy,” “robotic repeat hepatectomy,” and “prospective trials in robotic hepatectomy.” To retrieve articles, a focused literature search was conducted using PubMed for articles from 2022/23 with a 5-year filter, excluding reviews. Initially, abstracts were screened, and relevant articles on robotic surgery were examined in full for inclusion in this review. Although all the above items are cutting-edge, and many of the references are necessarily at the level of case reports, recent articles are still accompanied by surgical videos, which are useful to readers, especially surgeons who are considering imitating the procedures. In summary, we examined the recent advancements in robotic liver resection. The inclusion of videos that present new techniques aids in knowledge transfer. We anticipate the continued growth of this field of research.

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来源期刊
Annals of Gastroenterological Surgery
Annals of Gastroenterological Surgery GASTROENTEROLOGY & HEPATOLOGY-
CiteScore
5.30
自引率
11.10%
发文量
98
审稿时长
11 weeks
期刊最新文献
Laparoscopic median arcuate ligament release using an anterior approach for median arcuate ligament syndrome Issue Information Essential updates 2022-2023: Surgical and adjuvant therapies for locally advanced colorectal cancer. Phase II study of long-course chemoradiotherapy followed by consolidation chemotherapy as total neoadjuvant therapy in locally advanced rectal cancer in Japan: ENSEMBLE-2. Essential updates 2022/2023: Recent advances in perioperative management of esophagectomy to improve operative outcomes.
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