机器人辅助腹腔镜手术治疗胃癌。

Orhan Alimoglu, Ibrahim Atak, Tunc Eren
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引用次数: 14

摘要

背景:这篇文献综述的重点是机器人手术相对于传统微创腹腔镜胃癌手术技术的潜在好处和最终局限性。方法:利用PubMed的特定检索词进行文献调查。结果:通过对12个系列的分析,表明机器人胃手术是一种安全可行的方法。然而,相当多的研究是由早期胃癌病例组成的,似乎缺乏随机对照研究。结论:为了证明机器人手术的确切益处及其对胃癌患者生存的影响,仍需要大规模的前瞻性随机研究。
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Robot-assisted laparoscopic (RAL) surgery for gastric cancer.

Background: This literature review focuses on the potential benefits and eventual limitations of robotic surgery with respect to the traditional minimally invasive laparoscopic surgical technique for gastric cancer.

Methods: A literature survey was performed using specific search phrases in PubMed. Series including < 10 cases and series including only an 'open group' of patients in comparison with the 'robotic group' were excluded. Characteristics such as patient demographics, perioperative outcomes and oncological results were analysed.

Results: According to the analysis of 12 series, robotic gastric surgery has been shown to be a safe and feasible method. However, a considerable number of studies are composed of early-stage gastric cancer cases and there seems to be a lack of randomized controlled studies.

Conclusions: Large prospective randomized studies are still required in order to demonstrate the exact benefits of robotic surgery and its effects on survival in gastric cancer.

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