摘要
先天性肛门直肠畸形(anorectal malformations,ARM)发病率位于小儿消化道畸形首位,是小儿外科领域极具代表性的病种。手术是ARM唯一的治疗方法,过去几十年来,手术方式经历了从开放手术到微创手术的巨大转变。传统腹腔镜设备在操作精确度、维度上存在局限,未能满足外科医生对于更高技术水平操作的追求。机器人辅助手术以操作灵活、高清三维图像为特点,最初应用于成人外科,其后逐渐扩展到小儿外科领域,现已开始应用于小儿ARM的治疗。本文结合国内外文献报道,系统性回顾和概述机器人手术系统在ARM治疗中的应用进展及展望。
As the most common digestive tract malformation in children,anorectal malformations(ARM)are one of the most representative diseases in pediatric surgery.Surgery is a sole therapy for ARM and surgical approaches have evolved dramatically from traditional open operation to mini-invasive procedure in recent decades.Traditional laparoscopic equipment has failed to meet the surgeon's mastery of refined technique due to its limitations in operative accuracy and dimensions.Then robotic surgery system came into being.Robotic-assisted surgery,with its flexible handling and three-dimensional viewing,was initially introduced for adult surgery and then gradually extended to pediatric surgery.It has been applied to children with ARM.Based upon domestic and foreign literature reports,this review summarized the application status and recent advances of robotic systems in ARM.
作者
汤绍涛
张梦欣
池水清
Tang Shaotao;Zhang Mengxin;Chi Shuiqing(Department of Pediatric Surgery,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China)
出处
《临床小儿外科杂志》
CAS
CSCD
2022年第11期1001-1005,共5页
Journal of Clinical Pediatric Surgery
基金
华中科技大学自主创新研究基金(2019kfyXKJC012)
关键词
肛门直肠畸形
最小侵入性外科手术
机器人手术
Anorectal Malformations
Minimally Invasive Surgical Procedures
Robotic Surgical Procedures
作者简介
通信作者:汤绍涛,Email:tshaotao83@126.com
