文章摘要

达芬奇手术机器人：结直肠外科的新挑战

作者: 1张旋, 1沈焘, 1李云峰
1 云南省肿瘤医院/昆明医科大学第三附属医院 结直肠外科/大肠癌临床研究中心，云南 昆明 650118
通讯: 李云峰 Email: liyunfeng@medmail.com.cn
DOI: 10.3978/.10.3978/j.issn.1005-6947.2016.10.021

摘要

精准化微创手术已成为结直肠外科医疗水平的象征。达芬奇手术机器人系统的应运而生，开启了精准化微创手术的新纪元。该系统的优势在于：可提供高清稳定的立体视觉、精准化的直觉式动作控制、滤除的手部震颤、缩短的手术曲线以及可远程控制性。但其局限性在于：触觉反馈缺失，手术时间延长和价格昂贵等。笔者就达芬奇手术机器人系统的构成、发展史及其在结直肠外科手术中的应用现状进行阐述，并对这一先进智能技术的前景进行了些许思索。
关键词： 结直肠外科手术 机器人手术 最小侵入性外科手术 综述文献

Da Vinci surgical robots: new challenges in colorectal surgery

Authors: 1ZHANG Xuan, 1SHEN Tao, 1LI Yunfeng
1 Department of Colorectal Surgery/Clinical Research Center of Colorectal Cancer, Yunnan Provincial Tumor Hospital/third Affiliated Hospital, Kunming Medical University, Kunming 650118, China

CorrespondingAuthor:LI Yunfeng Email: liyunfeng@medmail.com.cn

Abstract

Precise and minimally invasive surgery has become a yardstick that reflects the level of the technological advancement of colorectal surgery. As a result, the emergence of the da Vinci surgical system (DVSS) opened a new epoch for the precise and minimally invasive surgery. DVSS has the advantages of providing high definition and stable stereoscopic vision, accurate intuitive movement control, hand-tremor filtration, short learning curve and allowing remote manipulation, while, it also has shortcomings such as lack of force feedback, prolonged operative time and high cost. The authors, in this article, address the constitution and evolution of DVSS as well as its application state in colorectal surgery, and some considerations of the future prospects of advanced intelligent technology are also proposed.
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