国产多孔机器人手术系统在胰腺外科临床应用中的发展

doi:10.16139/j.1007-9610.2025.01.13

摘要/Abstract

摘要：

随着外科学的发展和科学技术的进步，机器人辅助胰腺手术已逐渐成为手术医师的热门选择，也深得病人及家属的青睐。笔者所在团队作为国内最早开展机器人辅助胰腺手术的胰腺疾病诊疗中心，对机器人胰腺手术有着独到的经验与体会。随着手术机器人的更新迭代与国产化，国产多孔机器人手术系统已开始投入临床应用。本文就国产多孔机器人手术系统在胰腺外科临床应用中的发展概况作一综述。

关键词: 胰腺肿瘤, 微创胰腺手术, 机器人辅助手术, 国产多孔机器人手术系统

Abstract:

With the development of surgery and technology, robot-assisted pancreatic surgery has gradually become a popular choice for surgeons, and is favored by patients and their families. As the first pancreatic disease treatment center in China to carry out robot-assisted pancreatic surgery, the author's team has unique experience and insight into robot-assisted pancreatic surgery. With the updating and domestication of surgical robots, the domestic multi-port robot-assisted surgical system has begun to be applied in clinical practice. The paper gave an overview of the development of domestic multi-port robotic surgical system in the clinical practice of pancreatic surgery.

Key words: Pancreatic tumor, Minimally invasive pancreatic surgery, Robot-assisted surgery, Domestic multi-port robot-assisted surgical system

中图分类号:

R735.9

李景峰, 施昱晟, 邓侠兴, 彭承宏, 沈柏用. 国产多孔机器人手术系统在胰腺外科临床应用中的发展[J]. 外科理论与实践, 2025, 30(01): 70-73.

LI Jingfeng, SHI Yusheng, DENG Xiaxing, PENG Chenghong, SHEN Baiyong. Application of domestic multi-port robot-assisted surgery system in pancreatic surgery[J]. Journal of Surgery Concepts & Practice, 2025, 30(01): 70-73.

参考文献 37

[1]	BRAY F, FERLAY J, SOERJOMATARAM I, et al. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries[J]. CA Cancer J Clin, 2018, 68(6):394-424.
[2]	FERLAY J E M, LAM F, COLOMBET M, et al. Global cancer observatory:cancer today[EB/OL]. Lyon, France: International Agency for Research on Cancer, (2018-10-5)[2024-5-30]. https://gco.iarc.fr/today.
[3]	SUNG H, FERLAY J, SIEGEL R L, et al. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries[J]. CA Cancer J Clin, 2021, 71(3):209-249.
[4]	STEWART B, WILD C. World Cancer Report 2014[M]. Inter Agency Res Cancer, 2014.
[5]	ZENG H, CHEN W, ZHENG R, et al. Changing cancer survival in China during 2003-15: a pooled analysis of 17 population-based cancer registries[J]. Lancet Glob Health, 2018, 6(5):e555-e567.
[6]	KARALIOTAS C, SGOURAKIS G. Laparoscopic versus open enucleation for solitary insulinoma in the body and tail of the pancreas[J]. J Gastrointest Surg, 2009, 13(10):1869.
[7]	BORJA-CACHO D, AL-REFAIE W B, VICKERS S M, et al. Laparoscopic distal pancreatectomy[J]. J Am Coll Surg, 2009, 209(6):758-765.
[8]	MELOTTI G, BUTTURINI G, PICCOLI M, et al. Laparoscopic distal pancreatectomy: results on a consecutive series of 58 patients[J]. Ann Surg, 2007, 246(1):77-82. doi: 10.1097/01.sla.0000258607.17194.2b pmid: 17592294
[9]	SOPER N J, BRUNT L M, DUNNEGAN D L, et al. Laparoscopic distal pancreatectomy in the porcine model[J]. Surg Endosc, 1994, 8(1):57-60. doi: 10.1007/BF02909495 pmid: 8153866
[10]	GAGNER M, POMP A, HERRERA M F. Early expe-rience with laparoscopic resections of islet cell tumors[J]. Surgery, 1996, 120(6):1051-1054.
[11]	GAGNER M, PALERMO M. Laparoscopic whipple procedure: review of the literature[J]. J Hepatobiliary Pancreat Surg, 2009, 16(6):726-730. doi: 10.1007/s00534-009-0142-2 pmid: 19636494
[12]	BRIGGS C D, MANN C D, IRVING G R, et al. Syste-matic review of minimally invasive pancreatic resection[J]. J Gastrointest Surg, 2009, 13(6):1129-1137.
[13]	STRIJKER M, VAN SANTVOORT H C, BESSELINK M G, et al. Robot-assisted pancreatic surgery: a systematic review of the literature[J]. HPB (Oxford), 2013, 15(1):1-10.
[14]	SCHWENK W, HAASE O, NEUDECKER J, et al. Short-term benefits for laparoscopic colorectal resection[J]. Cochrane Database Syst Rev, 2005,3:CD003145.
[15]	KEUS F, GOOSZEN H G, VAN LAARHOVEN C J. Open, small-incision, or laparoscopic cholecystectomy for patients with symptomatic cholecystolithiasis. An overview of Cochrane Hepato-Biliary Group reviews[J]. Cochrane Database Syst Rev, 2010(1):CD008318.
[16]	SWEET M P, IZUMISATO Y, WAY L W, et al. Laparoscopic enucleation of insulinomas[J]. Arch Surg, 2007, 142(12):1202-1204. pmid: 18086988
[17]	ABU HILAL M, JAIN G, KASASBEH F, et al. Laparoscopic distal pancreatectomy: critical analysis of preliminary experience from a tertiary referral centre[J]. Surg Endosc, 2009, 23(12):2743-2747. doi: 10.1007/s00464-009-0499-y pmid: 19462202
[18]	EOM B W, JANG J Y, LEE S E, et al. Clinical outcomes compared between laparoscopic and open distal pancreatectomy[J]. Surg Endosc, 2008, 22(5):1334-1338. doi: 10.1007/s00464-007-9660-7 pmid: 18027035
[19]	PALANIVELU C, SHETTY R, JANI K, et al. Laparoscopic distal pancreatectomy: results of a prospective non-randomized study from a tertiary center[J]. Surg Endosc, 2007, 21(3):373-377. doi: 10.1007/s00464-006-9020-z pmid: 17180289
[20]	EDWIN B, MALA T, MATHISEN O, et al. Laparoscopic resection of the pancreas: a feasibility study of the short-term outcome[J]. Surg Endosc, 2004, 18(3):407-411. pmid: 14752628
[21]	吕平, 刘芳, 戚昭恩. 腹腔镜外科百年发展史[J]. 中华医史杂志, 2001, 31(4):217-220.
	LYU P, LIU F, QI Z E. A century of developmental history of laparoscopic surgery[J]. Chin J Med Hist, 2001, 31(4):217-220.
[22]	王伟, 王伟东, 闫志远, 等. 腹腔镜外科手术机器人发展概况综述[J]. 中国医疗设备, 2014,8:5-10,35.
	WANG W, WANG W D, YAN Z Y, et al. Development review of laparoscopic surgical robotic[J]. China Med Devices, 2014,8:5-10,35.
[23]	GIULIANOTTI P C, CORATTI A, ANGELINI M, et al. Robotics in general surgery. Personal experience in a large community hospital[J]. Arch Surg, 2003, 138(7):777-784.
[24]	GIULIANOTTI P C, SBRANA F, BIANCO F M, et al. Robot-assisted laparoscopic pancreatic surgery: single-surgeon experience[J]. Surg Endosc, 2010,(24):1646-1657.
[25]	SHI Y, JIN J, QIU W, et al. Short-term outcomes after robot-assisted vs open pancreaticoduodenectomy after the learning curve[J]. Jama Surg, 2020, 155(5):389-394.
[26]	SHI Y, WANG W, QIU W, et al. Learning curve from 450 cases of robot-assisted pancreaticoduocectomy in a high-volume pancreatic center[J]. Ann Surg, 2021, 274(6):e1277-e1283.
[27]	FRESCHI C, FERRARI V, MELFI F, et al. Technical review of the da Vinci surgical telemanipulator[J]. Int J Med Robot, 2013, 9(4):396-406.
[28]	安芳芳, 荆朝侠, 彭燕, 等. 达芬奇机器人的“前世、今生、来世”[J]. 中国医疗设备, 2020, 35(7):148-151,168.
	AN F F, JING Z X, PENG Y, et al. The past, present and future of the da vinci robot[J]. China Med Devices, 2020, 35(7):148-151,168.
[29]	王恩运, 吴学谦, 薛莉, 等. 外科手术机器人的国内外发展概况及应用[J]. 中国医疗设备, 2018, 33(8):115-119.
	WAND E Y, WU X Q, XUE L, et al. Development and application of surgical robots at Home and abroad[J]. China Med Devices, 2018, 33(8):115-119.
[30]	袁天佑. 智能机器人在医疗中的应用[J]. 中国科技投资, 2019,3:224,202.
	YUAN T Y. Intelligent robots in medical applications[J]. China Venture Capital, 2019,3:224,202.
[31]	李治非, 杨阳, 苏月, 等. 我国外科手术机器人研究应用现状与思考[J]. 中国医学装备, 2019,16,11:177-181.
	LI Z F, YANG Y, SU Y, et al. Current status and thinking of research and application of surgical robots in China[J]. China Med Equip, 2019, 16(11):177-181.
[32]	亿欧. 2021年中国医疗机器人商业化洞察报告[EB/OL]. (2021-10-12) [2022-07-08]. https://www.iyiou.com/research/20211012914.
	YI O. China medical robotics commercialization insight report 2021[EB/OL]. (2021-10-12) [2022-07-08]. https://www.iyiou.com/research/20211012914.
[33]	杨丽晓, 侯正松, 唐伟, 等. 近年手术机器人的发展[J]. 中国医疗器械杂志, 2023, 47(1):1-12.
	YANG L X, HOU Z X, TANG W, et al. Development of surgical robots in recent years[J]. Chin J Med lnstrum, 2023, 47(1):1-12.
[34]	易波, 蒋娟, 宋智, 等. 国产妙手S手术机器人首次临床应用经验[J]. 中华普通外科杂志, 2016, 31(6):512-513.
	YI B, JIANG J, SONG Z, et al. The first clinical application experience of domestic Myojin S surgical robot[J]. Chin J Gen Surg, 2016, 31(6):512-513.
[35]	杨婧, 李祖曦, 狐鸣, 等. 国产图迈^®内窥镜手术系统辅助下胃癌根治术9例的临床分析[J]. 中华普通外科杂志, 2022, 37(11):850-851.
	YANG J, LI Z X, HU M, et al. Clinical analysis of 9 cases of radical resection of gastric cancer assisted by domestic Tumai^® endoscopic surgical system[J]. Chin J Gen Surg, 2022, 37(11):850-851.
[36]	王燕, 瞿旻, 梅妮, 等. 国产腔镜机器人用于根治性前列腺切除术的Ⅲ期随机对照研究[J]. 中华泌尿外科杂志, 2021, 42(7):485-490.
	WANG Y, QU M, MEI N, et al. A phase Ⅲ randomized controlled study of a domestic endoscopic robot used in radical prostatectomy[J]. Chin J Urol, 2021, 42(7):485-490.
[37]	王杰, 张中元, 郝瀚, 等. 国产康多手术机器人辅助腹腔镜根治性前列腺切除术[J]. 中华腔镜外科杂志(电子版), 2021, 14(5):318-320.
	WANG J, ZHANG Z Y, HAO H, et al. Radical prostatectomy with a new surgical robot system, KD-SR-01[J]. Chin J Laparosc Surg(Electronic Edition), 2021, 14(5):318-320.