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投稿时间:2025-06-24 网络发布日期:2026-03-04
投稿时间:2025-06-24 网络发布日期:2026-03-04
中文摘要: 随着微创技术在胃癌手术中的广泛应用,达芬奇机器人胃癌根治术也日渐受到关注。将机器人技术应用于胃癌根治术中不仅能完成镜下消化道重建,还具有术中出血更少、淋巴结清扫更彻底等优势。但该技术仍无法避免并发症和技术难题,机器人胃癌手术相关并发症的发生率是评价其安全性和可行性的有效指标之一。机器人胃癌根治术常见并发症主要包括腹腔出血、腹腔感染、吻合口并发症、术后肠麻痹、十二指肠残端瘘、胰瘘和胰腺炎、气腹相关并发症、与穿刺器(trocar)及辅助切口相关的并发症等。严格把握机器人胃癌根治术的适应证,由在机器人操作方面经验丰富的外科医生仔细操作,并不增加并发症和中转开腹的发生率。本文旨在对现有达芬奇机器人胃癌根治手术临床实践中发现的常见并发症作总结分析,归纳现行有效的针对此类并发症的预防和处理措施,为临床工作提供参考。
Abstract:With the extensive development of minimally invasive technology in gastric cancer surgery,Da Vinci robot-assisted radical gastrectomy has also attracted increasing attention. The application of robotic technology in gastric cancer surgery can not only complete the endoscopic reconstruction of digestive tract,but also has the advantages of less intraoperative bleeding and more thorough lymph node dissection. However,the new technology cannot avoid complications and technical difficulties. The incidence of complications related to robotic gastric cancer surgery is one of the effective indicators to evaluate its safety and feasibility. Common complications of robotic radical gastrectomy mainly include abdominal hemorrhage,abdominal infection,anastomotic complications,postoperative ileus,duodenal stump fistula,pancreatic fistula and pancreatitis,pneumoperitoneal-related complications,and complications related to trocar puncture and auxiliary incision. strict adherence to the indications for robotic radical gastrectomy and careful operation by surgeons with extensive experience in robotic operation do not increase the incidence of complications and conversion to laparotomy. The purpose of this paper is to summarize and analyze the common complications found in the clinical practice of Da Vinci robot-assisted radical gastrectomy,and summarize the current effective measures for the prevention and treatment of such complications,so as to provide references for clinical work.
keywords: Da Vinci robot Radical gastrectomy Surgical complications Pneumoperitoneum Abdominal bleeding Pancreatic fistula Lymphatic leakage Iatrogenic injury
文章编号: 中图分类号:R619 R735.2 文献标志码:A
基金项目:江苏省中医药学会振兴发展项目(ZXFZ2024001);江苏省中医药管理局中医药领军人才(SLJ0311);江苏省中医院院级课题(Y21024)
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引用文本:
王烨, 南海鸥, 葛苗苗, 王海锋, 潘华峰, 孙辰华, 王刚, 江志伟.机器人胃癌根治术并发症的预防和处理[J].中国临床研究,2026,39(2):173-177.
王烨, 南海鸥, 葛苗苗, 王海锋, 潘华峰, 孙辰华, 王刚, 江志伟.机器人胃癌根治术并发症的预防和处理[J].中国临床研究,2026,39(2):173-177.
