机器人结直肠癌手术中国专家共识(2025版)
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慢性非传染性疾病-国家科技重大专项基金资助项目(2024ZD0520300)。


Chinese expert consensus on robotic surgery for colorectal cancer (2025 edition)
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    摘要:

    机器人手术是当代结直肠癌外科治疗的重要趋势。中国医师协会结直肠肿瘤专委会机器人外科学组组织全国专家,在先前版本的基础上,对机器人结直肠癌手术的应用规范进行了讨论并达成共识,希望能够促进机器人手术的应用与推广。

    Abstract:

    Robotic surgery represents a major trend in the current surgical treatment of colorectal cancer. Based on the previous edition, the Robotic Surgery Group of the Colorectal Cancer Committee, Chinese Medical Doctor Association, convened national experts to discuss and reach a consensus on standardized practices for robotic colorectal cancer surgery, with the aim of facilitating its broader application and adoption.

    图1 达芬奇Xi系统机器人右半结肠癌根治术Trocar布置方法Fig.1 The Trocar arrangement method for radical resection of right colon cancer using Da Vinci Xi system
    图2 达芬奇Xi系统机器人右半结肠癌根治术其他Trocar布置方法 A:方法1;B:方法2Fig.2 Other Trocar arrangement methods for radical resection of right colon cancer with Da Vinci Xi system A: Method 1; B: Method 2
    图3 达芬奇Xi系统机器人左半结肠癌根治术Trocar布置方法Fig.3 Trocar arrangement method for radical resection of the left colon cancer using the da Vinci Xi system
    图4 达芬奇Xi系统机器人直肠和乙状结肠癌根治术Trocar布置方法Fig.4 The Trocar arrangement method for radical resection of rectal and sigmoid colon cancer using the Da Vinci Xi system
    图5 达芬奇Xi系统机器人全结肠和次全结肠切除术Trocar布置方法Fig.5 Trocar arrangement method for total colectomy and subtotal colectomy via Da Vinci Xi system
    图6 机器人TaTME手术中对接方法Fig.6 The docking method in robotic TaTME surgery
    图7 达芬奇Xi系统机器人结直肠癌联合胰体尾和(或)脾切除Trocar布置方法 A:右半结肠癌联合胰体尾和(或)脾切除Trocar布局;B:左半结肠癌联合胰体尾和(或)脾切除Trocar布局;C:直肠或乙状结肠癌联合胰体尾和(或)脾切除Trocar布局Fig.7 The Trocar arrangement method for robot-assisted colorectal cancer resection combined with pancreatic body and tail and/or splenectomy using the Da Vinci Xi system A: Trocar layout for right-sided colon cancer resection combined with resection of pancreatic body tail and/or spleen; B: Trocar layout for left-sided colon cancer resection combined with resection of pancreatic body tail and/or spleen; C: Trocar layout for rectal or sigmoid colon cancer resection combined with resection of pancreatic body tail and/or spleen resection
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.机器人结直肠癌手术中国专家共识(2025版)[J].中国普通外科杂志,2025,34(7):1307-1330.
DOI:10.7659/j. issn.1005-6947.250373

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  • 收稿日期:2025-06-24
  • 最后修改日期:2025-07-08
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  • 在线发布日期: 2025-09-02