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中华疝和腹壁外科杂志(电子版) ›› 2025, Vol. 19 ›› Issue (02) : 155 -159. doi: 10.3877/cma.j.issn.1674-392X.2025.02.007

综述

机器人造口旁疝修补的现状与进展
李宝山1, 王荫龙1,()   
  1. 1. 300121 天津市普通外科学重点建设学科实验室 天津市人民医院,南开大学第一附属医院疝和腹壁外科
  • 收稿日期:2024-10-28 出版日期:2025-04-18
  • 通信作者: 王荫龙
  • 基金资助:
    天津市医学重点学科(专科)建设项目资助(TJYXZDXK-058B)

Current status and progress of robotic parastomal hernia repair

Baoshan Li1, Yinlong Wang1,()   

  1. 1. Tianjin Key Laboratory of General Surgery Inconstruction.Department of Hernia and Abdominal Wall Surgery,Tianjin Union Medical Center, The First Affiliated Hospital of Nankai University, Tianjin 300121, China
  • Received:2024-10-28 Published:2025-04-18
  • Corresponding author: Yinlong Wang
引用本文:

李宝山, 王荫龙. 机器人造口旁疝修补的现状与进展[J/OL]. 中华疝和腹壁外科杂志(电子版), 2025, 19(02): 155-159.

Baoshan Li, Yinlong Wang. Current status and progress of robotic parastomal hernia repair[J/OL]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2025, 19(02): 155-159.

造口旁疝是造口术后最常见的并发症之一,手术修补是治愈造口旁疝的唯一方法,腹腔镜造口旁疝修补是目前最常用的修补方式,机器人辅助腹腔镜手术是腹腔镜手术的进一步发展。机器人手术系统高清3D的手术视野、灵活的关节优势,可以较腹腔镜系统完成更加精准的操作,适用于有症状的和影响生活质量的造口旁疝。常用的手术方式包括:改良Sugarbaker修补、Keyhole修补、腹膜外Sugarbaker修补、IPST补片修补及杂交方式。开展机器人造口旁疝修补要经历一定的学习曲线。机器人造口旁疝修补的成本效益分析显示其在造口旁疝的治疗上有广泛的应用前景。本文复习了相关国内外文献,对机器人系统治疗造口旁疝的现状与进展进行综述。

Parastomal hernia is one of the most common complications after ostomy.Surgical repair is the only way to cure parastomal hernia.Laparoscopic parastomal hernia repair is currently the most commonly used repair method.Robot-assisted laparoscopic surgery is a further development of laparoscopic surgery.The high-definition 3D surgical field and flexible joints of the robotic surgical system can perform more accurate operations than the laparoscopic system.It is suitable for parastomal hernia which is symptomatic or has impact on life quality.Common surgical methods include: Modified Sugarbaker repair, Keyhole repair, Extraperitoneal Sugarbaker repair, IPST mesh repair and Hybrid technique.Carrying out robotic parastomal hernia repair has to go through a certain learning curve, and its cost-benefit analysis shows that it has a wide range of application prospects in the treatment of parastomal hernia.This paper reviews the relevant domestic and foreign literature, and the current status and progress of robotic system in the treatment of parastomal hernia.

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