切换至 "中华医学电子期刊资源库"

中华疝和腹壁外科杂志(电子版) ›› 2025, Vol. 19 ›› Issue (04) : 466 -469. doi: 10.3877/cma.j.issn.1674-392X.2025.04.019

所属专题: 文献

综述

机器人胃底折叠术治疗胃食管反流病的研究进展
魏子雯, 谢永怡, 郭洪瑞, 胡金奇, 李鹏()   
  1. 650051 昆明医科大学附属延安医院普外二科
  • 收稿日期:2025-04-15 出版日期:2025-08-18
  • 通信作者: 李鹏
  • 基金资助:
    云南省兴滇英才支持计划名医专项(XDYC-YLWS- 2023-0009); 云南省重点研发计划(202302AD080004); 云南省重点研发计划(202403AC100002)

Research progress on robotic fundoplication in the treatment of gastroesophageal reflux disease

Ziwen Wei, Yongyi Xie, Hongrui Guo, Jinqi Hu, Peng Li()   

  1. Department of General SurgeryⅡ, Yan'an Hospital, Affiliated to Kunming Medical University, Kunming 650051, China
  • Received:2025-04-15 Published:2025-08-18
  • Corresponding author: Peng Li
引用本文:

魏子雯, 谢永怡, 郭洪瑞, 胡金奇, 李鹏. 机器人胃底折叠术治疗胃食管反流病的研究进展[J/OL]. 中华疝和腹壁外科杂志(电子版), 2025, 19(04): 466-469.

Ziwen Wei, Yongyi Xie, Hongrui Guo, Jinqi Hu, Peng Li. Research progress on robotic fundoplication in the treatment of gastroesophageal reflux disease[J/OL]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2025, 19(04): 466-469.

机器人胃底折叠手术主要是通过完全机器人或机器人辅助完成胃底折叠手术的方法,是胃食管反流病外科治疗的重要方法之一,机器人手术具有手术更加精细,操作更为精准的特点,近年来随着机器人技术的不断普及,机器人胃底折叠术的例数、方法和应用单位逐渐增多,本文就机器人技术发展的概况、机器人胃底折叠术的特点及围手术期处理等作一综述。

Robotic fundoplication is primarily performed through fully robotic or robot-assisted approach. It has emerged as one of the most important surgical interventions for gastroesophageal reflux disease (GERD). Robotic surgery is characterized by enhanced surgical precision and improved operational accuracy. In recent years, with the increasing adoption of robotic technology, there has been a progressive expansion in the number of cases, methods and application institutional of robotic fundoplication. This article aims to provide a comprehensive overview of the evolutionary trajectory of robotic surgical technology, the technical distinctiveness of robotic fundoplication procedures, and key considerations in perioperative management.

[1]
Dowgiałło-Gornowicz N, Kacperczyk J, Masiewicz A, et al. Impact of Age on Long-Term Outcomes of Laparoscopic Nissen Fundoplication-A Single Center Study[J]. Medicina(Kaunas), 2024, 60(5): 688.
[2]
Muraco L. Improved Medical Photography: Key Tips for Creating Images of Lasting Value[J]. JAMA Dermatol, 2020, 156(2): 121-123.
[3]
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.
[4]
陈刚,王骥,马红钦, 等. 达芬奇机器人辅助食管裂孔疝修补术的疗效研究[J]. 中华普通外科杂志, 2023, 38(7): 515-520.
[5]
Boal M, Di Girasole CG, Tesfai F, et al. Evaluation status of current and emerging minimally invasive robotic surgical platforms[J]. Surg Endosc, 2024, 38(2): 554-585.
[6]
王家寅,姜乃晶,赵亚平, 等. 一种新型单臂单孔微创腹腔镜手术机器人系统[J]. 中国医疗器械杂志, 2023, 47(1): 13-18.
[7]
Qi R, Malhotra N, Brumfiel TA, et al. Development of a single port dual arm robotically steerable endoscope for neurosurgical applications[J]. Npj Robot, 2025, 3(1): 1.
[8]
侍新宇,胡优,王索, 等. 机器人单切口手术在结肠次全切除术中的探索与应用[J]. 中华消化外科杂志, 2024, 23(12): 1505-1510.
[9]
Hoshino M, Omura N, Yano F, et al. Therapeutic effect of laparoscopic fundoplication for patients with GERD from the viewpoint of Lyon Consensus[J]. Esophagus, 2021, 18(4): 915-921.
[10]
Wang D, Zhou D, Liu X, et al. Different dosages of vonoprazan for gastroesophageal reflux disease: study protocol for a pragmatic, crossover-cluster, randomized controlled trial with patient preference arms[J]. Trials, 2023, 24(1): 778.
[11]
Gyawali CP, Yadlapati R, Fass R, et al. Updates to the modern diagnosis of GERD: Lyon consensus 2.0[J]. Gut, 2024, 73(2): 361-371.
[12]
Katz PO, Dunbar KB, Schnoll-Sussman FH, et al. ACG Clinical Guideline for the Diagnosis and Management of Gastroesophageal Reflux Disease[J]. Am J Gastroenterol, 2022, 117(1): 27-56.
[13]
王国斌. 机器人手术的应用与展望[J]. 腹部外科, 2016, 29(1): 1-2.
[14]
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.
[15]
张伟. 达芬奇机器人手术系统--原理,系统组成及应用[J]. 中国医疗器械信息, 2015, 21(3): 24-25, 33.
[16]
Xue R, Liu R. Statistical analysis of da Vinci procedure volumes of 2021 in the Chinese Mainland[J]. Intelligent Surgery, 2022, 4: 18-22.
[17]
Khandalavala K, Shimon T, Flores L, et al. Emerging surgical robotic technology: a progression toward microbots[J]. Ann Laparosc Endosc Surg, 2020, 5: 3.
[18]
李鹏,魏子雯,王汝娟, 等. 完全机器人胃底折叠术21例的临床应用分析[J]. 中华普通外科杂志, 2024, 39(6): 444-449.
[19]
Elmously A, Gray KD, Ullmann TM, et al. Robotic Reoperative Anti-reflux Surgery: Low Perioperative Morbidity and High Symptom Resolution[J]. World J Surg, 2018,(12): 4014-4021.
[20]
李义亮,苏拉依曼·牙库甫,麦麦提艾力·麦麦提明, 等. 机器人与腹腔镜食管裂孔疝修补术联合Nissen胃底折叠术短期疗效分析[J/OL]. 中华疝和腹壁外科杂志(电子版), 2024, 18(5): 512-517.
[21]
Bi Y, Wang Z, Zhang F, et al. Accuracy evaluation of combining gastroscopy, multi-slice spiral CT, Her-2, and tumor markers in gastric cancer staging diagnosis[J]. World J Surg Oncol, 2022, 20(1): 152.
[22]
Chen JW, Vela MF, Peterson KA, et al. AGA Clinical Practice Update on the Diagnosis and Management of Extraesophageal Gastroesophageal Reflux Disease: Expert Review[J]. Clin Gastroenterol Hepatol, 2023, 21(6): 1414-1421. e3.
[23]
Fox MR, Sweis R, Yadlapati R, et al. Chicago classification version 4.0© technical review: Update on standard high-resolution manometry protocol for the assessment of esophageal motility[J]. Neurogastroenterol Motil, 2021, 33(4): e14120.
[24]
郭宝娜,郭子皓,姜佳丽, 等. 胃食管反流病患者141例的24h食管阻抗-pH值监测结果[J]. 中华消化杂志, 2019, 39(4): 217-222.
[25]
黎鑫,艾克拜尔·艾力,阿力木江·麦斯依提, 等. 胃镜检查和高分辨率食管测压及上消化道造影检查对代谢综合征合并食管裂孔疝的临床诊断价值研究[J]. 中国全科医学, 2022, 25(35): 4406-4411.
[26]
Gad M, Qinawy M, Abdelazim O, et al. Comparative study of laparoscopic Nissen fundoplication versus Hill-Snow procedure for the treatment of gastroesophageal reflux disease in children: a single-blinded randomized controlled trial[J]. Ann Pediatr Surg, 2023, 19: 8.
[27]
Gheewala F, Prasad D, Ratnottar J, et al. Manometric evidence of reversal of ineffective esophageal motility in patients of GERD after laparoscopic partial Toupet's fundoplication Int[J]. Surg Sci, 2023, 8(2): 5-9.
[28]
李根,郑于强,努尔波力·臣打尔, 等. 腹腔镜His角重建术与Dor胃底折叠术治疗胃食管反流病的疗效对比分析[J]. 腹腔镜外科杂志, 2022, 27(12): 881-884.
[29]
彭承宏. 机器人辅助外科手术系统临床应用的现状与前景[J]. 中华肝胆外科杂志, 2011, 17(8): 606-609.
[30]
田文,王冰,姚京, 等. 5G远程手术机器人辅助食管裂孔疝修补及胃底折叠术临床初步研究[J]. 中国实用外科杂志, 2024, 44(10): 1171-1173.
[31]
Fan Y, Ma C, Wu X, et al. 5G Remote Robot-Assisted Hepatobiliary and Pancreatic Surgery: A Report of Five Cases and a Literature Review[J]. Int J Med Robot, 2025, 21(1): e70027.
[32]
Zhou F, Guo B, Lv H, et al. Application of 5G Remote Robotic-assisted Laparoscopy in Urological Surgery: A Small Sample Analysis[J]. Urology, 2025, 197: 110-114.
[33]
Panse NS, Prasath V, Quinn PL, et al. Economic evaluation of robotic and laparoscopic paraesophageal hernia repair[J]. Surg Endosc, 2023, 37(9): 6806-6817.
[34]
梁霄,蔡秀军. 5G远程医疗机器人手术的现状和展望[J]. 中华消化外科杂志, 2024, 23(4): 554-560.
[35]
Bauerle W, Franey D, Allsbrook A, et al. Retrospective cost analysis of robotic and laparoscopic anti-reflux surgery and paraesophageal hernia repair[J]. Surg Endosc, 2024, 38(12): 7179-7186.
[1] 杨春燕, 周晓苹. 机器人辅助技术在腹腔镜结直肠癌根治术中的研究进展[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(05): 584-588.
[2] 赵燕玲, 王珩, 秦勤, 李静. 不同手术在食管裂孔疝合并胃食管反流病患者中的应用观察[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(04): 421-424.
[3] 叶孙益, 彭鼎, 汪朔, 夏丹. 单孔机器人与腹腔镜在保留肾单位肾部分切除术的小样本随机对照研究[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2025, 19(04): 423-428.
[4] 李雪青, 张弛, 刘小彭. 前列腺体积大小对机器人辅助腹腔镜下根治性前列腺切除术疗效及术后病理的影响[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2025, 19(03): 372-376.
[5] 刘虎, 任振, 韦笑韩, 王书翰, 潘晨, 吴立胜. 基于心下囊解剖的腹腔镜大食管裂孔疝补片修补术单中心40例分析[J/OL]. 中华疝和腹壁外科杂志(电子版), 2025, 19(04): 417-421.
[6] 依力帕·肖克来提, 王丹, 李义亮. 生物补片在腹腔镜食管裂孔疝修补术中的应用进展[J/OL]. 中华疝和腹壁外科杂志(电子版), 2025, 19(04): 470-474.
[7] 嵇振岭, 刘宗航. 谈谈食管裂孔疝手术中食管裂孔缺损修补的方法[J/OL]. 中华疝和腹壁外科杂志(电子版), 2025, 19(03): 245-252.
[8] 刘军, 王子函, 李梦新, 高国璇, 蒋宏传, 沈光前. 单孔机器人保乳手术初步探索[J/OL]. 中华腔镜外科杂志(电子版), 2025, 18(03): 162-165.
[9] 黄雅玉, 胡昊, 郑辰熙, 吕柯课, 何天霖. 机器人胰腺肿瘤局部切除术的临床应用研究[J/OL]. 中华腔镜外科杂志(电子版), 2025, 18(03): 134-140.
[10] 曾纪晓, 徐晓钢, 刘斐, 兰梦龙, 陶波圆, 梁子建, 温俐妮, 钟知足. 机器人胰十二指肠切除术治疗儿童胰胆系恶性肿瘤[J/OL]. 中华腔镜外科杂志(电子版), 2025, 18(03): 157-161.
[11] 刘若暄, 吴岐佑, 刘振华, 杨璐, 魏强, 沈朋飞, 涂祥. 机器人辅助前列腺穿刺技术在前列腺癌早期诊断中的应用进展[J/OL]. 中华腔镜外科杂志(电子版), 2025, 18(03): 184-187.
[12] 平文俊, 李江涛, 陈国栋. 机器人肝门部胆管癌根治术[J/OL]. 中华肝脏外科手术学电子杂志, 2025, 14(05): 804-804.
[13] 杨黎渝, 刘新阳, 雷永琪, 铁学宏, 刘雨, 梁英健. 腹腔镜手术皮下气肿危险因素与防治[J/OL]. 中华肝脏外科手术学电子杂志, 2025, 14(04): 636-639.
[14] 中国NOSES联盟, 中国医师协会结直肠肿瘤专业委员会NOSES学组, 中国医师协会结直肠肿瘤专业委员会机器人手术学组, 中国抗癌协会NOSES专业委员会. “机器人”结直肠肿瘤经自然腔道取标本手术专家共识(2025版)[J/OL]. 中华结直肠疾病电子杂志, 2025, 14(03): 202-220.
[15] 郝立婷, 马金鑫, 刘耀龙. 超声结合血清胃泌素17、胃蛋白酶对胃食管反流病的诊断价值[J/OL]. 中华消化病与影像杂志(电子版), 2025, 15(04): 376-380.
阅读次数
全文


摘要


AI


AI小编
你好!我是《中华医学电子期刊资源库》AI小编,有什么可以帮您的吗?