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《Journal of Abdominal Surgery》 2018-04
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Application of robotic surgery in minimally invasive surgery of gastric cancer:Opportunity and challenge

lWang Weizhi;Xu Hao;Xu Zekuan;Department of Gastrointestinal Surgery,the First Affiliated Hospital of Nanjing Medical Univer;  
Recent years,robotic surgery has gradually become the main trend in the development of minimally invasive surgery,and has been widely adopted in the abdominal surgery.Robotic surgery has higher clarity,better stability,easier handling and more accurate stitching than the conventional laparoscopic surgery.Currently,the safety and feasibility of robotic surgery have already been confirmed by many reports.Several studies demonstrated that robotic surgery was superior to conventional laparoscopic and open surgeries in terms of postoperative hospital stay,blood loss and lymph node dissection,while the postoperative complications and short-term mortality of these surgeries showed no significant difference.However,some other researchers presented that there was no significant difference in blood loss and lymph node dissection between robotic surgery and laparoscopic surgery,which indicated that it remains controversial about whether there is an advantage in robotic surgery in these two aspects.Besides,relatively long surgical time,high cost and lack of force feedback are the main limitations of this system.As a new technology,robotic surgery still has defects,but it has broken through the bottleneck of current laparoscopic technology,and is a great leap forward of the modern surgical history.
【CateGory Index】: R735.2
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