中国普通外科杂志2025，Vol.34Issue(8)：1640-1647,8.DOI:10.7659/j.issn.1005-6947.250225
机器人肝门部胆管癌根治术的优势、挑战及优化策略
Advantages,challenges,and optimization strategies of robotic radical resection for perihilar cholangiocarcinoma
摘要
Abstract
Perihilar cholangiocarcinoma(PHCC)has an insidious onset,is highly aggressive,and carries a poor prognosis.Radical surgical resection is crucial for improving patient survival.Due to the complex anatomy of the hepatic hilum,conventional laparoscopic surgery faces numerous challenges.In recent years,robotic surgery has shown significant potential in PHCC procedures,owing to its high-definition naked-eye 3D visualization,precise maneuvers,and superior dexterity.However,its widespread adoption remains limited by high costs,restricted intraoperative working space,and the absence of tactile feedback.Drawing on international research progress and our own clinical experience,this article analyzes optimization strategies including assessment of local tumor involvement,rational trocar placement,lymphatic and neural plexus dissection,determination of the extent of hepatectomy,vascular resection and reconstruction,bile duct reconstruction,and choledochojejunostomy.The aim is to explore approaches to overcoming these challenges and breaking through existing limitations,thereby providing new strategies and technical pathways for precise minimally invasive treatment of PHCC.关键词
Klatskin肿瘤/机器人手术/淋巴结切除术Key words
Klatskin Tumor/Robotic Surgical Procedures/Lymph Node Excision分类
医药卫生引用本文复制引用
曹鹏,李江涛,戴小明,陈国栋..机器人肝门部胆管癌根治术的优势、挑战及优化策略[J].中国普通外科杂志,2025,34(8):1640-1647,8.基金项目
南华大学临床医学研究"4310"计划基金资助项目(20224310NHYCG01) （20224310NHYCG01）
湖南省卫生健康委科研计划基金资助项目(202304019353) （202304019353）
新疆维吾尔自治区中央引导地方科技发展基金资助项目(ZYYD2024CG17) （ZYYD2024CG17）
湖南省创新生态建设计划科技援疆基金资助项目(2024WK4008) （2024WK4008）
新疆维吾尔自治区卫生健康适宜技术推广基金资助项目(SYTG-Y202429) （SYTG-Y202429）
南华大学附属第一医院医工交叉研究专项基金资助项目(IRP-M&E-2025-08). （IRP-M&E-2025-08）
