引用文本：吕陈彬, 汪慧访, 陆俊. 机器人胃癌手术的现状与前景[J/CD]. 消化肿瘤杂志（电子版）, 2025, 17(3):327-333.

作者：吕陈彬1，汪慧访2，陆俊3

单位：1. 福建医科大学附属漳州市医院胃外科，福建 漳州 363000；2. 宁波大学附属第一医院胃肠外科，浙江 宁波 315000；3. 复旦大学附属肿瘤医院胃外二科，复旦大学上海医学院肿瘤学系，上海 200032

Authors：Lyu Chenbin1,  Wang Huifang2，Lu Jun3

Unit：1. Department of Gastric Surgery, Zhangzhou Hospital Affiliated to Fujian Medical University, Zhangzhou 363000, Fujian, China；2. Department of Gastrointestinal Surgery, the First Affiliated Hospital of Ningbo University，Ningbo 315000, Zhejiang, China；3. Second Department of Gastric Surgery, Fudan University Shanghai Cancer Center; Department of Medical Oncology, Shanghai Medical College, Fudan University, Shanghai 200032, China

摘要：

胃癌作为全球范围内最常见的恶性肿瘤之一，其致死率位居癌症相关死亡的第5位。尽管综合治疗手段已取得一定进展，但手术切除仍是胃癌治疗的核心手段，其术式已历经从传统开腹向腹腔镜及机器人微创技术的深刻变革。腹腔镜胃癌手术已被证实在远期生存率方面与传统开腹手术相当，并且有更好的近期疗效。然而，腹腔镜手术存在一些固有的技术限制，机器人手术系统的出现很好地弥补了腹腔镜技术的缺点，例如消除生理性震颤、模拟机械手的高度灵活性、高清3D手术视觉和舒适的远程控制台。但是，目前国内的机器人手术系统依然面临触觉反馈缺失、费用较高、手术时长增加等挑战。本文旨在阐述机器人胃癌手术的应用现状，分析其核心优势与现存局限，并展望其未来发展前景。

关键词：机器人；腹腔镜；胃癌；手术

Abstract：

Gastric cancer remains one of the most prevalent malignancies worldwide, ranking as the fifth leading cause of cancer-related mortality. Despite advancements in multimodal therapies, surgical resection remains the cornerstone of treatment, with techniques evolving from traditional open surgery to minimally invasive approaches such as laparoscopic and robotic-assisted procedures. Laparoscopic gastrectomy has demonstrated comparable long-term survival outcomes to open surgery while offering superior short-term benefits. However, inherent technical limitations of laparoscopy persist, which robotic systems effectively address—eliminating physiological tremor, providing enhanced dexterity through articulated instruments, delivering high-definition 3D visualization, and enabling ergonomic remote console operation. Nevertheless, current robotic surgical systems in China face challenges, including the absence of haptic feedback, elevated costs, and prolonged operative times. This article delineates the current applications of robotic gastrectomy, analyzes its advantages and limitations, and explores future directions for innovation.

Key words：Robotic surgery; Laparoscopy; Gastric cancer; Surgery

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