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외과 영역에서 로봇 수술의 적용

Other Titles
 Application of robots in general surgery 
Authors
 김진경  ;  양승윤  ;  김성현  ;  김형일 
Citation
 JOURNAL OF THE KOREAN MEDICAL ASSOCIATION(대한의사협회지), Vol.64(10) : 678-687, 2021-10 
Journal Title
JOURNAL OF THE KOREAN MEDICAL ASSOCIATION(대한의사협회지)
ISSN
 1975-8456 
Issue Date
2021-10
Keywords
Robot surgery ; Endocrine surgical procedures ; Gastrointestinal surgery ; Colorectal surgery
Abstract
Background: Application of robotic surgery in the field of general surgery has been increasing. This paper is an
overview of the current uses and future perspectives of robotic surgery in four major divisions—endocrine, upper
gastrointestinal, hepato-biliary-pancreatic (HBP), and colorectal surgery.
Current Concepts: In endocrine surgery, cosmetic advantage is the highest priority when selecting a surgical
approach for thyroidectomy. Currently, the transaxillary route is the most common approach. The introduction of
the single-port system could maximize the advantages of this technique. In upper gastrointestinal surgery, the use of
robots has the advantage of better retrieval of lymph nodes, less bleeding, earlier discharge, and less complications
than the laparoscopic approach. However, a more prospective comparative trial is required to confirm those findings.
In the HBP field, the indications of robotic surgery have expanded, starting with cholecystectomy to more challenging
procedures, such as donor hepatectomy and pancreaticoduodenectomy. Meticulous dissection using robots could
provide benefits to patients. In colorectal surgery, robotic surgery is an excellent technical tool for minimally invasive
surgeries for rectal cancers, especially in male patients with narrow, deep pelvises. However, further studies are
required to confirm the impact of robotic surgery on rectal cancers.
Discussion and Conclusion: Robots are used to provide optimal surgical outcomes. Investigating new technologies
and innovative surgical procedures is the highly important for a surgeon in the era of minimally invasive surgery.
Files in This Item:
T202125246.pdf Download
DOI
10.5124/jkma.2021.64.10.678
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Sung Hyun(김성현) ORCID logo https://orcid.org/0000-0001-7683-9687
Kim, Jin Kyong(김진경)
Kim, Hyoung Il(김형일) ORCID logo https://orcid.org/0000-0002-6134-4523
Yang, Seung Yoon(양승윤) ORCID logo https://orcid.org/0000-0001-8129-7712
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/187754
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