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Аннотация
Рак желудка сохраняет лидирующие позиции в структуре онкологической заболеваемости и смертности. Хирургическое лечение остается основным радикальным методом, при этом лапароскопический доступ, обладая доказанными преимуществами, имеет технические ограничения. Робот-ассистированная хирургия рассматривается как способ их преодоления. Целью данного обзора явился сравнительный анализ периоперационных и отдаленных результатов робот-ассистированной (РАДРЖ) и лапароскопической дистальной резекции желудка (ЛДРЖ) на основе современных научных данных. Был проведен систематический поиск публикаций в базах данных PubMed, Embase, Web of Science и Cochrane Library. Согласно данным рандомизированных исследований, РАДРЖ демонстрирует сопоставимые с ЛДРЖ или лучшие непосредственные результаты, включая уменьшение интраоперационной кровопотери и более быстрое послеоперационное восстановление. Вопрос о потенциальном превосходстве робот-ассистированной методики в отношении отдаленной онкологической эффективности (выживаемости) остается открытым и требует дальнейшего изучения в рамках крупных многоцентровых рандомизированных исследований.
Библиографические ссылки
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