本研究报道了 2024 年 9 月温州医科大学附属第一医院开展的 1 例虚拟现实头戴式显示设备联合国产手术机器人辅助腹 腔镜下中低位直肠癌根治术，并总结分析了 PubMed、X-mol、中国知网（CNKI）和万方数据库的相关文献，检索时间范围从 建库开始至 2024 年 9 月。手术顺利完成，患者术后无相关并发症发生，切口愈合良好、恢复快。检索的 27 篇相关文献均显 示此术式可获得令人满意的效果，表明 VR 技术联合机器人辅助腹腔镜手术治疗中低位直肠癌是安全、有效的，值得临床推广。

A case of virtual reality (VR) head-mounted display combined with domestic surgical robot-assisted laparoscopic radical resection for mid-to-low rectal cancer is reported in this paper, which was performed at the First Affiliated Hospital of Wenzhou Medical University in September 2024. A systematic literature review was conducted across PubMed, X-mol, CNKI, and Wanfang databases, encompassing all available studies from database inception to September 2024. The surgery went successfully and the patient recovered well with excellent wound healing and rapid convalescence, no surgical complications was observed. Analysis of 27 retrieved studies consistently showed favorable outcomes with this technique. These findings collectively support the conclusion that VR technology combined with robot-assisted laparoscopic surgery is a safe and clinically effective approach for mid-to-low rectal cancer resection, which is worthy of clinical promotion.

引用格式：吴建霖，饶尚锐，林季，等 . 虚拟现实联合国产手术机器人辅助腹腔镜下中低位直肠癌根治术一例报道（附手术视频）[J]. 机器 人外科学杂志（中英文），2025，6（5）：746-750. 

Citation: WU J L, RAO S R, LIN J, et al. VR technology combined with domestic surgical robot-assisted laparoscopic radical resection for  mid-to-low rectal cancer: a case report (with surgical video) [J]. Chinese Journal of Robotic Surgery, 2025, 6(5): 746-750. 

通讯作者（Corresponding Author）：孙维建（SUN Weijian），Email：fame198288@126.com

[1] Siegel R L, Miller K D, Jemal A. Cancer statistics, 2018[J]. CA: a cancer journal for clinicians, 2018, 68(1): 7-30. 

[2] Henley S J, Singh S D, King J, et al. Invasive cancer incidence and survival—United States, 2011[J]. MMWR Morb Mortal Wkly Rep, 2015, 64(9): 237-242. 

[3] Ferlay J, Colombet M, Soerjomataram I, et al. Estimating the global cancer incidence and mortality in 2018: GLOBOCAN sources and methods[J]. International journal of cancer, 2019, 144(8): 1941-1953. 

[4] Leung K L, Kwok S P Y, Lam S C W, et al. Laparoscopic resection of rectosigmoid carcinoma: prospective randomised trial[J]. The Lancet, 2004, 363(9416): 1187-1192.

[5] Keller D S, Berho M, Perez R O, et al. The multidisciplinary management of rectal cancer[J]. Nature Reviews Gastroenterology & Hepatology, 2020, 17(7): 414-429. 

[6] Friedrich P, Wolleb J, Bieder F, et al. Point cloud diffusion models for automatic implant generation[C]//International Conference on Medical Image Computing and Computer-Assisted Intervention. Cham: Springer Nature Switzerland, 2023: 112-122. 

[7] FENG Q Y, YUAN W T, LI T Y, et al. Robotic versus laparoscopic surgery for middle and low rectal cancer (REAL): short-term outcomes of a multicentre randomised controlled trial[J]. The lancet Gastroenterology & hepatology, 2022, 7(11): 991-1004. 

[8] XU J M, TANG B, LI T Y, et al. Robotic colorectal cancer surgery in China: a nationwide retrospective observational study[J]. Surgical endoscopy, 2021, 35(12): 6591-6603. 

[9] LIU C K, LI X Q, WANG Q F. Postoperative complications observed with robotic versus laparoscopic surgery for the treatment of rectal cancer: an updated meta-analysis of recently published studies[J]. Medicine, 2021, 100(36): e27158. 

[10] WU Y X, HU K Y, CHEN D Z, et al. AI-Enhanced Virtual Reality in Medicine: A Comprehensive Survey[J]. arXiv, 2024. DOI: arXiv-2402.03093. 

[11] 吴辰 , 张丽 , 马超 , 等 . 虚拟现实技术在疼痛治疗领域的研究进展 [J]. 协和医学杂志 , 2024, 15(2): 272-278. 

[12] 杨晓梅 , 孙巧梅 , 李莎莎 , 等 . 虚拟现实技术对全麻手术患儿术前焦 虑干预效果的 Meta 分析 [J]. 分子影像学杂志 , 2024, 47(9): 977-983. 

[13] LIU C K, LI X Q, WANG Q F. Postoperative complications observed with robotic versus laparoscopic surgery for the treatment of rectal cancer: an updated meta-analysis of recently published studies[J]. Medicine, 2021, 100(36): e27158. 

[14] Nagtegaal I D, Quirke P. What is the role for the circumferential margin in the modern treatment of rectal cancer?[J]. Journal of Clinical Oncology, 2008, 26(2): 303-312. 

[15] Moran B J, Holm T, Brannagan G, et al. The English national low rectal cancer development programme: key messages and future perspectives[J]. Colorectal disease, 2014, 16(3): 173-178. 

[16] Fleshman J, Branda M E, Sargent D J, et al. Disease-free survival and local recurrence for laparoscopic resection compared with open resection of stage II to III rectal cancer: follow-up results of the ACOSOG Z6051 randomized controlled trial[J]. Annals of surgery, 2019, 269(4): 589-595. 

[17] Stevenson A R L, Solomon M J, Brown C S B, et al. Disease-free survival and local recurrence after laparoscopic-assisted resection or open resection for rectal cancer: the Australasian laparoscopic cancer of the rectum randomized clinical trial[J]. Annals of surgery, 2019, 269(4): 596-602. 

[18] Doughty M, Singh K, Ghugre N R. SurgeonAssist-Net: towards contextaware head-mounted display-based augmented reality for surgical guidance[C]//Medical Image Computing and Computer Assisted Intervention-MICCAI 2021: 24th International Conference, Strasbourg, France, September 27-October 1, 2021, Proceedings, Part IV 24. Springer International Publishing, 2021: 667-677. 

[19] Seenivasan L, Islam M, Kannan G, et al. SurgicalGPT: end-to-end language-vision GPT for visual question answering in surgery[C]// International conference on medical image computing and computerassisted intervention. Cham: Springer Nature Switzerland, 2023: 281-290. 

[20] Keller D S, Berho M, Perez R O, et al. The multidisciplinary management of rectal cancer[J]. Nature Reviews Gastroenterology & Hepatology, 2020, 17(7): 414-429. 

[21] Park I J, Choi G S, Lim K H, et al. Multidimensional analysis of the learning curve for laparoscopic colorectal surgery: lessons from 1, 000 cases of laparoscopic colorectal surgery[J]. Surgical endoscopy, 2009, 23(4): 839-846. 

[22] 毛翌皓 , 冯青阳 , 许剑民 . 人工智能时代机器人结直肠癌手术的现状 及进展 [J]. 中华消化外科杂志 , 2024, 23(4): 573-578. 

[23] Mak T W C, Lee J F Y, Futaba K, et al. Robotic surgery for rectal cancer: a systematic review of current practice[J]. World Journal of Gastrointestinal Oncology, 2014, 6(6): 184. 

[24] LIU G, ZHANG S J, ZHANG Y, et al. Robotic surgery in rectal cancer: potential, challenges, and opportunities[J]. Current Treatment Options in Oncology, 2022, 23(7): 961-979. 

[25] Bukas C, Jian B, Rodríguez Venegas L F, et al. Patient-specific virtual spine straightening and vertebra inpainting: an automatic framework for osteoplasty planning[C]//Medical Image Computing and Computer Assisted Intervention-MICCAI 2021: 24th International Conference, Strasbourg, France, September 27-October 1, 2021, Proceedings, Part IV 24. Springer International Publishing, 2021: 529-539. 

[26] Chatterjee S, Das S, Ganguly K, et al. Advancements in robotic surgery: innovations, challenges and future prospects[J]. Journal of Robotic Surgery, 2024, 18(1): 28. 

[27] Szeskin A, Rochman S, Weiss S, et al. Liver lesion changes analysis in longitudinal CECT scans by simultaneous deep learning voxel classification with SimU-Net[J]. Medical Image Analysis, 2023. DOI: 10.1016/j.media.2022.102675. 

[28] Gsaxner C, LI J N, Pepe A, et al. Inside-out instrument tracking for surgical navigation in augmented reality[C]//Proceedings of the 27th ACM symposium on virtual reality software and technology. 2021: 1-11. 

[29] Nwoye C I, Yu T, Gonzalez C, et al. Rendezvous: Attention mechanisms for the recognition of surgical action triplets in endoscopic videos[J]. Medical Image Analysis, 2022. DOI: 10.1016/j.media.2022.102433. 

[30] Jamzad A, Fooladgar F, Connolly L, et al. Bridging Ex-Vivo Training and Intra-operative Deployment for Surgical Margin Assessment with Evidential Graph Transformer[C]//International Conference on Medical Image Computing and Computer-Assisted Intervention. Cham: Springer Nature Switzerland, 2023: 562-571.