编者按：为促进国际学术交流、分享结直肠外科最新手术进展，浙江大学医学院附属第二医院丁克峰教授团队精心筹办了2026“中·西·加结直肠外科临床实践研讨会”。会议特邀西班牙结直肠病学协会（AECP）主席、埃尔切通用大学医院外科主任Antonio Arroyo教授作为主讲嘉宾，带来关于Hugo机器人手术系统的深度分享。

 

本刊借此契机对Arroyo教授进行了专访。作为欧洲微创与ERAS领域的领军人物，他指出Hugo机器人手术系统的核心竞争力在于“模块化机械臂”与“开放式控制台”，这不仅优化了人机工学与术中教学，更在直肠癌及左右半结肠癌手术中实现了优于传统腹腔镜的功能性预后。谈及未来，他强调5G远程手术将打破地域限制，重塑全球医疗生态。此外，最令这位国际主委深感震撼的，是中国同行的临床硬实力，并对高强度下仍能保持的精湛技艺与“大家庭”式的人文氛围给予了高度评价。

 

Antonio Arroyo教授：从传统腹腔镜向机器人辅助手术转型，结合我们目前的临床应用经验，我认为主要有以下几个维度的优势：

 

第一，系统配置的灵活性与人机工学设计。

 

目前的模块化机械臂系统具有很高的场地适应性，我们可以在手术室之间轻松转运设备，并根据手术需求灵活调整机械臂的布局。更重要的是，开放式控制台的设计极大地优化了术者的体验——它允许术者以类似观看高清电视的坐姿进行手术，这种非隔离式的操作环境显著提升了长时间手术的舒适度。

 

第二，促进了手术团队的协同与教学。

 

开放式控制台打破了传统封闭式系统的壁垒。在手术过程中，主刀医生可以非常自然地与巡回护士、助手乃至观摩的学生进行眼神交流和语言沟通。这种开放的环境对于临床教学和团队配合来说，是一个非常显著的优势。

 

第三，临床预后的改善。

 

我们观察到，相比于传统腹腔镜，机器人系统在手术视野的暴露和精细操作的解剖层面具有明显优势。正如我们常说的，‘所见即所得’，当视野更清晰、操作更稳定时，手术质量自然更有保障。

 

最后，基于我们绘制的“雷达图”（多维指标对比）分析，无论是直肠癌还是左右半结肠癌手术，机器人辅助手术在功能性预后方面的综合评分均优于传统腹腔镜手术。这也是我们推崇该技术的核心理由。

 

There was a road from a train potentially have to have on that.One is there’s a modular system with arms separated and we have open control to work.I’m in touch reading the open console allows to be more comfortable for the salon because the ceremony is sit down like playing on TV，like playing on something is really comfortable.You can control all the environment;you can speak，especially with a nurse，with another faculty，with the students.Then really is this really good advantage in open console?In respect to modular arms，you can move very easy the robot through all the operational rooms.You can put the arm where you want.That is very flexible.This model of modular arms is cost effective.But always I see that we will robot a cooperation with laparoscopic.We can see or watch better the surgical field and you can the movements are better，then if you can see better and to do the movement easier，their results are to be better.We have a complaints，our sort of the radar concept for in laparoscopic frame versus laparoscopy，robotic.And we are see we are seeing that really the functional results are better.Then my first relation is in rectal cancer but in right and left colon.

Antonio Arroyo教授：第一个问题可能触及了机器人手术下一阶段发展的核心痛点——也就是远程连接的技术指标与可行性。坦率地说，就目前的技术与法规环境而言，要实现跨国界的稳定连接，并完成相应的医疗费用结算，确实存在客观障碍。但我想强调的是，评判机器人手术的未来，不能仅仅局限于本院或本地区的物理空间。真正的未来在于打破地理边界，实现跨国的远程协作。

 

这对于医疗机构未来引进和部署新一代机器人系统的战略决策具有决定性意义。试想一下，如果未来我们能够依托高速稳定的网络，让不同国家的顶尖外科医生协同完成同一台手术，或者进行实时的远程指导，那将彻底重塑机器人手术在全球范围内的生态系统。这不仅是一个技术命题，更是未来医疗协作的大势所趋。”

 

The first question probably concerns the metrics of connectivity，because currently there is no feasible way to establish a connection and perform remote procedures across borders.However，I want to emphasize that the future of robotic surgery lies not only in operating from another hospital within the same region，but in transcending geographical boundaries.

 

I think this is critically important for the procurement decisions and the adoption curve of new robotic users.If surgeons from other countries can operate collaboratively with us via the system，it would represent a massive leap forward.This capability is，in my opinion，vital for the future ecosystem of robotic surgery.

 

Antonio Arroyo教授：中国外科医生的专业水平给我们留下了极其深刻的印象，这里的技术设备也同样令人赞叹。

 

但更让我们感到震撼的，是这里惊人的手术吞吐量。仅这样一个团队每天就要完成15到20结直肠手术，那么这家医院一周累计下来接近50台。这是一个非常庞大的数字。

 

在高强度的病例数、先进的技术设备以及精湛的手术技巧三者结合下，取得的临床成果自然是卓越的。此外，让我深受触动的还有这里的人文氛围——整个团队展现出了一种大家庭般的凝聚力。手术室里的每一位工作人员都像家人一样相处。这次经历让我受益匪浅，尤其是这种在手术室内外贯穿始终的团队协作精神与人文关怀。

 

We are truly impressed by the level of the surgeons here in China;the technology is equally impressive.However，what is even more astonishing is the sheer volume of patients.In this team，they operate on between 15 to 20 patients each day，which amounts to roughly 50 procedures for the entire hospital by the end of the day.It is a huge number.

 

When you have such a high volume of patients combined with advanced technology and excellent surgical skills，the results are remarkable.I am also deeply impressed by the human factor—the sense of family among the entire team.The personnel in the operating room treat each other like family.I am taking home many valuable lessons from this experience，particularly the concept of teamwork and camaraderie within the surgical environment.