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机器人辅助腹腔镜下腹主动脉双股动脉搭桥术治疗主髂动脉闭塞性疾病:两例报告

Robot-assisted laparoscopic aortobifemoral bypass for aortoiliac occlusive disease: a report of two cases.

作者信息

Wisselink Willem, Cuesta Miguel A, Gracia Carlos, Rauwerda Jan A

机构信息

Department of Surgery, Vrije Universiteit Medical Center, The Netherlands.

出版信息

J Vasc Surg. 2002 Nov;36(5):1079-82. doi: 10.1067/mva.2002.128312.

DOI:10.1067/mva.2002.128312
PMID:12422124
Abstract

This article describes the use of robotic technology in laparoscopic aortobifemoral bypass grafting. In two patients with disabling intermittent claudication on the basis of severe aortoiliac occlusive disease, laparoscopic aortobifemoral bypass grafting was performed with a proximal end-to-side anastomosis constructed with robotic arms that had been mounted on the operating table and were controlled from a separate console. No complications occurred. Operating times were 290 and 260 minutes, and aortic anastomosis times were 48 and 37 minutes, respectively. Blood loss was less than 200 mL in both cases. A normal diet was resumed on the second postoperative day, and the patients were discharged home on postoperative days 4 and 6. To our knowledge, this is the first report on robot-assisted laparoscopic aortobifemoral bypass in the world literature.

摘要

本文描述了机器人技术在腹腔镜主动脉双股动脉搭桥术中的应用。在两名因严重主髂动脉闭塞性疾病而导致致残性间歇性跛行的患者中,采用安装在手术台上并由独立控制台控制的机械臂进行了近端端侧吻合的腹腔镜主动脉双股动脉搭桥术。未发生并发症。手术时间分别为290分钟和260分钟,主动脉吻合时间分别为48分钟和37分钟。两例患者的失血量均少于200毫升。术后第二天恢复正常饮食,患者分别于术后第4天和第6天出院回家。据我们所知,这是世界文献中关于机器人辅助腹腔镜主动脉双股动脉搭桥术的首例报道。

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