Ito Fumito, Jarrard David, Gould Jon C
Department of Surgery, Division of General Surgery, University of Wisconsin School of Medicine and Public Health, Clinical Science Center, Madison, Wisconsin 53792, USA.
J Laparoendosc Adv Surg Tech A. 2008 Jun;18(3):397-9. doi: 10.1089/lap.2007.0093.
Inguinal hernias are commonly encountered at the time of radical retropubic prostatectomy. Concurrent inguinal hernia repair and prostatectomy is well described for the open and traditional laparoscopic approach. Robotic prostatectomy is the fastest growing treatment of prostate cancer. Concurrent robotic prostatectomy and robotic inguinal hernia repair has not been previously described. We recently performed such a procedure and describe our technique and impressions of this approach in this paper. The robotic surgical system allowed for the secure and efficient closure of the large transabdominal peritoneal flap following the preperitoneal placement of the mesh prosthesis. The robotic operating console provides the surgeon with a more comfortable, ergonomic position than is possible in a traditional laparoscopic approach. Robotic inguinal hernia repair is feasible immediately following robotic prostatectomy and may have certain advantages over alternative techniques.
腹股沟疝在耻骨后根治性前列腺切除术时较为常见。对于开放手术和传统腹腔镜手术方式，同期进行腹股沟疝修补和前列腺切除术已有详尽描述。机器人辅助前列腺切除术是前列腺癌治疗中发展最快的术式。此前尚未有关于同期机器人辅助前列腺切除术和机器人辅助腹股沟疝修补术的报道。我们最近实施了这样一台手术，并在本文中描述我们的技术及对该手术方式的体会。在腹膜前放置补片假体后，机器人手术系统能够安全、有效地闭合大的经腹腹膜瓣。与传统腹腔镜手术方式相比，机器人手术操作控制台能为外科医生提供更舒适、符合人体工程学的体位。机器人辅助腹股沟疝修补术在机器人辅助前列腺切除术后立即进行是可行的，并且可能比其他技术具有某些优势。
