机器人经腹腔肾下主动脉淋巴结切除术：技术与结果。
Robotic transperitoneal infrarenal aortic lymphadenectomy: technique and results.
机构信息
Division of Gynecologic Oncology, Mayo Clinic, 13400 E Shea Blvd, Scottsdale, AZ 85259, USA.
出版信息
Int J Gynecol Cancer. 2010 Jan;20(1):184-7. doi: 10.1111/IGC.0b013e3181c208e4.
INTRODUCTION
This study was designed to evaluate the feasibility and the results of robotic transperitoneal infrarenal aortic lymphadenectomy.
METHODS
Development of a technique of robotic transperitoneal infrarenal aortic lymphadenectomy in female cadavers and review of the results in 33 patients who underwent the newly developed technique as part of the surgical treatment of gynecologic malignancies.
RESULTS
The mean console time was 42 minutes (range, 19-64 minutes). The mean number of nodes was 12.9 (range, 2-27); the mean number of positive nodes was 2.6 (range, 0-8). There was 1 conversion to laparotomy.
CONCLUSIONS
Robotic transperitoneal infrarenal aortic lymphadenectomy can be performed adequately and safely with the robotic column at the patient's head. Operating table rotation and additional trocar sites are needed when used in conjunction with robotic pelvic surgery.
简介
本研究旨在评估机器人经腹腔肾下主动脉淋巴结切除术的可行性和结果。
方法
在女性尸体上开发机器人经腹腔肾下主动脉淋巴结切除术技术，并回顾 33 例接受新开发技术作为妇科恶性肿瘤手术治疗一部分的患者的结果。
结果
控制台时间平均为 42 分钟（范围 19-64 分钟）。平均淋巴结数量为 12.9 个（范围 2-27 个）；平均阳性淋巴结数量为 2.6 个（范围 0-8 个）。有 1 例转为剖腹手术。
结论
机器人经腹腔肾下主动脉淋巴结切除术可以在患者头部的机器人柱上安全、充分地进行。当与机器人盆腔手术联合使用时，需要旋转手术台和增加 trocar 部位。
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