Department of Surgery, Division of Colorectal Surgery, College of Medicine, Drexel University, Philadelphia, PA 19102, USA.
Int J Med Robot. 2011 Jun;7(2):127-30. doi: 10.1002/rcs.378. Epub 2011 Mar 10.
Minimally invasive colon surgery was first described in the early 1990s, decreasing the morbidity compared with open procedures. Recently, single port laparoscopy has emerged, with reports of applications to colon surgery. Although feasible, many new technical challenges exist.
An optimal operative technique for colon resection entirely through the umbilicus, using a robot and a GelPort is described.
The robotic advantages of visualization and articulation minimize the disadvantages of single incision surgery. Programming the robotic arms in reverse decreases instrument clashing. In addition, the GelPort allows for trocar spacing and freedom of placement while providing a wound protector for specimen extraction.
As single port surgery develops, disadvantages must be overcome. Using a combination of the robot and GelPort, these disadvantages are addressed and minimized.
微创结肠手术最早于 20 世纪 90 年代初被描述，与开放性手术相比，其发病率降低。最近，单孔腹腔镜技术出现，并已报道将其应用于结肠手术。尽管该技术可行，但仍存在许多新的技术挑战。
我们描述了一种经脐部完全使用机器人和 GelPort 进行结肠切除术的最佳手术技术。
机器人具有良好的可视化和可操作性，可最大限度地减少单切口手术的缺点。反向编程机器人手臂可减少器械碰撞。此外，GelPort 允许套管针间距和放置自由，同时为标本取出提供伤口保护器。
随着单孔手术的发展，必须克服其缺点。通过结合使用机器人和 GelPort，可解决并最小化这些缺点。
