Department of Surgery, University of California at San Diego, CA, USA.
Int J Med Robot. 2012 Jun;8(2):178-83. doi: 10.1002/rcs.445. Epub 2011 Nov 24.
There is a paucity of literature reporting minimally invasive proctectomy for ulcerative colitis (UC). We report a novel application of a robotic system to perform restorative proctectomy in patients with toxic UC.
Retrospective review, case series report.
Robotic-assisted laparoscopic proctectomy with ileal J-pouch anal anastomosis was performed in three patients with toxic UC. All patients previously underwent urgent laparoscopic total abdominal colectomy. One female and two male patients were aged 39, 24 and 43, respectively. The procedures were performed safely with minimal complications. The robotic proctectomy operative time was reduced from 134 to 106 min. None of the patients have experienced fecal incontinence, nocturnal seepage or sexual dysfunction.
This is a case series report of a robotic-assisted laparoscopic proctectomy with restorative ileal J-pouch in patients with toxic UC. This technique has been previously described for use in patients with medically refractory UC and neoplasia associated with chronic UC. This series exemplifies an ideal application of a robotic system with improved visibility, rotation and ergonomics.
目前，微创治疗溃疡性结肠炎（UC）的文献报道较少。我们报告了一种新型机器人系统在治疗中毒性 UC 患者中的应用。
回顾性病例系列研究。
3 例中毒性 UC 患者接受了机器人辅助腹腔镜直肠切除术和回肠 J 袋肛门吻合术。所有患者均先前接受过紧急腹腔镜全腹结肠切除术。1 名女性和 2 名男性患者的年龄分别为 39 岁、24 岁和 43 岁。手术均安全进行，并发症少。机器人直肠切除术的手术时间从 134 分钟缩短至 106 分钟。无患者发生大便失禁、夜间渗漏或性功能障碍。
这是一系列使用机器人辅助腹腔镜直肠切除术和恢复性回肠 J 袋治疗中毒性 UC 的病例报告。该技术先前已用于治疗药物难治性 UC 和与慢性 UC 相关的肿瘤。该系列展示了一种具有更好的可视性、旋转性和人体工程学的机器人系统的理想应用。
