腹腔镜与机器人辅助部分脾切除术治疗遗传性球形红细胞增多症：一种昂贵方法的潜在优势和局限性。
Laparoscopic versus robotic subtotal splenectomy in hereditary spherocytosis. Potential advantages and limits of an expensive approach.
机构信息
Department of General Surgery and Liver Transplantation, Fundeni Clinical Institute, 258 Fundeni Street, Bucharest, Romania.
出版信息
Surg Endosc. 2012 Oct;26(10):2802-9. doi: 10.1007/s00464-012-2249-9. Epub 2012 Apr 5.
BACKGROUND
This study was designed to compare the laparoscopic subtotal splenectomy with the robotic approach in patients with hereditary spherocytosis.
METHODS
Thirty-two consecutive subtotal splenectomies by minimal approach in patients with hereditary spherocytosis were analyzed (10 robotic vs. 22 laparoscopic subtotal splenectomies).
RESULTS
A significant difference was found for the robotic approach regarding blood loss, vascular dissection duration, and splenic remnant size. Follow-up for 4-103 months was available.
CONCLUSIONS
Subtotal splenectomy seems to be a suitable candidate for robotic surgery, requiring a delicate dissection of the splenic vessels and a correct intraoperative evaluation of the splenic remnant. Robotic subtotal splenectomy is comparable to laparoscopy in terms of hospital stay and complication. The main benefits are lower blood loss rate, vascular dissection time, and a better evaluation of the splenic remnant volume.
背景
本研究旨在比较腹腔镜与机器人技术在遗传性球形红细胞增多症患者中行脾部分切除术的效果。
方法
对 32 例行最小入路脾部分切除术的遗传性球形红细胞增多症患者进行分析（10 例机器人手术与 22 例腹腔镜手术）。
结果
机器人组在术中出血量、血管解剖时间和残脾大小方面明显优于腹腔镜组。术后随访 4-103 个月。
结论
脾部分切除术似乎是机器人手术的一个合适选择，需要对脾血管进行精细的解剖，并在术中正确评估残脾。在住院时间和并发症方面，机器人脾部分切除术与腹腔镜手术相当。机器人手术的主要优势在于出血量少、血管解剖时间短，以及更好地评估残脾体积。
Zotero 插件