2nd Department of Obstetrics and Gynecology, Santa Chiara Hospital, Pisa, Italy.
J Minim Invasive Gynecol. 2013 Jan-Feb;20(1):115-8. doi: 10.1016/j.jmig.2012.08.780.
Laparoscopic management of major vessel lesion is a challenging task during pelvic lymphadenectomy, and conversion is frequently necessary. Robotic surgery overcomes the limits of laparoscopy in vascular suturing. We describe a case of a 79-year-old woman with stage IB G3 endometrial adenocarcinoma, where an external iliac vein injury occurred during pelvic lymphadenectomy. This is the first case report that describes robotic management of a major vascular injury during pelvic lymphadenectomy by use of endoscopic bulldog clamps and robotic intracorporeal vascular sutures.
腹腔镜下处理主要血管病变是盆腔淋巴结清扫术中的一项挑战任务，通常需要进行中转开腹。机器人手术克服了腹腔镜在血管缝合方面的局限性。我们报告了一例 79 岁的 stage IB G3 子宫内膜腺癌患者，在盆腔淋巴结清扫术中发生了髂外静脉损伤。这是首例描述使用内镜式止血夹和机器人体内血管缝合技术处理盆腔淋巴结清扫术中主要血管损伤的病例报告。
