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机器人辅助手术后的端口部位转移:系统评价。

Port site metastases after robot-assisted surgery: a systematic review.

机构信息

IASO Maternity Hospital, Athens, Greece.

出版信息

Int J Med Robot. 2013 Dec;9(4):423-7. doi: 10.1002/rcs.1512. Epub 2013 Jun 3.

DOI:10.1002/rcs.1512
PMID:23733632
Abstract

BACKGROUND

Robotic surgery is a new technique and the aim of this study was to review the available literature on robotic port-site metastasis in oncological patients.

METHODS

The results of this study were retrieved after performing a systematic electronic search in PubMed, Scopus and Cochrane databases.

RESULTS

In total 204 patients were included in the study, of which five had robotic port-site metastasis. Their age ranged from 35-77 years. The types of cancers causing port-site metastasis were one squamous cell cervical carcinoma, two cervical adenocarcinomas, one gallbladder carcinoma and one transitional cell bladder carcinoma. The port-site metastasis occurred from 3 weeks up to 18 months postoperatively with the tumor measuring from 1.1 to 10.5 cm.

CONCLUSIONS

Port-site metastasis is an extremely rare complication of robotic surgery. No safe conclusion can be drawn, but the aim of this study was to raise doctors' suspicion levels to such a rare new entity.

摘要

背景

机器人手术是一种新技术,本研究旨在回顾关于肿瘤患者机器人端口部位转移的现有文献。

方法

在 PubMed、Scopus 和 Cochrane 数据库中进行系统的电子检索后,得出了本研究的结果。

结果

共有 204 名患者纳入本研究,其中 5 名患者发生机器人端口部位转移。他们的年龄为 35-77 岁。引起端口部位转移的癌症类型包括:1 例宫颈鳞癌、2 例宫颈腺癌、1 例胆囊癌和 1 例移行细胞膀胱癌。术后 3 周到 18 个月发生端口部位转移,肿瘤大小从 1.1 厘米到 10.5 厘米不等。

结论

端口部位转移是机器人手术的一种极其罕见的并发症。不能得出安全的结论,但本研究的目的是提高医生对这种罕见的新实体的警惕性。

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