机器人辅助三联神经切除术治疗医源性腹股沟疼痛：技术要点
Robot-assisted triple neurectomy for iatrogenic inguinal pain: a technical note.
作者信息
Mahan Mark A, Kader Andrew K, Brown Justin M
机构信息
Division of Neurological Surgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, AZ, 85013, USA,
出版信息
Acta Neurochir (Wien). 2014 Jan;156(1):171-5. doi: 10.1007/s00701-013-1857-z. Epub 2013 Sep 13.
BACKGROUND
Painful neuromas are a relatively common complication of hernia and abdominal wall surgery.
OBJECTIVE
Surgical neurectomy has the potential to to provide durable relief for chronic pain; however, current surgical approaches are not without morbidity or anatomical challenges.We sought a surgical alternative.
METHODS
In the treatment of a case of incapacitating inguinal pain, we performed an anterior transperitoneal approach using a surgical robot.
RESULTS
This approach was facile and provided elegant anatomical visualization.
CONCLUSION
This case describes the first known robot-assisted laparoscopic triple neurectomy and details a simplified, transperitoneal approach.
背景
疼痛性神经瘤是疝修补术和腹壁手术相对常见的并发症。
目的
手术切除神经有潜力为慢性疼痛提供持久缓解；然而，目前的手术方法并非没有发病率或解剖学挑战。我们寻求一种手术替代方案。
方法
在治疗一例导致功能丧失的腹股沟疼痛时，我们使用手术机器人进行了经腹前路手术。
结果
该方法操作简便，提供了清晰的解剖视野。
结论
本病例描述了首例已知的机器人辅助腹腔镜下三联神经切除术，并详细介绍了一种简化的经腹手术方法。
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