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机器人辅助右半结肠切除术:手术技术及文献综述

Robot-assisted right colectomy: surgical technique and review of the literature.

作者信息

Witkiewicz Wojciech, Zawadzki Marek, Rząca Marek, Obuszko Zbigniew, Czarnecki Roman, Turek Jakub, Marecik Sławomir

机构信息

;

出版信息

Wideochir Inne Tech Maloinwazyjne. 2013 Sep;8(3):253-7. doi: 10.5114/wiitm.2011.33761. Epub 2013 Mar 6.

Abstract

Following the successful introduction of robotic surgery to the field of urology and gynecology, its use gained even more interest among those in the field of colorectal surgery. Rectal resection is believed to be among the best suited for robotic assistance. In particular, the right hemicolectomy procedure has been proposed as a training tool in order to gain clinical experience with the robot. This article and attached video demonstrates, in detail, the robot-assisted right hemicolectomy, including key landmarks of the procedure. The case presented involved a 58-year-old man with an advanced cecal adenocarcinoma. In our opinionrobot-assisted right colon resection is a procedure that offers particular value for the novice robotic team who is in the beginning stages of their colorectal surgery experience. Although no concrete advantages for use of the robot in this particular procedure have been demonstrated in the literature, because it is a relatively straightforward and simple procedure, it can serve as a valuable training tool for the novice robotic surgeon.

摘要

在机器人手术成功引入泌尿外科和妇科领域之后,其在结直肠外科领域愈发受到关注。直肠切除术被认为是最适合机器人辅助的手术之一。特别是,右半结肠切除术已被提议作为一种训练工具,以便积累使用机器人的临床经验。本文及附带视频详细展示了机器人辅助右半结肠切除术,包括该手术的关键标志。所呈现的病例是一名58岁患有晚期盲肠腺癌的男性。我们认为,对于处于结直肠手术经验初期的新手机器人手术团队而言,机器人辅助右半结肠切除术具有特殊价值。尽管文献中尚未证明在这一特定手术中使用机器人有具体优势,但由于该手术相对直接且简单,它可作为新手机器人外科医生的宝贵训练工具。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72c3/3796720/773a3659a6f0/WIITM-8-20395-g001.jpg

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