机器人辅助巨大食管裂孔疝修补术：3年前瞻性评估及文献综述
Robotic giant hiatal hernia repair: 3 year prospective evaluation and review of the literature.
作者信息
Morelli Luca, Guadagni Simone, Mariniello Maria Donatella, Pisano Roberta, D'Isidoro Cristiano, Belluomini Mario Antonio, Caprili Giovanni, Di Candio Giulio, Mosca Franco
机构信息
General Surgery unit, Department of Oncology, Transplantation and New Technologies, University of Pisa, Italy; EndoCAS (Centre for Computer Assisted Surgery), University of Pisa, Italy.
出版信息
Int J Med Robot. 2015 Mar;11(1):1-7. doi: 10.1002/rcs.1595. Epub 2014 May 28.
BACKGROUND
While conventional laparoscopic repair for giant hiatal hernias is considered difficult, robotic technology is likely to result in an improved postoperative course.
METHODS
We prospectively analysed patients with giant hiatal hernias who underwent robotic repair during a 3 year period. Preoperative data, operative variables, complications, clinical outcomes and anatomical recurrence after 1 year were evaluated.
RESULTS
Six patients with giant hiatal hernias underwent robotic repair using the Da Vinci surgical system. The mean operative time was 182 min. The mean hospital stay was 6 days. No patients required reoperation for disease recurrence, and all claimed the absence of postoperative symptoms.
CONCLUSIONS
Robotic approaches can minimize surgical trauma in patients with giant hiatal hernias and result in favourable outcomes in terms of anatomical recurrence and quality of life. With the availability of the da Vinci System, all patients with giant hiatal hernias can be offered a minimally invasive surgical option.
背景
虽然传统的腹腔镜修复巨大食管裂孔疝被认为具有挑战性，但机器人技术可能会改善术后病程。
方法
我们前瞻性分析了在3年期间接受机器人修复的巨大食管裂孔疝患者。评估了术前数据、手术变量、并发症、临床结果以及1年后的解剖学复发情况。
结果
6例巨大食管裂孔疝患者使用达芬奇手术系统进行了机器人修复。平均手术时间为182分钟。平均住院时间为6天。没有患者因疾病复发需要再次手术，所有患者均表示术后无症状。
结论
机器人手术方法可以将巨大食管裂孔疝患者的手术创伤降至最低，并在解剖学复发和生活质量方面产生良好的结果。随着达芬奇系统的应用，所有巨大食管裂孔疝患者都可以获得微创手术选择。
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