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完全机器人辅助下孤立性肝尾状叶切除术治疗包虫病:病例报告

Totally robotic isolated caudate-lobe liver resection for hydatid disease: report of a case.

作者信息

Di Benedetto Fabrizio, Ballarin Roberto, Tarantino Giuseppe

机构信息

Hepato-Pancreato-Biliary Surgery and Liver Transplantation Unit, University of Modena and Reggio Emilia, Modena, Italy.

出版信息

Int J Med Robot. 2016 Jun;12(2):254-61. doi: 10.1002/rcs.1685. Epub 2015 Jul 17.

Abstract

BACKGROUND

Hepatic caudatectomy has always been considered a challenging procedure, because of the complex anatomy and deep location of this segment. Herein we report the first case of a totally robotic isolated caudate-lobe liver resection ever performed for hydatid disease.

METHODS

A 55 year-old man was referred to our institution after diagnosis was made of a 5.6 cm hepatic lesion of the caudate lobe. Radiological suspicion was for hydatid disease. The patient underwent robotic-assisted hepatic caudatectomy.

RESULTS

The operative time was 280 min and the estimated blood loss was 200 ml. The postoperative course was uneventful. The drain was removed on post-operative day 3 and the patient was discharged on post-operative day 6.

CONCLUSION

Robotic resection of the caudate lobe is a technically feasible procedure, which nevertheless requires high hepato-pancreato-biliary surgery skills, both in open an mini-invasive approaches. It provides several technical advantages in the field of mini-invasive surgery, yet assuring patient safety. Copyright © 2015 John Wiley & Sons, Ltd.

摘要

背景

由于肝尾状叶解剖结构复杂且位置深在,肝尾状叶切除术一直被认为是一项具有挑战性的手术。在此,我们报告首例因包虫病而实施的全机器人孤立性肝尾状叶切除术。

方法

一名55岁男性在被诊断出肝尾状叶有一个5.6厘米的肝脏病变后转诊至我院。影像学怀疑为包虫病。该患者接受了机器人辅助肝尾状叶切除术。

结果

手术时间为280分钟,估计失血量为200毫升。术后过程顺利。术后第3天拔除引流管,术后第6天患者出院。

结论

机器人肝尾状叶切除术是一种技术上可行的手术,不过无论是开放手术还是微创手术,都需要高超的肝胰胆外科手术技巧。它在微创手术领域具有多项技术优势,同时确保患者安全。版权所有© 2015约翰·威利父子有限公司。

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