Zeybek Burak, Borahay Mostafa, Kilic Gokhan Sami
Department of Obstetrics and Gynecology, The University Of Texas Medical Branch, 301 University Blvd, Galveston, TX, 77555, USA.
J Robot Surg. 2016 Dec;10(4):361-364. doi: 10.1007/s11701-016-0585-9. Epub 2016 Apr 19.
Abdominal cerclage is found to have success rates of 85-95 % with lower incidence of preterm delivery and preterm premature rupture of membranes when compared to the vaginal approach. However, since it is more invasive, its use has been limited to selected cases. Robot-assisted abdominal cerclage is a relatively new minimally invasive technique that gives the opportunity for less invasive procedures when compared to the open technique and, when compared to conventional laparoscopy, has the advantages of 3D visualization and endowristed instrumentation. The distinctive feature of our case is the use of near infrared camera system, which is a relatively new modality in robotics and, to the best of our knowledge, this is the first report in the literature that indocyanine green dye was used to help to visualize vascular anatomy during a robotic cerclage procedure in a pregnant patient.
与经阴道途径相比，发现腹主动脉环扎术的成功率为85% - 95%，早产和胎膜早破的发生率较低。然而，由于其侵入性更强，其应用仅限于特定病例。机器人辅助腹主动脉环扎术是一种相对较新的微创技术，与开放技术相比，它提供了进行侵入性较小手术的机会，并且与传统腹腔镜检查相比，具有三维可视化和腕关节式器械的优势。我们病例的独特之处在于使用了近红外摄像系统，这是机器人技术中一种相对较新的模式，据我们所知，这是文献中首次报道在孕妇的机器人环扎手术中使用吲哚菁绿染料来帮助可视化血管解剖结构。
