MetroHealth Medical Center, Cleveland, OH, 44109, USA.
J Robot Surg. 2010 Jan;3(4):253-5. doi: 10.1007/s11701-010-0170-6. Epub 2010 Jan 22.
Current laparoscopic and robotic hysterectomy techniques require three to five small incisions in the abdominal wall. Each additional port contributes an additional risk for port site complications. Because of these risks, and in an effort to improve cosmesis, surgery through a single incision is being explored. New versatile robot devices can provide a less cumbersome and less expensive alternative to the conventional multi-arm robot devices. In the case reported here, that of a 37-year-old female undergoing hysterectomy, we combined the use of these two technologies in a novel way. By utilizing a single laparoscopic port site in addition to two lightweight robotic endoscope assistants, we were able to decrease risk and improve cosmesis while allowing single-operator control of all instrumentation. The novel use of this robotic device demonstrates a potential decrease in the need for surgical assistants and thus a decrease in cost. When combined with single-site laparoscopy, it also allows the surgeon complete control of the operative environment and may enable more surgeons to embrace the single-incision technique.
目前的腹腔镜和机器人子宫切除术技术需要在腹壁上做三到五个小切口。每个额外的端口都会增加端口部位并发症的风险。出于这些风险考虑，并为了改善美容效果，人们正在探索通过单一切口进行手术。新型多功能机器人设备可以为传统的多臂机器人设备提供一种更轻便、更经济的替代方案。在本例报告中，一位 37 岁的女性接受了子宫切除术，我们以一种新颖的方式结合使用了这两种技术。通过在单个腹腔镜端口部位外加两个轻型机器人内窥镜助手，我们能够降低风险并改善美容效果，同时允许单人控制所有器械。这种新型机器人设备的使用展示了减少手术助手需求的潜力，从而降低了成本。当与单部位腹腔镜结合使用时，它还允许外科医生完全控制手术环境，并可能使更多的外科医生接受单切口技术。
