Velilla G, Redondo C, Sánchez-Salas R, Rozet F, Cathelineau X
Departamento de Urología, L'Institut Mutualiste Montsouris, París, Francia.
Departamento de Urología, L'Institut Mutualiste Montsouris, París, Francia.
Actas Urol Esp (Engl Ed). 2018 Mar;42(2):77-85. doi: 10.1016/j.acuro.2016.12.010. Epub 2017 May 4.
with the widespread use of minimally invasive techniques, robot-assisted urologic surgery has become widely adopted. Despite their infrequency, visceral and gastrointestinal complications could be life-threatening.
To identify the main gastrointestinal injuries that occur in a robot-assisted urologic surgery. To know the overall incidence and how is their management.
Search in PubMed of articles related to visceral and gastrointestinal complications in robot-assisted urology surgery, written in English or Spanish. Relevant publications as well literature reviews and chapters from books were reviewed.
Along with vascular injuries, visceral and gastrointestinal lesions are among most dangerous complications. A complete preoperative study to individualize each patient characteristics and the correct use of imaging could help us to avoid complications in the first place. To know all the risky steps in the different robotic urologic procedures will let us anticipate the damage. Knowledge of main and most dangerous injuries in the different abdominal and pelvic organs is fully recommended. Early diagnosis and evaluation of lesions will let us an acute management during surgery. Recognition delay could change a repairable injury into a life-threatening situation.
Despite the undeniable benefits of robotic approach, there are minor and major gastrointestinal injuries that all urologic surgeons must know. Those related with trocar placement are especially important. Immediate diagnosis and management is mandatory.
随着微创技术的广泛应用，机器人辅助泌尿外科手术已被广泛采用。尽管其发生率较低，但内脏和胃肠道并发症可能危及生命。
确定机器人辅助泌尿外科手术中发生的主要胃肠道损伤。了解其总体发生率及其处理方式。
在PubMed中检索以英文或西班牙文撰写的与机器人辅助泌尿外科手术中的内脏和胃肠道并发症相关的文章。对相关出版物以及文献综述和书籍章节进行了审查。
除血管损伤外，内脏和胃肠道病变是最危险的并发症之一。全面的术前研究以个体化每个患者的特征并正确使用影像学检查首先有助于我们避免并发症。了解不同机器人泌尿外科手术中的所有风险步骤将使我们能够预见损伤。强烈建议了解不同腹部和盆腔器官的主要和最危险损伤。病变的早期诊断和评估将使我们能够在手术期间进行紧急处理。诊断延迟可能会将可修复的损伤转变为危及生命的情况。
尽管机器人手术方法有不可否认的益处，但所有泌尿外科医生都必须了解轻微和严重的胃肠道损伤。与套管针放置相关的损伤尤为重要。必须立即进行诊断和处理。
