使用达芬奇®机器人系统对奇莱迪蒂综合征进行手术治疗。
Surgical management of Chilaiditi syndrome with da Vinci® robotic system.
作者信息
Garcia Olga, Rayhrer Constanze
机构信息
Department of General Surgery, Community Memorial Hospital, 147 North Brent Street Ventura, CA, 93003 USA.
Department of General Surgery, Community Memorial Hospital, 2605 Loma Vista Road, Ventura, CA, 93003 USA.
出版信息
Int J Surg Case Rep. 2017 Nov 16;41:450-452. doi: 10.1016/j.ijscr.2017.10.066. eCollection 2017.
INTRODUCTION
Chilaiditi's syndrome is a combination of radiographic finding of hepato-diaphragmatic interposition of intestine with gastrointestinal symptoms which sometimes requires operative intervention. This is, to our knowledge, the first report of robotic-assisted technique for surgical management of this rare condition.
PRESENTATION OF CASE
We report a case of 85-year-old woman with persistent pain and diarrhea from Chilaiditi's syndrome who underwent robotic-assisted colopexy with good outcome.
DISCUSSION
Robotic-assisted surgery offers great visualization and high degree of instrument maneuverability, thus shortening operative time and provides patient with other benefits of minimally-invasive surgery such as minimal pain and excellent cosmesis.
CONCLUSION
Robotic-assisted surgical technique allowed quick recovery and return to baseline function for a frustrated elderly patient.
引言
奇莱迪蒂综合征是指肠肝膈间位的影像学表现与胃肠道症状并存，有时需要手术干预。据我们所知，这是首例关于应用机器人辅助技术手术治疗该罕见病症的报告。
病例介绍
我们报告一例85岁女性奇莱迪蒂综合征患者，有持续疼痛和腹泻症状，接受机器人辅助结肠固定术，效果良好。
讨论
机器人辅助手术具有极佳的视野和高度的器械可操作性，从而缩短手术时间，并为患者带来微创手术的其他益处，如疼痛轻微和美容效果极佳。
结论
机器人辅助手术技术使一位饱受困扰的老年患者快速康复并恢复至基线功能。
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