Hamzaoglu Ismail, Baca Bilgi, Esen Eren, Aytac Erman, Ozben Volkan, Aghayeva Afag, Bilgin Ismail A, Karahasanoglu Tayfun
Department of General Surgery, School of Medicine, Acibadem Mehmet Ali Aydinlar University, Istanbul, Turkey.
Surg Laparosc Endosc Percutan Tech. 2020 Feb;30(1):40-44. doi: 10.1097/SLE.0000000000000645.
In this study, we aimed to present our initial experience on totally robotic total restorative proctocolectomy in ulcerative colitis (UC) patients. Patients undergoing a totally robotic restorative total proctocolectomy with ileal J-pouch anal anastomosis for UC between January 2015 and November 2017 were included. The da Vinci Xi was used for the operations. Patient demographics, perioperative and short-term operative outcomes were evaluated. Ten patients were included. The median operative time was 380 minutes(range, 300 to 480 min). The median blood loss was 65 mL (range, 5 to 400 mL). No conversion to open surgery was needed. The median time to flatus was 1 day (range, 1 to 2) and length of stay was 6 (4 to 12) days. Short-term complications (≤30 d) were superficial wound infection (n=3), anal bleeding (n=1), pouchitis (n=1). No mortality was observed during the study period. Our study, which is the largest series so far, reveals that totally robotic restorative proctocolectomy is a safe and feasible option for the surgical treatment of UC.
在本研究中，我们旨在介绍我们在溃疡性结肠炎（UC）患者中进行全机器人全直肠系膜切除回肠储袋肛管吻合术的初步经验。纳入2015年1月至2017年11月期间因UC接受全机器人全直肠系膜切除回肠储袋肛管吻合术的患者。手术使用达芬奇Xi系统。评估患者的人口统计学特征、围手术期和短期手术结果。共纳入10例患者。中位手术时间为380分钟（范围300至480分钟）。中位失血量为65毫升（范围5至400毫升）。无需转为开放手术。中位排气时间为1天（范围1至2天），住院时间为6天（4至12天）。短期并发症（≤30天）包括表浅伤口感染（n = 3）、肛门出血（n = 1）、储袋炎（n = 1）。研究期间未观察到死亡病例。我们的研究是迄今为止最大的系列研究，表明全机器人全直肠系膜切除回肠储袋肛管吻合术是UC手术治疗的一种安全可行的选择。
