机器人腕式技术开窗术治疗巨大肝囊肿。
Robotic fenestration of massive liver cysts using EndoWrist technology.
机构信息
Department of HPB Surgery, The Freeman Hospital, Newcastle upon Tyne, UK.
出版信息
Int J Med Robot. 2019 Aug;15(4):e1994. doi: 10.1002/rcs.1994. Epub 2019 Apr 17.
BACKGROUND
We present the short-term outcomes of robotic fenestration of symptomatic liver cysts using the EndoWrist One Vessel Sealer.
METHODS
Data from patients who underwent robotic deroofing were collected and analysed retrospectively.
RESULTS
A total of 17 patients were treated. Mean cyst size was 14 cm (median 15 cm, range 6.3-24). Seven cysts were in posterosuperior or central segments. There were no mortalities or conversions. Blood loss was minimal in all but one case of 200 ml. Mean operating time was 174 minutes (median 170 min, range 97-335). Mean hospital stay was 2.5 days (median 2 days, range 1-10). One patient developed a bile leak requiring ERCP. There are no recurrences with a median follow-up of 19 months.
CONCLUSION
Robotic fenestration can be safely performed and offers distinct advantages over the laparoscopic approach in the treatment of posterosuperior and perihilar cysts at the expense of longer operating times and increased cost.
背景
我们介绍了使用 EndoWrist One Vessel Sealer 对有症状的肝囊肿进行机器人开窗术的短期结果。
方法
回顾性收集并分析了接受机器人去顶术患者的数据。
结果
共治疗了 17 名患者。平均囊肿大小为 14cm（中位数 15cm，范围 6.3-24）。7 个囊肿位于后上或中央段。无死亡或中转开腹。除了 1 例失血 200ml 外，其余患者出血量均较少。平均手术时间为 174 分钟（中位数 170 分钟，范围 97-335）。平均住院时间为 2.5 天（中位数 2 天，范围 1-10）。1 例患者发生胆汁漏，需要行 ERCP 治疗。中位随访 19 个月无复发。
结论
机器人开窗术安全可行，与腹腔镜相比，在治疗后上和近旁肝囊肿方面具有明显优势，但手术时间更长，费用增加。
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