Taner Usta, Aysel Ozkaynak, Ahmet Kale, Gulfem Basol
Department of Obstetrics and Gynecology, Acibadem Altunizade Hospital, University of 7 Acibadem, Istanbul, Turkey.
Department of Obstetrics and Gynecology, Dr.Lütfi Kırdar training and research Hospital, Istanbul, Turkey.
J Obstet Gynaecol Res. 2019 Aug;45(8):1603-1607. doi: 10.1111/jog.14008. Epub 2019 Jun 10.
The aim of this case report is to demonstrate the robot-assisted laparoscopic decompression approach to treat the aberrant vessels entrapping the sacral nerves causing pelvic pain. A 34-year-old female patient had been complaining about pelvic pain on the left perineal region which was radiating to the sacral 1-2 nerves dermatome for 3 years. Decompression of sacral nerve roots and sciatic nerve was performed via robot-assisted and a four-arm Da Vinci Si Surgical System laparoscopic approach. This case report is the first presentation of robot-assisted laparoscopic management of a vascular entrapment of the sacral nerve roots. The robotic technique offers, three-dimensional vision, improved maneuverability and enhanced ergonomics in the deepest area in the pelvis and could be a valid alternative to laparoscopy in the treatment of intrapelvic neurovascular entrapments.
本病例报告的目的是展示机器人辅助腹腔镜减压方法，以治疗压迫骶神经导致盆腔疼痛的异常血管。一名34岁女性患者，左侧会阴区盆腔疼痛并向骶1 - 2神经皮节放射，持续3年。通过机器人辅助和四臂达芬奇Si手术系统腹腔镜方法对骶神经根和坐骨神经进行减压。本病例报告首次展示了机器人辅助腹腔镜治疗骶神经根血管压迫。机器人技术提供了三维视野，在盆腔最深处提高了可操作性并改善了人体工程学，在治疗盆腔内神经血管压迫方面可能是腹腔镜的有效替代方法。
