首例全机器人辅助部分肾切除术与结直肠切除术联合应用：结果与新视角。
First cases of combined full robotic partial nephrectomy and colorectal resections: Results and new perspectives.
机构信息
Department of General, Emergency Surgery and New Technologies, Baggiovara General Hospital, Modena, Italy.
Department of Urology, Baggiovara General Hospital, University of Modena and Reggio Emilia, Modena, Italy.
出版信息
Int J Med Robot. 2020 Oct;16(5):1-7. doi: 10.1002/rcs.2131. Epub 2020 Jun 24.
BACKGROUND
Nowadays the robotic platform is widespread in general surgery, urology, and gynecology. Combined surgery may represent an alternative to sequential procedures and it allows the treatment, at the same time, of coexisting lesions; in this perspective, full-robotic multiorgan surgery is starting to gain interest from surgeons worldwide.
METHODS
Between April and June 2019, two patients presenting with synchronous colorectal and kidney cancers underwent, respectively, full-robotic right colectomy with right partial nephrectomy and anterior rectal resection with left partial nephrectomy. Surgeries were performed by both the general surgery and urology team.
RESULTS
No intraoperative complications were registered and the postoperative course was uneventful in both cases.
CONCLUSIONS
Combined multiple organ surgery with full robotic technique is safe and offers oncological adequate results. A multi-team surgical pre-planning is mandatory to reduce invasiveness and operative time. To the best of our knowledge, these are the first reports of full robotic partial nephrectomy combined with colorectal procedures.
背景
如今，机器人平台在普通外科、泌尿科和妇科中广泛应用。联合手术可能是序贯手术的一种替代方法，它允许同时治疗共存的病变；在这方面，全机器人多器官手术开始引起全球外科医生的兴趣。
方法
在 2019 年 4 月至 6 月期间，两名同时患有结直肠和肾癌的患者分别接受了全机器人右半结肠切除术和右部分肾切除术，以及前直肠切除术和左部分肾切除术。手术由普通外科和泌尿科团队共同完成。
结果
两名患者均未发生术中并发症，术后过程均无异常。
结论
全机器人技术联合多器官手术是安全的，并提供了足够的肿瘤学结果。多团队手术前规划是必要的，以减少侵袭性和手术时间。据我们所知，这是首次全机器人部分肾切除术与结直肠手术相结合的报道。
Zotero 插件