Department of Gastroenterological Surgery, Saitama Medical University International Medical Center, Hidaka, Japan.
Asian J Endosc Surg. 2021 Jan;14(1):94-96. doi: 10.1111/ases.12822. Epub 2020 Jun 21.
Informed by our experiences with reduced-port surgery for colorectal cancer, we performed the first single-incision plus two-port robotic sigmoidectomy for cancer with the Senhance robotic system. A 70-year-old woman presented to our department for the treatment of sigmoid colon cancer. We performed single-incision two-port robotic sigmoidectomy. A wound protector was inserted through a 3.0-cm transumbilical incision, a multiport access device was mounted on top of it, and then a camera port and a 5-mm assistant's port were placed in the multiport access device. Two extra ports were placed on the central line of the abdomen. Lymph node dissection around the inferior mesenteric artery and mobilization of the left-sided colon were completed without any perioperative complications. The total operative time was 204 minutes, and the console time was 113 minutes. The estimated blood loss was 75 mL. The patient was discharged on postoperative day 8 without any complications.
受我们在结直肠肿瘤的小切口手术经验的启发，我们使用 Senhance 机器人系统进行了首例单切口加两孔机器人乙状结肠癌根治术。一位 70 岁女性因乙状结肠癌就诊于我科。我们行单切口两孔机器人乙状结肠切除术。经脐部 3.0cm 切口插入一个切口保护器，保护器上安装多端口接入装置，再在多端口接入装置上置入一个镜头端口和一个 5mm 的助手端口。另外在腹部正中线开两个额外的操作孔。在肠系膜下动脉周围进行淋巴结清扫和左侧结肠游离，整个手术过程无任何围手术期并发症。总手术时间为 204 分钟，控制台操作时间为 113 分钟。估计失血量 75 毫升。患者术后第 8 天出院，无任何并发症。
