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GelPOINT 单孔腹腔镜辅助经肛门微创直肠低位癌手术:GOD VISION 无线智能玻璃状显示器应用的初步报告。

GelPOINT single-port laparoscopy-assisted transanal minimum invasive surgery for low rectal cancer: a preliminary report on the use of the GOD VISION wireless smart glass-shaped monitor.

机构信息

Department of Surgical Oncology, Gifu University Hospital, 1-1 Yanagido, Gifu City, Gifu, 501-1194, Japan.

General and Cardiothoracic Surgery, Gifu University Hospital, 1-1 Yanagido, Gifu City, Gifu, 501-1194, Japan.

出版信息

World J Surg Oncol. 2020 Jun 26;18(1):141. doi: 10.1186/s12957-020-01924-6.

Abstract

BACKGROUND

The GOD VISION wireless smart glass-shaped monitor (INBYTE) was used in the treatment of an elderly patient with mixed breathing disorder undergoing transanal minimally invasive surgery (TAMIS) for low rectal cancer under lumbar anesthesia.

METHOD

After wearing the GOD VISION wireless smart glass-shaped monitor, we attached it to the Gel POINT Path® (Applied Medical). The tumor was surgically removed from all layers of the rectum using an ENDOPATH Electrosurgery PROBE PLUS II System® (a spatula-type electric scalpel) and the site was closed after sufficient washing.

RESULTS

The total operation time was 93 min, and the estimated blood loss was 6 mL. The patient was discharged without complications on postoperative day 14. No local recurrence or distant metastasis in the 7 months after the operation. The patient remained in a good condition with the preservation of the anal function.

CONCLUSIONS

It is necessary to accumulate cases and to perform long-term follow-up. In addition, the anal side operators are able to operate without discomfort. In the present case, the GOD VISION wireless smart glass-shaped monitor allowed the TAMIS operation to be performed more comfortably.

摘要

背景

在腰麻下为一位老年混合呼吸障碍患者行经肛门微创手术(TAMIS)治疗低位直肠癌时,使用了 GOD VISION 无线智能玻璃状监视器(INBYTE)。

方法

戴上 GOD VISION 无线智能玻璃状监视器后,将其连接到 Gel POINT Path®(Applied Medical)。使用 ENDOPATH Electrosurgery PROBE PLUS II System®(一种勺状电刀)从直肠的所有层切除肿瘤,并用足够的冲洗液冲洗后关闭切口。

结果

总手术时间为 93 分钟,估计失血量为 6 毫升。患者术后第 14 天无并发症出院。术后 7 个月无局部复发或远处转移。患者情况良好,肛门功能得以保留。

结论

有必要积累病例并进行长期随访。此外,肛门侧操作人员操作起来也不会感到不适。在本病例中,GOD VISION 无线智能玻璃状监视器使 TAMIS 手术操作更加舒适。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c024/7320584/584f750744c7/12957_2020_1924_Fig2_HTML.jpg

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