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单切口机器人肾上腺切除术(SIRA):肾上腺手术的未来?

Single-incision robotic adrenalectomy (SIRA): the future of adrenal surgery?

作者信息

Agcaoglu Orhan, Karahan Salih Nafiz, Tufekci Tutku, Tezelman Serdar

机构信息

Department of General Surgery, School of Medicine, Koc University, Istanbul, Turkey.

出版信息

Gland Surg. 2020 Jun;9(3):853-858. doi: 10.21037/gs-2019-ra-02.

DOI:10.21037/gs-2019-ra-02
PMID:32775280
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7347822/
Abstract

In compliance with the trend toward less invasive techniques, single incision robotic surgeries have become more common and they have been increasingly used for several surgeries including adrenalectomy. Single incision robotic adrenalectomy (SIRA) aims to combine the merits of robotic surgery with previously defined single incision laparoscopic techniques. It has been shown to be safe and feasible, however, there are only few studies on this new technique. Due to scant data on SIRA in the current literature, it remains to be a current challenge in adrenal surgery. In this review, our goal is to present current literature on SIRA and discuss the data regarding perioperative outcomes, patient selection, learning curve, and its limitations.

摘要

顺应微创技术的发展趋势,单切口机器人手术已变得更加普遍,并越来越多地用于包括肾上腺切除术在内的多种手术。单切口机器人肾上腺切除术(SIRA)旨在将机器人手术的优点与先前定义的单切口腹腔镜技术相结合。已证明其安全可行,然而,关于这项新技术的研究很少。由于当前文献中关于SIRA的数据不足,它仍然是肾上腺手术中的一个当前挑战。在本综述中,我们的目标是介绍关于SIRA的当前文献,并讨论围手术期结果、患者选择、学习曲线及其局限性的数据。

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J Clin Med. 2025 Mar 28;14(7):2314. doi: 10.3390/jcm14072314.
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Medicina (Kaunas). 2022 Nov 29;58(12):1747. doi: 10.3390/medicina58121747.
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Efficacy and safety of laparoendoscopic single-site adrenalectomy versus conventional laparoscopic adrenalectomy: an updated systematic review and meta-analysis.单孔腹腔镜肾上腺切除术与传统腹腔镜肾上腺切除术的疗效及安全性:一项更新的系统评价与荟萃分析
Wideochir Inne Tech Maloinwazyjne. 2022 Mar;17(1):20-34. doi: 10.5114/wiitm.2021.110446. Epub 2021 Nov 1.

本文引用的文献

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Single-port robot-assisted laparoscopic radical prostatectomy: initial experience and technique with the da Vinci SP platform.单孔机器人辅助腹腔镜根治性前列腺切除术:达芬奇 SP 平台的初步经验和技术。
BJU Int. 2019 Dec;124(6):1022-1027. doi: 10.1111/bju.14864. Epub 2019 Jul 29.
2
Comparison of Technical Details and Short-term Outcomes of Single-incision Versus Multiport Laparoscopic Adrenalectomy.单孔与多孔腹腔镜肾上腺切除术的技术细节及短期结果比较
Surg Laparosc Endosc Percutan Tech. 2019 Feb;29(1):49-52. doi: 10.1097/SLE.0000000000000596.
3
Robotic Urologic Surgical Interventions Performed with the Single Port Dedicated Platform: First Clinical Investigation.单孔专用平台实施的机器人泌尿外科手术干预:首次临床研究。
Eur Urol. 2019 Apr;75(4):684-691. doi: 10.1016/j.eururo.2018.11.044. Epub 2018 Dec 3.
4
Single-Port Robot-Assisted Radical Prostatectomy: First Clinical Experience Using The SP Surgical System.单孔机器人辅助根治性前列腺切除术:使用SP手术系统的首次临床经验
Urology. 2019 Feb;124:309. doi: 10.1016/j.urology.2018.10.025. Epub 2018 Oct 24.
5
Robot-assisted laparoendoscopic single site adrenalectomy: A comparison of 3 different port platforms with 3 case reports.机器人辅助腹腔镜单孔肾上腺切除术:3种不同端口平台的比较及3例病例报告
Medicine (Baltimore). 2017 Dec;96(51):e9479. doi: 10.1097/MD.0000000000009479.
6
A cost-conscious approach to robotic adrenalectomy.一种具有成本意识的机器人肾上腺切除术方法。
J Robot Surg. 2018 Dec;12(4):607-611. doi: 10.1007/s11701-018-0782-9. Epub 2018 Jan 31.
7
Robotic retroperitoneoscopic adrenalectomy: useful modifications of the described posterior approach.机器人后腹腔镜肾上腺切除术:对所述后入路的有用改进
J Robot Surg. 2017 Dec;11(4):409-414. doi: 10.1007/s11701-016-0671-z. Epub 2017 Jan 2.
8
Minimally invasive approaches to adrenal tumors: an up-to-date summary including patient position and port placement of laparoscopic, retroperitoneoscopic, robot-assisted, and single-site adrenalectomy.肾上腺肿瘤的微创治疗方法:最新综述,包括腹腔镜、后腹腔镜、机器人辅助及单孔肾上腺切除术的患者体位和端口放置
Curr Opin Urol. 2017 Jan;27(1):56-61. doi: 10.1097/MOU.0000000000000339.
9
Laparoendoscopic Single-site Adrenalectomy versus Conventional Laparoscopic Adrenalectomy: An Updated Meta Analysis.经腹腔镜单孔肾上腺切除术与传统腹腔镜肾上腺切除术:一项更新的荟萃分析。
Urol J. 2016 Apr 16;13(2):2590-8.
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Robotic single-site adrenalectomy.机器人单孔肾上腺切除术
Surg Endosc. 2016 Aug;30(8):3351-6. doi: 10.1007/s00464-015-4611-1. Epub 2015 Oct 20.