Director, Robotic Colon and Rectal Surgery, Duke Lifepoint/Conemaugh Memorial Medical Center.
JSLS. 2021 Jan-Mar;25(1). doi: 10.4293/JSLS.2020.00090.
Obesity is increasing as a comorbid condition for patients requiring surgery for Crohn's disease. Minimally invasive colectomy is ideal for a patient with combined obesity and Crohn's disease. However laparoscopic colon resection is associated with high operative conversion rates in these cases. Data examining the use of robotic surgery in the obese patient with Crohn's disease is sparse.
We examined the feasibility and outcomes of performing a minimally invasive colectomy using the Da Vinci robot in a prospective case series of morbidly obese patients with ileal Crohn's disease.
A robotic ileocolectomy was performed in four morbidly obese patients with Crohn's disease. There were no operative conversions or complications with a median length of stay of 3 days.
A robotic approach is a promising minimally invasive surgical alternative to laparoscopic surgery for these complex patients.
肥胖症作为克罗恩病患者手术的合并症正在增加。对于同时患有肥胖症和克罗恩病的患者来说，微创手术是理想的选择。然而，对于这类患者，腹腔镜结肠切除术的手术转化率很高。关于在肥胖的克罗恩病患者中使用机器人手术的数据很少。
我们在一项前瞻性病例系列研究中，检查了使用达芬奇机器人对患有回肠克罗恩病的病态肥胖患者进行微创手术的可行性和结果。
四名患有克罗恩病的病态肥胖患者接受了机器人回肠结肠切除术。没有手术转换或并发症，中位住院时间为 3 天。
对于这些复杂的患者，机器人方法是一种很有前途的微创外科替代腹腔镜手术的方法。
