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在接受机器人辅助根治性膀胱切除术的患者中,左腋动脉部分闭塞。

Partial occlusion of left axillary artery in a patient undergoing robot-assisted radical cystectomy.

作者信息

Anilakumari Devitha, Arora Poonam, Gupta Priyanka, Arora Rajnish Kumar

机构信息

Department of Anesthesiology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.

Department of Emergency Medicine, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.

出版信息

J Minim Access Surg. 2022 Jan-Mar;18(1):142-144. doi: 10.4103/jmas.JMAS_51_21.

DOI:10.4103/jmas.JMAS_51_21
PMID:34259209
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8830571/
Abstract

Robot-assisted surgeries are associated with steep positions which provide free operative field to surgeons; however, it becomes more challenging to the anaesthesiologists. In robot-assisted surgery, the patient is not usually accessible after docking in of robot, so monitors, circuits and tubes should be tightly secured and confirmed before handing over the patient to the surgeons. We report a patient with partial left axillary artery occlusion in a patient posted for robot-assisted radical cystectomy.

摘要

机器人辅助手术需要患者处于陡峭的体位,以便为外科医生提供开阔的手术视野;然而,这对麻醉医生来说更具挑战性。在机器人辅助手术中,机器人对接后通常无法直接接触患者,因此在将患者交给外科医生之前,监护仪、回路和管道应妥善固定并确认无误。我们报告了1例计划行机器人辅助根治性膀胱切除术的患者,其存在左腋动脉部分闭塞。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2526/8830571/536a483586fc/JMAS-18-142-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2526/8830571/37fa46b08883/JMAS-18-142-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2526/8830571/536a483586fc/JMAS-18-142-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2526/8830571/37fa46b08883/JMAS-18-142-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2526/8830571/536a483586fc/JMAS-18-142-g002.jpg

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本文引用的文献

1
Patient positioning during minimally invasive surgery: what is current best practice?微创手术中的患者体位:当前的最佳实践是什么?
Robot Surg. 2017 Jul 14;4:69-76. doi: 10.2147/RSRR.S115239. eCollection 2017.
2
Upper and middle trunk brachial plexopathy after robotic prostatectomy.机器人前列腺切除术后的上肢和中干臂丛神经病。
Anesth Analg. 2012 Oct;115(4):867-70. doi: 10.1213/ANE.0b013e3182642327. Epub 2012 Jul 13.
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Axillary artery compression in park bench position during a microvascular decompression.微血管减压术中公园长椅体位下的腋动脉压迫
J Neurosurg Anesthesiol. 2011 Jul;23(3):264. doi: 10.1097/ANA.0b013e31820c4e7b.
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Color Doppler US findings in the diagnosis of arterial occlusive disease of the lower limb.彩色多普勒超声检查结果在下肢动脉闭塞性疾病诊断中的应用
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5
Non-dependent axillary artery compression during needlescopic thoracic sympathectomy.针式胸腔镜胸交感神经切除术期间的非依赖性腋动脉压迫
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