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机器人单孔抗反流手术：两种新型手术方法治疗胃食管反流病的全球初步经验。

Robotic single port anti-reflux surgery: Initial worldwide experience of two cases with a novel surgical approach to treat gastroesophageal reflux disease.

机构信息

Department of Surgery, Division of General, Minimally Invasive and Robotic Surgery, University of Illinois at Chicago, Chicago, Illinois, USA.

出版信息

Int J Med Robot. 2022 Dec;18(6):e2437. doi: 10.1002/rcs.2437. Epub 2022 Sep 5.

DOI:10.1002/rcs.2437
PMID:35754403
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9786780/
Abstract

INTRODUCTION

To date, no anti-reflux operations have been reported with the new da Vinci Single-Port (single port (SP)) robotic platform. We aimed to describe this novel surgical approach and evaluate its safety and feasibility.

METHODS

All robotic SP operations were performed under an Institutional Review Board approved protocol.

RESULTS

Two patients underwent robotic SP anti-reflux surgery through a single incision of 2.7 cm (one Nissen-fundoplication and one re-Redo Nissen-fundoplication). The mean docking-time was 2.5 (2-3) minutes and mean console-time was 147 (119-155) minutes. No additional ports were needed, and no intraoperative complications occurred. Patients tolerated a soft diet on postoperative day 1 and were discharged on POD-2 and 3.

CONCLUSION

Robotic SP anti-reflux surgery appears to be safe and feasible. This platform offers similar advantages to the multiport robotic surgery, while adding lower invasiveness and an improved cosmesis. Further studies are needed to confirm our results and evaluate long-term outcomes of this surgical approach.

摘要

简介

迄今为止，新型达芬奇单端口（单端口 (SP)）机器人平台尚未报道有任何抗反流手术。我们旨在描述这种新的手术方法，并评估其安全性和可行性。

方法

所有机器人 SP 手术均在机构审查委员会批准的方案下进行。

结果

两名患者通过 2.7 厘米的单个切口接受了机器人 SP 抗反流手术（一个 Nissen 胃底折叠术和一个再修复 Nissen 胃底折叠术）。平均对接时间为 2.5（2-3）分钟，控制台时间平均为 147（119-155）分钟。无需额外的端口，且术中无并发症发生。患者术后第 1 天可耐受软食，第 2 天及第 3 天出院。

结论

机器人 SP 抗反流手术似乎是安全且可行的。该平台提供了与多端口机器人手术类似的优势，同时具有更低的侵袭性和更好的美容效果。需要进一步的研究来证实我们的结果，并评估这种手术方法的长期结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46e0/9786780/eacc4a04965b/RCS-18-e2437-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46e0/9786780/48c7dc0c1eaa/RCS-18-e2437-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46e0/9786780/4708d36cc003/RCS-18-e2437-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46e0/9786780/80cf35a62b88/RCS-18-e2437-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46e0/9786780/02e685163ef0/RCS-18-e2437-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46e0/9786780/35e65f78e463/RCS-18-e2437-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46e0/9786780/b4d1c6494373/RCS-18-e2437-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46e0/9786780/efb7db140840/RCS-18-e2437-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46e0/9786780/3a8c96b1c97b/RCS-18-e2437-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46e0/9786780/eacc4a04965b/RCS-18-e2437-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46e0/9786780/48c7dc0c1eaa/RCS-18-e2437-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46e0/9786780/4708d36cc003/RCS-18-e2437-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46e0/9786780/80cf35a62b88/RCS-18-e2437-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46e0/9786780/02e685163ef0/RCS-18-e2437-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46e0/9786780/35e65f78e463/RCS-18-e2437-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46e0/9786780/b4d1c6494373/RCS-18-e2437-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46e0/9786780/efb7db140840/RCS-18-e2437-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46e0/9786780/3a8c96b1c97b/RCS-18-e2437-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46e0/9786780/eacc4a04965b/RCS-18-e2437-g003.jpg

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