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使用新型机器人平台治疗一例罕见的梅克尔憩室病例。

Treatment of an unusual case of Meckel's diverticulum with a new robotic platform.

作者信息

Halabi Mouhammad, Abid Ghita, Zenilman Michael E, Moussa Hatem

机构信息

The Department of Surgery, American Hospital in Dubai, United Arab Emirates; School of Medicine, Royal College of Surgeons in Ireland - Bahrain, Kingdom of Bahrain.

Mohammed VI University of Health Sciences, Morocco.

出版信息

Int J Surg Case Rep. 2022 Oct;99:107613. doi: 10.1016/j.ijscr.2022.107613. Epub 2022 Sep 8.

DOI:10.1016/j.ijscr.2022.107613
PMID:36103757
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9568712/
Abstract

INTRODUCTION AND IMPORTANCE

Meckel's diverticulum (MD) is a common congenital anomaly of the digestive tract that affects around 4 % of the population. Although it is relatively common, diagnosis still remains very challenging; it requires an astute clinician with a high clinical index of suspicion to achieve the diagnosis. Once a diagnosis is reached, treatment is almost always surgical. This case report provides evidence of the effectiveness of a new robotic surgical system for resection of MD in the elderly.

CASE PRESENTATION

61 year old male presented to the emergency room with recurrent hematochezia. After multiple diagnostic techniques, he was finally diagnosed with MD using Meckel's scan. After diagnosis, surgical resection using the Cambridge Medical Robotics (CMR) Versius robotic system was performed, which yielded good results.

CLINICAL DISCUSSION

This case highlights the use of a new robotic system for the treatment of Meckel's Diverticulum.

CONCLUSION

Our initial experience with the CMR Versius surgical system in small bowel resection was successful; however, further studies are needed to demonstrate the safety and efficacy of such a system.

摘要

引言与重要性

梅克尔憩室(MD)是一种常见的消化道先天性异常,影响约4%的人群。尽管它相对常见,但诊断仍然极具挑战性;需要敏锐的临床医生具备较高的临床怀疑指数才能做出诊断。一旦确诊,治疗几乎总是手术治疗。本病例报告提供了一种新型机器人手术系统用于老年患者MD切除有效性的证据。

病例介绍

一名61岁男性因反复便血就诊于急诊室。经过多种诊断技术检查后,最终通过梅克尔扫描诊断为MD。诊断后,使用剑桥医疗机器人公司(CMR)的Versius机器人系统进行了手术切除,效果良好。

临床讨论

本病例突出了新型机器人系统在梅克尔憩室治疗中的应用。

结论

我们在小肠切除术中使用CMR Versius手术系统的初步经验是成功的;然而,需要进一步研究来证明该系统的安全性和有效性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e7d/9568712/93b077004b12/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e7d/9568712/974b707ea0a5/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e7d/9568712/93b077004b12/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e7d/9568712/974b707ea0a5/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e7d/9568712/93b077004b12/gr2.jpg

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Colorectal cancer surgery: by Cambridge Medical Robotics Versius Surgical Robot System-a single-institution study. Our experience.结直肠癌手术:由剑桥医疗机器人公司的Versius手术机器人系统进行——一项单机构研究。我们的经验。
J Robot Surg. 2022 Jun;16(3):587-596. doi: 10.1007/s11701-021-01282-9. Epub 2021 Jul 19.
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Implementation of the Versius robotic surgical system for colorectal cancer surgery: First clinical experience.
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Colorectal Dis. 2021 May;23(5):1233-1238. doi: 10.1111/codi.15568. Epub 2021 Mar 6.
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The SCARE 2020 Guideline: Updating Consensus Surgical CAse REport (SCARE) Guidelines.SCARE 2020 指南:更新共识手术病例报告(SCARE)指南。
Int J Surg. 2020 Dec;84:226-230. doi: 10.1016/j.ijsu.2020.10.034. Epub 2020 Nov 9.
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Meckel's Diverticulum in Adults: Surgical Concerns.成人梅克尔憩室:手术相关问题
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