同期机器人手术修补前膈（Morgagni）疝与低位前切除术治疗直肠癌。
Synchronous robotic repair of anterior diaphragmatic (Morgagni) hernia & low anterior resection for rectal cancer.
机构信息
Royal Blackburn Hospital, East Lancashire Teaching Hospitals NHS Trust, Blackburn, UK.
Lancaster Medical School, Furness College, Lancaster University, Lancaster, UK.
出版信息
Int J Med Robot. 2023 Feb;19(1):e2481. doi: 10.1002/rcs.2481. Epub 2022 Nov 25.
BACKGROUND
We present the case report of synchronous trans-fascial repair of a large congenital Morgagni hernia (MH) and low anterior resection using a fully robotic approach.
METHODS
A 61-year old female presented with fresh red blood in her stool. She had a previous history of abdominal hysterectomy and a performance status of 0. Imaging revealed a low rectal cancer and incidental large MH.
RESULTS
Using the Da Vinci X platform the procedure was successfully performed; total operating time of 450 min, <200 ml blood loss and 5 days hospital stay. Post-operative scan at 6 months, 1 and 2 years showed no evidence of hernia or cancer recurrence.
CONCLUSION
We have demonstrated that complex multi-visceral procedures can be safely performed on fully robotic platforms, even in previously disturbed surgical fields. The robotic approach may provide the opportunity for seamless multi-speciality operating simultaneously in multiple body cavities.
背景
我们报告了一例使用全机器人方法同步经筋膜修复巨大先天性 Morgagni 疝（MH）和低位前切除术的病例报告。
方法
一名 61 岁女性因新鲜红色血液出现在粪便中就诊。她曾有腹部子宫切除术病史，表现状态为 0 级。影像学检查显示低位直肠肿瘤和偶然发现的巨大 MH。
结果
使用达芬奇 X 平台成功完成了该手术；总手术时间为 450 分钟，出血量<200ml，住院时间为 5 天。术后 6 个月、1 年和 2 年的扫描显示无疝或癌症复发的证据。
结论
我们已经证明，即使在先前受到干扰的手术区域，复杂的多内脏手术也可以在全机器人平台上安全进行。机器人方法可能为多学科无缝操作提供机会，同时在多个体腔中进行。
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