Department of Gastroenterological Surgery, Cancer Institute Hospital of the Japanese Foundation for Cancer Research, 3-8-31 Ariake, Koto-ku, Tokyo, 135-8550, Japan.
Department of Clinical Epidemiology and Health Economics, School of Public Health, The University of Tokyo, Tokyo, Japan.
Surg Today. 2023 Nov;53(11):1317-1319. doi: 10.1007/s00595-023-02673-1. Epub 2023 Mar 21.
Conventional laparoscopic or robotic surgery for right-sided colon cancer often requires intraoperative repositioning and removal of the bowel. Changing positions during robotic surgery can be troublesome and robotic removal of the small intestine carries a risk of unexpected injury because robotic devices have a strong grasping force and no sense of touch. Herein, we introduce a novel mobilization of the medial approach without changing the position for robotic right hemicolectomy. Using this technique, mobilization is performed in counterclockwise succession, allowing all mobilizations and bowel removal to be completed sequentially, without positional change.
传统的腹腔镜或机器人手术治疗右侧结肠癌通常需要术中重新定位和切除肠道。机器人手术中改变体位可能会很麻烦,而且机器人切除小肠可能会造成意想不到的损伤,因为机器人器械的抓握力很强,而且没有触觉。在此,我们介绍一种不改变体位进行机器人右半结肠切除术的新的内侧入路游离方法。使用这种技术,逆时针依次进行游离,使所有的游离和肠切除都能依次完成,无需改变体位。