Sunyi Ye, Yi Zhu, Anbang He, Ding Peng, Ping Wang, Dan Xia, Shuo Wang
Department of Urology, The First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
J Vasc Surg Cases Innov Tech. 2023 Dec 16;10(2):101403. doi: 10.1016/j.jvscit.2023.101403. eCollection 2024 Apr.
This study aims to investigate the significance of using the Toumai robotic platform for the resection of inferior vena cava (IVC) hemangiomas. Our objective is to provide information on the potential benefits of this innovative approach in managing these uncommon vascular tumors and to contribute to the growing body of knowledge in the field of surgical oncology and vascular surgery. A 37-year-old female patient with an incidental finding of a right retroperitoneal mass underwent contrast-enhanced magnetic resonance imaging, which confirmed the diagnosis of an IVC hemangioma. Due to the rarity and complexity of this vascular tumor, the medical team opted for a novel approach using the Toumai robotic surgical platform (Shanghai MicroPort MedBot Group Co, Ltd). Under general anesthesia, the patient was placed in the left lateral decubitus position, and the robotic arms were controlled remotely through the Toumai platform. A transperitoneal approach was adopted, and the surgeon meticulously resected the tumor while preserving the integrity of the IVC. The use of the Toumai robotic platform facilitated precise tumor resection, minimizing the risk of damage to surrounding structures. The minimally invasive nature of the robotic surgery contributed to a reduced incidence of postoperative complications and accelerated patient recovery. Furthermore, the remote fifth-generation mobile network surgical capabilities of the Toumai platform allow for expert care to be provided to patients despite geographic barriers. The robotic-assisted surgical approach using the Toumai platform demonstrates its potential benefits in managing rare and complex vascular tumors such as IVC hemangiomas. Robotic technology has the potential to revolutionize the field of surgical oncology and vascular surgery, leading to improved patient outcomes and healthcare delivery. However, more extensive clinical studies and larger case series are needed to validate the long-term safety and efficacy of this innovative surgical approach. Continued research and collaboration between clinicians and robotic technology experts are essential to fully realize the potential of robotic-assisted surgery for the benefit of patients with rare and challenging medical conditions.
本研究旨在探讨使用图迈机器人平台切除下腔静脉(IVC)血管瘤的意义。我们的目标是提供有关这种创新方法在处理这些罕见血管肿瘤方面潜在益处的信息,并为外科肿瘤学和血管外科领域不断增长的知识体系做出贡献。一名37岁女性患者偶然发现右腹膜后肿块,接受了对比增强磁共振成像检查,确诊为IVC血管瘤。由于这种血管肿瘤的罕见性和复杂性,医疗团队选择了一种使用图迈机器人手术平台(上海微创医疗机器人(集团)股份有限公司)的新方法。在全身麻醉下,患者取左侧卧位,通过图迈平台远程控制机器人手臂。采用经腹入路,外科医生在保留IVC完整性的同时精心切除肿瘤。图迈机器人平台的使用有助于精确切除肿瘤,将对周围结构造成损伤的风险降至最低。机器人手术的微创性质有助于降低术后并发症的发生率并加速患者康复。此外,图迈平台的远程第五代移动网络手术能力使患者无论地理障碍如何都能获得专家护理。使用图迈平台的机器人辅助手术方法在处理诸如IVC血管瘤等罕见和复杂血管肿瘤方面显示出其潜在益处。机器人技术有可能彻底改变外科肿瘤学和血管外科领域,从而改善患者预后和医疗服务。然而,需要更广泛的临床研究和更大的病例系列来验证这种创新手术方法的长期安全性和有效性。临床医生与机器人技术专家之间持续的研究与合作对于充分实现机器人辅助手术的潜力以造福患有罕见和具有挑战性疾病的患者至关重要。