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掌握经肛门机器人微创手术（rTAMIS）的十项准则。

Decalogue for mastering robotic transanal minimally invasive surgery (rTAMIS).

机构信息

Autonomous University of Madrid, Madrid, Spain.

Department of General and Digestive Surgery, University Hospital Fundación Jiménez Díaz, Avenida Reyes Católicos, 2, 28040, Madrid, Spain.

出版信息

Tech Coloproctol. 2024 Jul 16;28(1):84. doi: 10.1007/s10151-024-02957-9.

DOI:10.1007/s10151-024-02957-9
PMID:39012571
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11252203/
Abstract

This manuscript offers a detailed description of our successful tips for mastering transanal robotic surgery. It covers various aspects, including patient positioning, management of abdominal pressures to maintain a stable pneumorectum, platform positioning, camera alignment, trocar positioning to minimize collisions, instruments used, and approaches to tumor resection.

摘要

本手稿详细介绍了我们成功掌握经肛门机器人手术的技巧。它涵盖了各个方面，包括患者体位、管理腹部压力以保持稳定的气腹直肠、平台定位、摄像系统调整、trocar 位置以最小化碰撞、使用的器械以及肿瘤切除方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0077/11252203/3524202bf65c/10151_2024_2957_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0077/11252203/11ab3995adad/10151_2024_2957_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0077/11252203/bb9054205ded/10151_2024_2957_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0077/11252203/c8e10a5c0394/10151_2024_2957_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0077/11252203/487fdb905c05/10151_2024_2957_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0077/11252203/f92ca7060be8/10151_2024_2957_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0077/11252203/180e9701ca8b/10151_2024_2957_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0077/11252203/e3362c973242/10151_2024_2957_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0077/11252203/3524202bf65c/10151_2024_2957_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0077/11252203/11ab3995adad/10151_2024_2957_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0077/11252203/bb9054205ded/10151_2024_2957_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0077/11252203/c8e10a5c0394/10151_2024_2957_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0077/11252203/487fdb905c05/10151_2024_2957_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0077/11252203/f92ca7060be8/10151_2024_2957_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0077/11252203/180e9701ca8b/10151_2024_2957_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0077/11252203/e3362c973242/10151_2024_2957_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0077/11252203/3524202bf65c/10151_2024_2957_Fig8_HTML.jpg

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本文引用的文献

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Robot-assisted TAMIS: a systematic review of feasibility and outcomes.机器人辅助 TAMIS：可行性和结果的系统评价。
Surg Endosc. 2023 May;37(5):3398-3409. doi: 10.1007/s00464-022-09853-z. Epub 2023 Jan 27.
2
Short-term outcomes of chemoradiotherapy and local excision versus total mesorectal excision in T2-T3ab,N0,M0 rectal cancer: a multicentre randomised, controlled, phase III trial (the TAU-TEM study).T2-T3ab、N0、M0期直肠癌放化疗联合局部切除与全直肠系膜切除的短期疗效比较：一项多中心随机对照III期试验（TAU-TEM研究）
Ann Oncol. 2023 Jan;34(1):78-90. doi: 10.1016/j.annonc.2022.09.160. Epub 2022 Oct 8.
3
Robotic single-port surgery: Preliminary experience in general surgery.
机器人单孔手术：普通外科的初步经验。
Int J Med Robot. 2022 Dec;18(6):e2453. doi: 10.1002/rcs.2453. Epub 2022 Aug 19.
4
Randomized experimental study of two novel techniques for transanal repair of dehiscent low rectal anastomosis.两种新型经肛门修复低位直肠吻合口裂开术的随机对照实验研究。
Surg Endosc. 2022 Jun;36(6):4050-4056. doi: 10.1007/s00464-021-08726-1. Epub 2021 Sep 8.
5
Single-Port, Robot-Assisted Transanal Excision of Rectal Lesion.单孔机器人辅助经肛门直肠病变切除术
Dis Colon Rectum. 2021 Feb 1;64(2):e25. doi: 10.1097/DCR.0000000000001882.
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Radical surgery versus organ preservation via short-course radiotherapy followed by transanal endoscopic microsurgery for early-stage rectal cancer (TREC): a randomised, open-label feasibility study.根治性手术与短程放疗联合经肛门内镜微创手术保肛治疗早期直肠癌（TREC）：一项随机、开放标签可行性研究。
Lancet Gastroenterol Hepatol. 2021 Feb;6(2):92-105. doi: 10.1016/S2468-1253(20)30333-2. Epub 2020 Dec 11.
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Organ preservation with chemoradiotherapy plus local excision for rectal cancer: 5-year results of the GRECCAR 2 randomised trial.直肠癌的放化疗联合局部切除保肛治疗：GRECCAR 2 随机试验的 5 年结果。
Lancet Gastroenterol Hepatol. 2020 May;5(5):465-474. doi: 10.1016/S2468-1253(19)30410-8. Epub 2020 Feb 7.
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Long-term Oncological and Functional Outcomes of Chemoradiotherapy Followed by Organ-Sparing Transanal Endoscopic Microsurgery for Distal Rectal Cancer: The CARTS Study.保肛经肛门内镜微创手术联合放化疗治疗低位直肠癌的长期肿瘤学及功能学结果：CARTS 研究。
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