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使用日之鸟™手术机器人系统经肛门全直肠系膜切除术的混合式腹部机器人直肠癌手术方法：首例直肠癌病例报告

Hybrid Abdominal Robotic Approach Using the hinotori™ Surgical Robot System with Transanal Total Mesorectal Excision for Rectal Cancer: The First Ever Case Report for Rectal Cancer.

作者信息

Ishii Masayuki, Okuya Koichi, Akizuki Emi, Ito Tatsuya, Noda Ai, Ogawa Tadashi, Miyo Masaaki, Miura Ryo, Ichihara Momoko, Korai Takahiro, Toyota Maho, Takemasa Ichiro

机构信息

Department of Surgery, Surgical Oncology and Science, Sapporo Medical University, Sapporo, Japan.

出版信息

J Anus Rectum Colon. 2024 Jul 30;8(3):253-258. doi: 10.23922/jarc.2023-045. eCollection 2024.

DOI:10.23922/jarc.2023-045
PMID:39086883
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11286364/
Abstract

In Japan, the hinotori™ Surgical Robot System obtained pharmaceutical approval for use in colorectal cancer surgery in October 2022. This system has an operating arm with eight axes, adjustable arm base, and flexible three-dimensional viewer, which are expected to be advantageous in colorectal cancer surgery. A 55-year-old man presented to our hospital with melena and was diagnosed with cStage IIA (cT3N0M0) rectal cancer. The patient underwent intersphincteric resection using hinotori™ Surgical Robot System. Appropriate port placement was available for rectal manipulation, lymph node dissection, and arm base angle adjustment. Herein, we report the world's first rectal cancer surgery using the hinotori™ Surgical Robot System with TaTME by two teams.

摘要

在日本，hinotori™手术机器人系统于2022年10月获得用于结直肠癌手术的药品批准。该系统具有一个八轴操作臂、可调节的臂基座和灵活的三维观察器，预计在结直肠癌手术中具有优势。一名55岁男性因黑便就诊于我院，被诊断为cIIA期（cT3N0M0）直肠癌。该患者使用hinotori™手术机器人系统接受了括约肌间切除术。有合适的端口位置可用于直肠操作、淋巴结清扫和臂基座角度调整。在此，我们报告了由两个团队使用hinotori™手术机器人系统并采用经肛全直肠系膜切除术进行的世界首例直肠癌手术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4174/11286364/9c86322ccb2f/2432-3853-8-0253-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4174/11286364/ca04081af486/2432-3853-8-0253-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4174/11286364/fc32deb2e48d/2432-3853-8-0253-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4174/11286364/deb008244cb7/2432-3853-8-0253-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4174/11286364/65d5a7c1755f/2432-3853-8-0253-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4174/11286364/9c86322ccb2f/2432-3853-8-0253-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4174/11286364/ca04081af486/2432-3853-8-0253-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4174/11286364/fc32deb2e48d/2432-3853-8-0253-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4174/11286364/deb008244cb7/2432-3853-8-0253-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4174/11286364/65d5a7c1755f/2432-3853-8-0253-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4174/11286364/9c86322ccb2f/2432-3853-8-0253-g005.jpg

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本文引用的文献

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Surg Case Rep. 2023 Sep 5;9(1):156. doi: 10.1186/s40792-023-01705-9.
2
Right hemicolectomy for ascending colon cancer using the hinotori surgical robot system: The first ever case report for colon cancer.使用 hinotori 手术机器人系统行右半结肠切除术治疗升结肠癌：首例结肠癌病例报告。
Asian J Endosc Surg. 2023 Jul;16(3):604-607. doi: 10.1111/ases.13197. Epub 2023 May 30.
3
Annual report on National Clinical Database 2020 for gastroenterological surgery in Japan.
日本2020年胃肠外科全国临床数据库年度报告。
Ann Gastroenterol Surg. 2023 Feb 9;7(3):367-406. doi: 10.1002/ags3.12662. eCollection 2023 May.
4
Essential updates 2020/2021: Advancing precision medicine for comprehensive rectal cancer treatment.2020/2021年重要更新：推进直肠癌综合治疗的精准医学
Ann Gastroenterol Surg. 2022 Dec 27;7(2):198-215. doi: 10.1002/ags3.12646. eCollection 2023 Mar.
5
Assessing the learning curve of robot-assisted total mesorectal excision: a multicenter study considering procedural safety, pathological safety, and efficiency.评估机器人辅助全直肠系膜切除术的学习曲线：考虑手术安全性、病理安全性和效率的多中心研究。
Int J Colorectal Dis. 2023 Jan 11;38(1):9. doi: 10.1007/s00384-022-04303-7.
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