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腹壁穿透伤的机器人评估与修复

Robotic Evaluation and Repair of Penetrating Injury of the Abdominal Wall.

作者信息

Shchatsko Anastasiya, Swenson Gabriel, Vasyluk Andrew

机构信息

Surgery, Central Michigan University College of Medicine, Saginaw, USA.

Radiology, Mayo Clinic Scottsdale, Scottsdale, USA.

出版信息

Cureus. 2024 Jul 2;16(7):e63685. doi: 10.7759/cureus.63685. eCollection 2024 Jul.

DOI:10.7759/cureus.63685
PMID:39092355
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11293599/
Abstract

This case demonstrated the feasibility of robotic-assisted exploratory laparoscopy in a hemodynamically stable trauma patient and abdominal wall repair with a favorable outcome. The patient presented with a stab wound at the left middle posterior flank. A computer tomography scan of the abdomen and pelvis demonstrated penetrating soft tissue injury to the left lateral abdominal wall with herniation of the omentum. A robotic-assisted laparoscopic approach was implemented to evaluate for visceral injury and to repair the abdominal wall. Diagnostic laparoscopy ruled out visceral and diaphragmatic injuries, and robotic primary tissue repair of the abdominal wall was performed. The patient was discharged home the following day. Laparoscopy for hemodynamically stable trauma patients has shown the benefit of decreased morbidity and decreased hospital stay compared to laparotomy. In turn, the robotic surgical approach has all the benefits of laparoscopy while bringing additional benefits of improved surgical dexterity, visualization, range of motion, and ergonomics.

摘要

该病例证明了机器人辅助探索性腹腔镜检查在血流动力学稳定的创伤患者中的可行性以及腹壁修复的良好效果。患者左中后腰部有一处刺伤。腹部和骨盆的计算机断层扫描显示左侧腹壁穿透性软组织损伤伴大网膜疝出。采用机器人辅助腹腔镜方法评估内脏损伤并修复腹壁。诊断性腹腔镜检查排除了内脏和膈肌损伤，并进行了机器人腹壁原发组织修复。患者于次日出院。对于血流动力学稳定的创伤患者，与开腹手术相比，腹腔镜检查已显示出降低发病率和缩短住院时间的益处。反过来，机器人手术方法具有腹腔镜检查的所有优点，同时还带来了提高手术灵活性、可视化、活动范围和人体工程学等额外益处。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f376/11293599/123220e9ba75/cureus-0016-00000063685-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f376/11293599/34e61cb2aa03/cureus-0016-00000063685-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f376/11293599/1c9d5f738f6c/cureus-0016-00000063685-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f376/11293599/8d07e3435895/cureus-0016-00000063685-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f376/11293599/82438f0c33dd/cureus-0016-00000063685-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f376/11293599/123220e9ba75/cureus-0016-00000063685-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f376/11293599/34e61cb2aa03/cureus-0016-00000063685-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f376/11293599/1c9d5f738f6c/cureus-0016-00000063685-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f376/11293599/8d07e3435895/cureus-0016-00000063685-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f376/11293599/82438f0c33dd/cureus-0016-00000063685-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f376/11293599/123220e9ba75/cureus-0016-00000063685-i05.jpg

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World J Emerg Surg. 2023 Dec 8;18(1):57. doi: 10.1186/s13017-023-00520-9.
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Robotic surgery for inguinal and ventral hernia repair: a systematic review and meta-analysis.机器人手术用于腹股沟疝和腹疝修补术：一项系统评价与荟萃分析。
Surg Endosc. 2024 Jan;38(1):24-46. doi: 10.1007/s00464-023-10545-5. Epub 2023 Nov 20.
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Robotic-assisted versus laparoscopic incisional hernia repair: a systematic review and meta-analysis.
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Retrospective analysis of operative time and time to discharge for laparoscopic vs robotic approaches to appendectomy and cholecystectomy.腹腔镜与机器人手术治疗阑尾炎和胆囊切除术的手术时间和出院时间的回顾性分析。
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