Lancashire Teaching Hospitals NHS Foundation Trust, Preston, UK.
Intuitive Surgical Inc, Sunnyvale, California, USA.
Colorectal Dis. 2024 Sep;26(9):1680-1682. doi: 10.1111/codi.17120. Epub 2024 Aug 6.
A minimally invasive surgery (MIS) extraperitoneal (XP) approach to left-sided colorectal resection utilizing the laparoscopic approach has recently been shown to be safe and feasible and to have potential advantages over the transperitoneal approach, especially in high-risk surgical patients. The aim of this article is to provide a first cadaveric demonstration of the use of a single-port robotic platform in performing XP low anterior resection by MIS.
A single-port robotic platform (DaVinci®SP™) was used to perform XP single-port low anterior resection in two cadavers with body mass indexes (BMIs) of 19 and 40 kg/m.
The single-port robotic platform with versatile arms was successfully used to perform a complete low anterior resection with splenic flexure mobilization and total mesorectal excision through a single port.
A single-port robotic platform enhances complete XP dissection in the supine patient in extreme BMI ranges. Clinical studies are necessary to confirm these findings.
最近已经证明，利用腹腔镜技术的微创经腹腔（XP）左侧结直肠切除术方法安全可行，并且与经腹腔方法相比具有潜在优势，尤其是在高风险手术患者中。本文的目的是首次展示在使用单端口机器人平台进行 XP 低位前切除术的尸体演示。
在两名体重指数（BMI）分别为 19 和 40kg/m 的尸体中，使用单端口机器人平台（达芬奇® SP™）进行 XP 单端口低位前切除术。
多用途机器人手臂的单端口机器人平台成功地用于通过单个端口完成完全的低位前切除术，包括脾曲游离和全直肠系膜切除术。
单端口机器人平台增强了在极端 BMI 范围内仰卧位患者的完全 XP 解剖。需要进行临床研究来证实这些发现。
