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首例使用雨果RAS平台进行全结肠切除术的全球报告。

First Worldwide Report of a Total Colectomy with the Hugo RAS Platform.

作者信息

Santos Marisa Domingues Dos, Brandão Pedro

机构信息

Colorectal Surgery Unit, Unidade Local de Saúde de Santo António, Centro Hospitalar Universitário de Santo António, 4050-342 Porto, Portugal.

UMIB-Unit for Multidisciplinary Research in Biomedicine, ICBAS-School of Medicine and Biomedical Sciences, University of Porto, 4050-346 Porto, Portugal.

出版信息

J Clin Med. 2024 Oct 11;13(20):6071. doi: 10.3390/jcm13206071.

DOI:10.3390/jcm13206071
PMID:39458021
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11508557/
Abstract

: Compared with the da Vinci platform, there is limited experience with the Hugo RAS platform for colorectal surgery in Europe. This difference is especially notable when considering complex procedures such as total colectomy. : To demonstrate the feasibility and safety of using the Hugo RAS (Medtronic, Minneapolis, MN, USA) platform for total colectomy. Clinical case: An 18-year-old female patient with Familial Adenomatous Polyposis (FAP) and a BMI of 19 underwent a total colectomy with ileorectal anastomosis using the Hugo RAS platform. The procedure lasted 253 min without complications. The postoperative period was uneventful, and she was discharged from the hospital on the third postoperative day. : The Hugo RAS platform is an emerging minimally invasive robotic that can be used even for total colectomy with proper patient selection. The placement and choice of arms and trocars were crucial to obtaining a similar operative time to the standard laparoscopic approach. The certification of Hugo's new instruments, such as energy devices and staplers, will make this platform even more competitive.

摘要

与达芬奇平台相比,欧洲使用雨果机器人辅助手术(RAS)平台进行结直肠手术的经验有限。在考虑诸如全结肠切除术等复杂手术时,这种差异尤为显著。

目的

证明使用雨果RAS(美敦力公司,美国明尼阿波利斯)平台进行全结肠切除术的可行性和安全性。

临床病例

一名18岁女性患者,患有家族性腺瘤性息肉病(FAP),体重指数为19,使用雨果RAS平台进行了全结肠切除回直肠吻合术。手术持续253分钟,无并发症。术后恢复顺利,术后第三天出院。

结论

雨果RAS平台是一种新兴的微创机器人手术系统,经过适当的患者选择,甚至可用于全结肠切除术。器械臂和套管针的放置与选择对于获得与标准腹腔镜手术相近的手术时间至关重要。雨果的新器械,如能量设备和吻合器的认证,将使该平台更具竞争力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e1b/11508557/dbbe56f6d098/jcm-13-06071-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e1b/11508557/8ebb70ff99c8/jcm-13-06071-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e1b/11508557/a0e90753ec7b/jcm-13-06071-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e1b/11508557/dbbe56f6d098/jcm-13-06071-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e1b/11508557/8ebb70ff99c8/jcm-13-06071-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e1b/11508557/a0e90753ec7b/jcm-13-06071-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e1b/11508557/dbbe56f6d098/jcm-13-06071-g005.jpg

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本文引用的文献

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J Clin Med. 2024 Jun 24;13(13):3678. doi: 10.3390/jcm13133678.
2
Da Vinci vs. Hugo RAS for robot-assisted radical prostatectomy: a prospective comparative single-center study.达芬奇机器人与 Hugo RAS 系统行机器人辅助根治性前列腺切除术的前瞻性对比单中心研究。
World J Urol. 2024 May 18;42(1):336. doi: 10.1007/s00345-024-05045-7.
3
Da Vinci and Hugo RAS Platforms for robot-assisted partial nephrectomy: a preliminary prospective comparative analysis of the outcomes.
达芬奇和 Hugo RAS 平台辅助机器人部分肾切除术:初步前瞻性对比分析结果。
Minerva Urol Nephrol. 2024 Jun;76(3):303-311. doi: 10.23736/S2724-6051.24.05623-4. Epub 2024 May 17.
4
First worldwide report on rectal resections with Hugo™ surgical system: description of docking angles and tips for an effective setup.全球首例 Hugo™ 外科系统直肠切除术报告:对接角度描述及有效设置技巧。
ANZ J Surg. 2024 Jul-Aug;94(7-8):1299-1304. doi: 10.1111/ans.18918. Epub 2024 Mar 30.
5
Robot-Assisted Radical Prostatectomy by the Hugo Robotic-Assisted Surgery (RAS) System and the da Vinci System: A Comparison between the Two Platforms.使用雨果机器人辅助手术(RAS)系统和达芬奇系统进行机器人辅助根治性前列腺切除术:两种平台的比较。
Cancers (Basel). 2024 Mar 19;16(6):1207. doi: 10.3390/cancers16061207.
6
Colorectal procedures with the novel Hugo™ RAS system: training process and case series report from a non-robotic surgical team.新型 Hugo™ RAS 系统下的结直肠手术:非机器人手术团队的培训过程和病例系列报告。
Surg Endosc. 2024 Apr;38(4):2160-2168. doi: 10.1007/s00464-024-10760-8. Epub 2024 Mar 6.
7
A narrative review of the Medtronic Hugo RAS and technical comparison with the Intuitive da Vinci robotic surgical system.对美敦力 Hugo RAS 的叙述性回顾与直观达芬奇机器人手术系统的技术比较。
J Robot Surg. 2024 Feb 28;18(1):99. doi: 10.1007/s11701-024-01838-5.
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BMJ Case Rep. 2023 Dec 28;16(12):e256035. doi: 10.1136/bcr-2023-256035.
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