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使用带接入端口套件的达芬奇SP进行降结肠癌切除术：世界首例病例。

Descending Colon Cancer Resection Using the da Vinci SP with an Access Port kit: World's First Case.

作者信息

Ishii Masayuki, Okuya Koichi, Akizuki Emi, Ito Tatsuya, Noda Ai, Ogawa Tadashi, Miyo Masaaki, Miura Ryo, Ichihara Momoko, Toyota Maho, Kimura Akina, 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 Oct 25;8(4):411-416. doi: 10.23922/jarc.2024-020. eCollection 2024.

DOI:10.23922/jarc.2024-020
PMID:39473709
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11513413/
Abstract

In Japan, pharmaceutical approval for the use of the da Vinci SP (dV SP) Surgical System in colorectal cancer surgery was obtained in September 2022. This system has an operating arm with three instruments and one scope to be manipulated through a single incision in colorectal cancer surgery. An 88-year-old female presented to our hospital with melena and was diagnosed with cStage IIa descending colon cancer (cT3N0M0). The patient underwent left hemicolectomy with the dV SP using an Access Port kit. The Access Port kit was inserted into a 3-cm vertical skin incision at the umbilicus. With only this surgical wound, mobilization from the rectum to the colon, and lymph node dissection were performed. Herein, we report the world's first descending colon cancer resection with the dV SP using an Access Port kit.

摘要

2022年9月，日本批准了达芬奇SP（dV SP）手术系统用于结直肠癌手术。该系统在结直肠癌手术中通过一个切口操作，配备一个带有三种器械的操作臂和一个内镜。一名88岁女性因黑便就诊于我院，被诊断为降结肠癌IIa期（cT3N0M0）。患者使用接入端口套件，通过dV SP进行了左半结肠切除术。接入端口套件通过脐部一个3厘米的垂直皮肤切口插入。仅通过这一手术切口，就完成了从直肠到结肠的游离及淋巴结清扫。在此，我们报告了世界首例使用接入端口套件通过dV SP进行的降结肠癌切除术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5643/11513413/8fa9c58d4c42/2432-3853-8-0411-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5643/11513413/ce0ba141f1d8/2432-3853-8-0411-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5643/11513413/b1fa1ec44b06/2432-3853-8-0411-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5643/11513413/ff7a7e9ed910/2432-3853-8-0411-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5643/11513413/c043d3c3097f/2432-3853-8-0411-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5643/11513413/8fa9c58d4c42/2432-3853-8-0411-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5643/11513413/ce0ba141f1d8/2432-3853-8-0411-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5643/11513413/b1fa1ec44b06/2432-3853-8-0411-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5643/11513413/ff7a7e9ed910/2432-3853-8-0411-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5643/11513413/c043d3c3097f/2432-3853-8-0411-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5643/11513413/8fa9c58d4c42/2432-3853-8-0411-g005.jpg

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