Suda Takashi, Morota Mizuki, Negi Takahiro, Tochii Daisuke, Tochii Sachiko
Department of Thoracic Surgery, Fujita Health University Okazaki Medical Center, Okazaki, Aichi, Japan.
Eur J Cardiothorac Surg. 2025 Mar 28;67(4). doi: 10.1093/ejcts/ezaf127.
We report subxiphoid uniportal robotic thymectomy without intercostal access using the da Vinci Xi multi-port robot system. A 4-cm vertical incision was made 1 cm caudal to the xiphoid process. The AIRSEAL ROBOTIC SOLUTION, an air seal system compatible with the da Vinci port was used to insufflate CO2 at 8 mmHg. During port insertion, the left and right hands were crossed into the wound, with the camera, left hand, and right hand inserted in the order from the anterior chest to the dorsal side. To reduce the interference between the ports at the head, a key technique is to pull the camera port forward to prevent it from colliding with the other ports. Subxiphoid uniportal robotic thymectomy using the da Vinci Xi is a technique that combines excellent surgical visibility from the subxiphoid process, minimal invasiveness and enhanced operability provided by the robotic system.
我们报告了使用达芬奇Xi多端口机器人系统进行的剑突下单孔机器人胸腺切除术，无需肋间入路。在剑突下1 cm处做一个4 cm的垂直切口。使用与达芬奇端口兼容的气腹密封系统AIRSEAL ROBOTIC SOLUTION以8 mmHg的压力注入二氧化碳。在插入端口时，左手和右手交叉伸入伤口，摄像头、左手和右手从前胸向背侧依次插入。为了减少头部端口之间的干扰，一项关键技术是将摄像头端口向前拉，以防止其与其他端口碰撞。使用达芬奇Xi进行剑突下单孔机器人胸腺切除术是一种结合了剑突下良好手术视野、微创性和机器人系统增强的可操作性的技术。
