Patel Maitreyi, Butnari Valentin, Aguayo Xavier, Rajendran Nirooshun
Department of Surgery, Queen's and King George's Hospital, Barking, Havering and Redbridge University NHS Trust, London, UK.
Blizard Institute, Queen Mary's University of London, London, UK.
J Minim Invasive Surg. 2025 Jun 15;28(2):97-102. doi: 10.7602/jmis.2025.28.2.97.
Robotic ileal pouch-anal anastomosis offers improved ergonomics and dexterity, leading to increased use. This study presents our initial series, describing technique and outcomes from a nationally accredited district general hospital. Data of consecutive patients who underwent robotic restorative proctocolectomy, between January 2021 and August 2024 was presented. Da Vinci Xi system (Intuitive Surgical) was used for all cases. We usually use the ileostomy site as the extraction site and J pouch formation avoiding Pfannenstiel or lower midline incision. Eight patients with a median age of 38 years, and a mean body mass index of 20.65 kg/m were included. Four had restorative proctectomy while one had restorative proctocolectomy. The median operative time was 407.5 minutes. One patient needed reoperation due to intraabdominal collection. The median length of stay was 6.5 days. One readmission was for adhesive obstruction. There were no mortalities. Our series demonstrates the technical feasibility and safety of our robotic technique.
机器人辅助回肠储袋肛管吻合术具有更好的人体工程学设计和灵活性，因此应用越来越广泛。本研究展示了我们的初始病例系列，描述了一家获得国家认证的地区综合医院的手术技术和结果。呈现了2021年1月至2024年8月期间连续接受机器人辅助全直肠系膜切除术患者的数据。所有病例均使用达芬奇Xi系统（直观外科公司）。我们通常将回肠造口部位作为取出部位，并形成J形储袋，避免采用耻骨上或下腹部正中切口。纳入了8例患者，中位年龄为38岁，平均体重指数为20.65kg/m²。4例行直肠切除术，1例行全直肠系膜切除术。中位手术时间为407.5分钟。1例患者因腹腔内积液需要再次手术。中位住院时间为6.5天。1例再次入院是因为粘连性肠梗阻。无死亡病例。我们的病例系列证明了我们机器人技术的技术可行性和安全性。
