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病例研究:机器人辅助在主肺动脉窗取出子弹异物。

Case study: robotic foreign body removal of bullet in the aortopulmonary window.

作者信息

Todderud Julia, Gee Arvin, Nguyen Duy

机构信息

Washington State University Elson S. Floyd College of Medicine, Spokane, WA, United States.

Department of Trauma Surgery, Legacy Emanuel Medical Center, Portland, OR, United States.

出版信息

J Surg Case Rep. 2025 Sep 20;2025(9):rjaf652. doi: 10.1093/jscr/rjaf652. eCollection 2025 Sep.

Abstract

This case study reports on a 17-year-old male that underwent robotic assisted foreign body removal after sustaining a gunshot wound to the left upper arm that resulted in the bullet traversing through the chest wall to stop directly in the mediastinum at the aortopulmonary window. The proximity of the foreign body to the great vessels introduced challenges for preoperative imaging and surgical planning, thus becoming the focus of this unique case. Ultimately, the robotic-assisted removal of the bullet was successful without damage to the surrounding structures. To date, no known study has reported on robotic foreign body removal at this anatomic location.

摘要

本病例研究报告了一名17岁男性,其左上臂遭受枪伤,子弹穿过胸壁后直接停留在主动脉肺动脉窗的纵隔内,随后接受了机器人辅助异物取出术。异物与大血管的 proximity 给术前成像和手术规划带来了挑战,因此成为这个独特病例的焦点。最终,机器人辅助取出子弹成功,周围结构未受损。迄今为止,尚无已知研究报道在这个解剖位置进行机器人异物取出术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bc0/12449759/f298ef44a5be/rjaf652f1.jpg

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