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Updated: Jan 30, 2026
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Resultados quirúrgicos en reconstrucción pélvica con colgajos de músculo recto abdominal asistida por robot: una
Christina Alexandersen1, Angelina Astrid Righult2, Jawad Ahmad Zahid2
1Center for Surgical Science, Zealand University Hospital, Lykkebækvej 1, 4600, Køge, Denmark. calex@regionsjaelland.dk.
International journal of colorectal disease
|January 28, 2026
Resumen
La reconstrucción pélvica asistida por robot con colgajos de músculo recto abdominal puede reducir las complicaciones de la herida y mejorar los resultados. Esta revisión sistemática sugiere beneficios potenciales para los pacientes sometidos a cirugía de cáncer pélvico.
Área de la Ciencia:
- Oncología Quirúrgica
- Cirugía Mínimamente Invasiva
- Cirugía Reconstructiva
Sus antecedentes:
- Las resecciones de cáncer pélvico pueden provocar un espacio muerto pélvico, lo que aumenta los riesgos de complicaciones.
- Se utilizan colgajos de músculo recto abdominal para la reconstrucción pélvica.
- El impacto de la cirugía asistida por robot en estas reconstrucciones no está bien definido.
Objetivo del estudio:
- Revisar sistemáticamente los resultados quirúrgicos de la reconstrucción pélvica asistida por robot con colgajos de músculo recto abdominal.
- Evaluar el impacto en las complicaciones postoperatorias en pacientes con cáncer pélvico.
Principales métodos:
- Búsqueda sistemática de literatura en PubMed, Web of Science, Cochrane Library y Embase.
- Se siguieron las directrices PRISMA; la búsqueda se actualizó el 13 de mayo de 2024.
- Extracción de datos y evaluación del riesgo de sesgo por dos revisores independientes.
Principales resultados:
- Cinco estudios (143 pacientes) incluidos; 36 tuvieron reconstrucción asistida por robot.
- La cirugía asistida por robot mostró tasas más bajas de complicaciones de la herida en comparación con la cirugía abierta.
- Los beneficios potenciales incluyen una estancia hospitalaria más corta, una mejor visualización y una menor pérdida de sangre.
Conclusiones:
- La reconstrucción pélvica asistida por robot con colgajos muestra ser prometedora para mejorar los resultados postoperatorios.
- Se justifica una mayor investigación con estudios más amplios y controlados para confirmar los beneficios.
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