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ロボットアシスタントの右側と左側のコレクトミーの同時位置付け
Ryosuke Okamura1, Yoshiro Itatani1, Ryuhei Aoyama1
1Department of Surgery, Kyoto University Hospital, Kyoto, Japan.
Asian journal of endoscopic surgery
|September 3, 2025
まとめ
この研究は,同期性大腸がん (sCRC) のロボット補助切除のためのN形5トロッカー構成を導入します. この新技術により 身体内アナストモシスによる 右側と左側の コレクトミーが同時に可能になり 外科手術の効率が向上します
科学分野:
- 手術腫瘍学
- 侵襲 的 な 手術
- ロボット 手術
背景:
- 最小侵襲手術 (MIS) は 切断が小さくなり 回復が早くなるという利点があります
- シンクロン大腸がん (sCRC) のロボット補助切除は,希少性と複雑性のために困難です.
- sCRCのためのマルチポートロボット技術の標準化が必要である.
研究 の 目的:
- スCRCで同時にロボットによる切除を行うための新しいN形5本車構成を提示します.
- 体内アナストモシスの実用性と有効性を実証する.
主な方法:
- シンクロン・セカル・ガンと シンクロン・シグモイド・ガンで 85歳の女性の症例報告です
- 右側と左側を同時に切除するために N 形の5つのトロカーの配置を使用しました.
- 両方の腫瘍に 身体内アナストモシスによる 連続的なロボット切除を行いました
主要な成果:
- N型ポートは右側と左側の切除手術の間のシームレスな移行を容易にした.
- 合計手術時間は311分 血の損失は最小です
- 患者は不調な術後の回復を経験した.
結論:
- N型のポート構成は,マルチポートのロボットSCRC切除に実用的で有効です.
- この技術により ロボットによる手術の 利点が最大化されます
- 異なるロボットプラットフォームの適応性をさらに評価する必要があります.
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