在机器人肝切除过程中,用于普林格尔机动作的一种有效的肝带带方法
Yusuke Uemoto1, Takahisa Fujikawa1, Taisuke Matsuoka1
1Surgery, Kokura Memorial Hospital, Kitakyushu, JPN.
Cureus
|June 21, 2023
概括
介绍了一种用于在机器人肝切除 (RLR) 中粘贴肝带 (HL) 的新技术. 这种方法是安全的,时间效率高,并且在肝切除 (LR) 过程中减少出血.
科学领域:
- 肝胆道手术 肝胆道手术
- 最少侵入性的手术
- 机器人手术 机器人手术
背景情况:
- 普林格尔的机动对于减少肝切除 (LR) 期间出血至关重要.
- 在机器人肝切除 (RLR) 中粘贴肝带 (HL) 是具有挑战性的,因为触觉反有限.
- 需要一个安全和高效的HL带方法RLR.
研究的目的:
- 在机器人肝切除 (RLR) 过程中描述一种新,安全和简单的肝带 (HL) 粘贴方法.
- 在RLR中评估这项新的HL贴带技术的安全性和效率.
主要方法:
- 使用柔性导管和3毫米带,创建了一个带工具.
- 该方法涉及打开较小的形象,将工具插入HL后面,并用带包围它.
- 收集的数据包括录制时间,试图数量,手术内流血和手术后的结果.
主要成果:
- 平均录制时间为55秒 (范围:11-162秒),平均一次尝试 (范围:1-4).
- 在手术过程中没有意外伤害.
- 在手术期间的血液损失平均为24毫升 (范围:5-400毫升),没有发生肝切除术后肝衰竭 (PHLF) 的病例.
结论:
- 描述的方法允许在机器人肝切除 (RLR) 中安全且时间效率高的肝带 (HL) 贴带.
- 这种技术有可能提高安全性,并减少RLR程序中的并发症.
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