对于希尔施普朗格病的机器人辅助直肠直肠切除术:一个多中心前性研究
Meng-Xin Zhang1, Xi Zhang1, Xiao-Pan Chang2
1Department of Pediatric Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, Hubei Province, China.
World journal of gastroenterology
|July 3, 2023
概括
机器人辅助直肠结节切除术 (RAPS) 提供了一种安全有效的希尔施普朗格治疗方法.
科学领域:
- 儿科手术 儿科手术
- 最少侵入性的手术
- 胃肠道手术 胃肠道手术
背景情况:
- 机器人外科手术在微创手术中比腹腔镜技术更为先进.
- 关于机器人手术在治疗赫施普朗格病 (HSCR) 中的应用,研究有限.
研究的目的:
- 为了评估机器人辅助直肠膜切除术 (RAPS) 的可行性和中期结果.
- 评估在接受RAPS的HSCR患者的关节和神经节约方法.
主要方法:
- 一项多中心前性研究包括156名直西格型HSCR患者 (2015年7月至2022年1月).
- 通过在纵向肌肉外的完全直肠剖析来实现关和神经的保存.
- 进行了透过门的Soave pull-through手术,随后对手术结果和抑郁功能进行了分析.
主要成果:
- 没有报告任何手术内转换或并发症.
- 在老年儿童中观察到良好的至中度的肠功能 (90.91%) 和有前途的术后便失禁得分.
- 根据手术时的年龄 (≤3个月与>3个月) 发现结果没有显著差异.
结论:
- 机器人辅助乳房切除术 (RAPS) 是所有儿科年龄组的HSCR的安全有效治疗方法.
- 雷普斯可以最大限度地减少关节和周直神经的损伤,从而有可能改善长期的节制功能.
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