在无需重新定位的膀袖的机器人辅助脏切除术中,完全进行脏切除方法
Yuto Hattori1, Akihiro Yamamoto1, Akihiko Nagoshi1
1Department of Urology, Kobe City Medical Center General Hospital, Kobe, Japan.
Asian journal of endoscopic surgery
|May 1, 2024
概括
成功开发了一种用于机器人辅助瘤切除术 (RANU) 的新型瘤切除方法. 这种技术允许在没有重新定位的情况下进行完整的逆皮内RANU,即使在具有挑战性的患者解剖学中也是如此.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术瘤学手术瘤学
- 机器人手术 机器人手术
背景情况:
- 上部泌尿道泌尿道癌 (UTUC) 通常用机器人辅助瘤切除术 (RANU) 治疗.
- 由于空间限制,穿越关节的方法是RANU的标准.
- 逆关节的方法可能有利于以前经历过腹部手术的患者或那些不需要骨盆淋巴结解剖的患者.
研究的目的:
- 为了描述RANU的修改后关节技术.
- 为了评估在具有特定指示的患者中进行全脊椎膜RANU的可行性.
主要方法:
- 两名患有高度UTUC和先前腹部手术的患者通过逆关节方法接受了RANU.
- 为了方便剖析,采用了一种经过修改的三角骨安置技术.
- 切除术,尿管切割和阻断性膀袖口切除均由机器人进行.
主要成果:
- 在这两名患者中,修改后皮膜RANU成功完成.
- 没有报告任何手术内并发症.
- 患者在3个月的术后随访期内没有出现并发症.
结论:
- 一种新的托罗卡位置技术使得整体膜膜RANU能够在没有重新定位的情况下实现.
- 这种方法即使在手术空间有限的患者中也是可行的.
- 逆关节的方法为选择的UTUC患者提供了可行的替代方案.
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