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皮膜外机器人对儿童尿道 - 膀结道的方法:初步经验和逐步的视频介绍
Thomas Loubersac1, Hortense Alliot1, Fabrizio Vatta1
1Nantes Université, CHU Nantes, Department of Pediatric Urology, F-44000 Nantes, France.
Journal of pediatric urology
|October 10, 2024
概括
这项研究表明,在儿童的泌尿动脉结 (UVJ) 手术中,外皮外机器人方法是可行的. 这种微创手术在复杂病例中,包括尿管再植入等方面,给出了良好的短期结果.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 最少侵入性的手术
- 机器人手术 机器人手术
背景情况:
- 对于儿科尿路动脉结 (UVJ) 异常的超膜机器人辅助程序正在增加.
- 外皮膜外的方法,潜在的侵入性较小,在儿科机器人手术中还没有得到充分的研究.
研究的目的:
- 介绍小儿科患者在机器人辅助的血管外腹腔镜外腹膜外紫外线关节关节手术的经验.
- 评估这种微创方法的可行性和短期结果.
主要方法:
- 腹膜外接入是通过一个小的带切口来实现的.
- 达芬奇Xi平台使用了四个8毫米机器人托卡和一个8毫米辅助端口.
- 程序包括用紫外线再植入 (UVR) 进行尿路切除术,Lich-Gregoir抗逆流体塑造术和用紫外线进行膀分泌器切除术.
主要成果:
- 三名儿科患者接受了腹腔外皮关节外的机器人辅助腹腔镜UVJ手术.
- 程序解决了症状的大尿管,双重系统中的膀外流 (VUR),以及用UVR进行膀分泌切除术.
- 在Clavien 2以上没有报告任何并发症,在6-17个月的随访期间没有发烧性尿路感染的复发.
结论:
- 在儿科泌尿病学中,用于UVJ手术的外皮膜外机器人方法,包括UVR,是可行的.
- 这种技术提供了良好的短期结果,即使对于复杂的儿科UVJ异常.
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