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使用辅助指南有助于在机器人辅助皮叶造形术中放置尿道支架
Yutaro Sasaki1, Saki Kobayashi1, Kei Daizumoto1
1Department of Urology, Tokushima University Graduate School of Biomedical Sciences, Tokushima, Japan.
Asian journal of endoscopic surgery
|November 10, 2025
概括
一个新的指南简化了在机器人辅助皮叶造形术 (RAPP) 期间的双J支架放置. 这种技术确保了成功的支架插入,并改善了外科医生处理,解决了机器人手术的挑战.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 机器人手术 机器人手术
- 外科手术仪器仪器仪表的使用
背景情况:
- 机器人辅助皮叶整形 (RAPP) 需要精确的双J (DJ) 支架放置以获得最佳结果.
- 在RAPP的挑战包括有限的触觉反和外科医生协调.
- 精确的DJ支架安置对于尿管通透性和静脉愈合至关重要.
研究的目的:
- 评估RAPP中DJ手术内支架安置辅助指南的有效性.
- 为了解决与RAPP期间传统DJ支架插入相关的技术困难.
主要方法:
- 助手指南是一款不钢仪器,用于在RAPP中放置DJ支架.
- 患者身边的外科医生 (PSS) 推进了导线,而控制台外科医生 (CS) 插入了导线并提供了反拉力.
- DJ支架沿着导线进行了先进的升级.
主要成果:
- 在所有六个RAPP案例中都成功安装了DJ支架.
- 没有报道到诸如支架损伤,位置错误或尿道损伤等并发症.
- 与传统方法相比,PSS报告了改进的操控和扭矩传输.
结论:
- 助手指南为挑战RAPP中的DJ支架放置提供了一个实用的解决方案.
- 这种技术在小群体中证明了安全性和有效性.
- 建议进行进一步的多机构研究,以验证更广泛的适用性.
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