机器人辅助西格莫切除术与D3淋巴切除术用于西格莫结肠癌患者的Situs Inversus Totalis:一个病例报告
Kazuhito Minami1, Shojiro Kawano1, Tomohiro Furukawa1
1Department of Surgery, Matsuyama Red Cross Hospital, Matsuyama, Ehime, Japan.
Surgical case reports
|February 6, 2026
概括
机器人辅助切除术为患有 situs inversus totalis (SIT) 的患者进行复杂的手术提供了解决方案,这是一个罕见的器官逆转状况. 这种方法克服了技术上的挑战,使程序可行和有利.
科学领域:
- 手术瘤学手术瘤学
- 最少侵入性的手术
- 医疗机器人 医疗机器人
背景情况:
- 网站逆向总体 (SIT) 由于胸部和腹部器官的完全转移,提出了独特的手术挑战.
- 在SIT中进行 laparoscopic colectomy 由于逆向解剖学而在技术上要求很高.
- 机器人辅助手术在复杂病例中在人体工程学和仪器控制方面提供了潜在的优势.
研究的目的:
- 为了评估机器人辅助的sigmoidectomy的可行性和有效性,在一个有网站逆向总体的患者.
- 为了证明患者特定端口配置在SIT的机器人手术中的实用性.
主要方法:
- 一名51岁的男性患有SIT和sigmoid结肠癌,使用达芬奇Xi系统进行了机器人辅助的sigmoidectomy和D3淋巴切除术.
- 使用手术前CT成像开发了一个定制的端口放置策略,以优化手术访问和仪器机动性.
- 该程序是在注意SIT的独特解剖学考虑的情况下进行的.
主要成果:
- 机器人辅助的半导体切除术成功完成,没有手术内或术后并发症.
- 手术时间为232分钟,血液损失最小.
- 组织病理学证实了IIIB期腺癌 (pT3,pN1a,cM0).
结论:
- 机器人辅助大肠切除术是一种可行的和有效的选择,用于在SIT患者中管理西格结肠癌.
- 术前成像和患者特定的端口映射对于SIT中成功的机器人手术至关重要.
- 这一案例增加了支持SIT等复杂解剖变异的机器人手术的证据.
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