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使用达芬奇SP系统进行内机器人下切割:在机器人过手术中的101个病例经验
Metincan Erkaya1, Salih Karahan1, Mustafa Oruc1
1Department of Colorectal Surgery, Digestive Disease & Surgery Institute, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH, 44195, USA.
Surgical endoscopy
|March 5, 2026
概括
使用达芬奇SP平台的内机器人膜下切割 (ERSD) 对于远端结直肠病变是安全有效的,可以实现高块切割率. 这种最少的侵入性方法提供了持久的结果,长期并发症很少.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 机器人手术 机器人手术
背景情况:
- 用达芬奇单端口 (SP) 平台进行内机器人膜下切割 (ERSD) 提高了切割远端结直肠病变的可视化和精度.
- 传统的内镜下膜剖析带来了技术上的挑战和一个的学习曲线.
研究的目的:
- 评估ERSD在大量患者队列中的疗效,适用性和长期结果.
- 评估与ERSD相关的手术内和术后并发症.
- 为了确定 en-bloc 粘膜下切割的可行性和瘤学结果.
主要方法:
- 通过达芬奇SP平台进行ERSD的101名患者的回顾性分析 (2020年3月 - 2025年5月).
- 对患者人口统计,病变特征,手术细节和病理发现的审查.
- 评估手术内/手术后并发症,阻断切除率和瘤结局.
主要成果:
- 在96.0%的病例中实现了封锁切除;中位数的手术时间为73分钟.
- 平均住院时间为0天;常见的病理包括腺瘤和腺癌.
- 在腺癌患者的中位数22个月的随访期间,没有观察到转移或恶性复发.
结论:
- 对于远端结直肠病变来说,ERSD是一种安全,可行的和持久的选择,提供高的阻塞切除率.
- 这种手术表明长期并发症最小.
- 对于特定的结直肠病变来说,ERSD是一种可行的替代传统的透过门的方法.
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