Robot-Assisted Total Proctocolectomy for Familial Adenomatous Polyposis with Multiple Colorectal Cancers Using the Hugo RAS System.

IF 0.7 Q4 SURGERY
Surgical Case Reports Pub Date : 2025-01-01 Epub Date: 2025-03-22 DOI:10.70352/scrj.cr.25-0035
Yu Yoshida, Yuki Aisu, Yoshiro Itatani, Koya Hida, Ryosuke Okamura, Masahiro Maeda, Nobuaki Hoshino, Hisatsugu Maekawa, Atsushi Ikeda, Keiko Kasahara, Hiromitsu Kinoshita, Shigeo Hisamori, Shigeru Tsunoda, Kazutaka Obama
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Abstract

Introduction: Experience with the Hugo RAS system in robot-assisted colorectal surgery is limited. This is particularly noticeable when focusing on complex procedures, such as total proctocolectomy (TPC). This study aimed to demonstrate the feasibility and safety of using the Hugo RAS system for TPC.

Case presentation: A 27-year-old woman with multiple colorectal cancers with a background of familial adenomatous polyposis underwent robot-assisted TPC, including lymph node dissection of the entire colorectal region using the Hugo RAS system. The robotic procedure was divided into 3 steps: 1) Trendelenburg position to perform ascending colon complete mesocolic excision (CME) to the hepatic flexure, 2) descending colon CME and total mesorectal excision with D3 lymph node dissection, and 3) flat position to perform central vessel ligation along the superior mesenteric artery. After undocking, the specimen was extracted transanally, and an ileal pouch was constructed from a small laparotomy at the umbilical incision, followed by ileal pouch-anal anastomosis. The operative time was 632 min, and the estimated blood loss was minimal. The postoperative period was uneventful.

Conclusions: Robot-assisted TPC using the Hugo RAS system is safe and feasible. The flexibility of Hugo, which is carried by a modular-type surgical robot with multiple independent arms, enables safe and effective advanced procedures.

使用Hugo RAS系统的机器人辅助全直结肠切除术治疗家族性腺瘤性息肉病合并多发性结直肠癌。
简介:雨果RAS系统在机器人辅助结肠直肠手术中的经验有限。这在复杂的手术中尤其明显,如全直结肠切除术(TPC)。本研究旨在证明使用Hugo RAS系统治疗TPC的可行性和安全性。病例介绍:一名27岁的女性,患有家族性腺瘤性息肉病的多发性结直肠癌,接受了机器人辅助的TPC,包括使用Hugo RAS系统对整个结直肠区域进行淋巴结清扫。机器人手术分为3个步骤:1)Trendelenburg体位对肝屈曲行升结肠结肠全肠系膜切除术(CME), 2)降结肠结肠CME及全肠系膜切除术并D3淋巴结清扫,3)平体位沿肠系膜上动脉行中央血管结扎术。取出标本后,经肛门取出标本,在脐切口处剖腹形成回肠袋,然后进行回肠袋-肛门吻合术。手术时间为632分钟,估计失血量最小。术后顺利。结论:采用Hugo RAS系统进行机器人辅助TPC是安全可行的。Hugo的灵活性由一个具有多个独立手臂的模块化手术机器人携带,可以实现安全有效的高级手术。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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审稿时长
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