Robotic Abdominal-Perineal Resection for Rectal Cancer Using da Vinci Single-Port System: Initial Clinical Experience in Japan

IF 0.9 Q4 ORTHOPEDICS
Momoko Ichihara, Koichi Okuya, Tatsuya Ito, Emi Akizuki, Ai Noda, Tadashi Ogawa, Masaaki Miyo, Masayuki Ishii, Ryo Miura, Maho Toyota, Akina Kimura, Ichiro Takemasa
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引用次数: 0

Abstract

The da Vinci Single-Port (dV-SP) is an innovative robot that integrates the advantages of articulated robotic instruments and a single access approach. A 58-year-old man who presented to our hospital with abdominal pain was diagnosed with cStageIIc (cT4bN0M0) rectal cancer and underwent abdominal-perineal resection using dV-SP. Its characteristic properties (cobra position of the camera, the wrists and elbows, and the relocating) allowed surgeons to overcome the challenges associated with single-port laparoscopic surgery, namely no clear triangulation and countertraction in the surgical fields, collision between straight instruments, and in-line viewing, and provide better cosmetic outcomes than those obtained by a multiport robotic surgery. We report the first surgery performed using dV-SP for rectal cancer in Japan.

使用达芬奇单端口系统的直肠癌机器人腹会阴切除:日本的初步临床经验
达芬奇单端口(dV-SP)是一种创新的机器人,集成了铰接式机器人仪器和单通道方法的优点。一名58岁男性患者因腹痛就诊于我院,诊断为cStageIIc (cT4bN0M0)直肠癌,行dV-SP腹腔会阴切除术。它的特点(摄像机的眼镜蛇位置,手腕和肘部,以及重新定位)使外科医生能够克服与单孔腹腔镜手术相关的挑战,即在手术视野中没有明确的三角和反牵引,直器械之间的碰撞,以及在线观察,并提供比多孔机器人手术更好的美容效果。我们报道了日本首例使用dV-SP治疗直肠癌的手术。
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CiteScore
2.00
自引率
10.00%
发文量
129
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