First-in-human robot-assisted laparoscopic sigmoid resection using ANSUR surgical unit®.

IF 2.7 3区 医学 Q2 GASTROENTEROLOGY & HEPATOLOGY
H Hasegawa, N Takeshita, D Kitaguchi, K Ikeda, Y Nishizawa, Y Tsukada, M Ito
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引用次数: 0

Abstract

Background: The ANSUR surgical unit® is a newly formulated robot that plays the roles of both the first assistant and scopist. This surgical unit was approved as a medical device in Japan in 2023. We report the first case of robot-assisted laparoscopic sigmoid resection for sigmoid colon cancer using the ANSUR surgical unit.

Methods: Robot-assisted laparoscopic sigmoid resection using the ANSUR surgical unit was planned for a 69-year-old woman with advanced sigmoid colon cancer.

Results: Tumor resection was successfully completed without conversion to open surgery. The operative time was 147 min, and the estimated blood loss was 36 mL. The roll-in, roll-out, docking, and undocking times were 182, 36, 387, and 41 s, respectively. No mechanical failure or malfunction of the surgical unit was observed. Moreover, no adverse events related to the surgical unit were observed. The patient was discharged 5 days postoperatively without complications. The histopathological diagnosis was T3N1aM0, stage IIIB, with clear proximal and distal resection margins. During follow-up 30 days later, an uneventful patient recovery was noted.

Conclusions: This is the first case of robot-assisted laparoscopic sigmoid resection for sigmoid colon cancer using the ANSUR surgical unit. The procedure was performed with technical and oncological safety.

人类首次使用ANSUR手术单元进行机器人辅助腹腔镜乙状结肠切除术。
背景:ANSUR手术单元®是一种新制定的机器人,扮演第一助理和scopist的角色。该手术装置于2023年在日本被批准为医疗器械。我们报告第一例机器人辅助腹腔镜乙状结肠切除术乙状结肠直肠癌使用ANSUR外科单位。方法:采用ANSUR手术单元对69岁晚期乙状结肠直肠癌患者进行机器人辅助腹腔镜乙状结肠切除术。结果:顺利完成肿瘤切除,未转开腹手术。手术时间147 min,估计失血量36 mL。滚入、滚出、对接和脱对接时间分别为182、36、387和41 s。没有观察到手术单元的机械故障或故障。此外,没有观察到与手术单位相关的不良事件。术后5天出院,无并发症。组织病理学诊断为T3N1aM0, IIIB期,近端和远端切除边缘清晰。在30天后的随访中,注意到患者恢复正常。结论:这是第一例使用ANSUR手术单元的机器人辅助腹腔镜乙状结肠切除术治疗乙状结肠结肠癌。手术在技术和肿瘤学上是安全的。
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来源期刊
Techniques in Coloproctology
Techniques in Coloproctology GASTROENTEROLOGY & HEPATOLOGY-SURGERY
CiteScore
5.30
自引率
9.10%
发文量
176
审稿时长
1 months
期刊介绍: Techniques in Coloproctology is an international journal fully devoted to diagnostic and operative procedures carried out in the management of colorectal diseases. Imaging, clinical physiology, laparoscopy, open abdominal surgery and proctoperineology are the main topics covered by the journal. Reviews, original articles, technical notes and short communications with many detailed illustrations render this publication indispensable for coloproctologists and related specialists. Both surgeons and gastroenterologists are represented on the distinguished Editorial Board, together with pathologists, radiologists and basic scientists from all over the world. The journal is strongly recommended to those who wish to be updated on recent developments in the field, and improve the standards of their work. Manuscripts submitted for publication must contain a statement to the effect that all human studies have been reviewed by the appropriate ethics committee and have therefore been performed in accordance with the ethical standards laid down in an appropriate version of the 1965 Declaration of Helsinki. It should also be stated clearly in the text that all persons gave their informed consent prior to their inclusion in the study. Details that might disclose the identity of the subjects under study should be omitted. Reports of animal experiments must state that the Principles of Laboratory Animal Care (NIH publication no. 86-23 revised 1985) were followed as were applicable national laws (e.g. the current version of the German Law on the Protection of Animals). The Editor-in-Chief reserves the right to reject manuscripts that do not comply with the above-mentioned requirements. Authors will be held responsible for false statements or for failure to fulfill such requirements.
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