机器人辅助补片直肠粘连和乙状结肠切除术治疗梗阻性排便综合征:两期手术方法。

IF 2.2 3区 医学 Q2 SURGERY
Jamal Driouch, Shazadi Sajid, Dirk Bausch, Omar Thaher
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引用次数: 0

摘要

梗阻性排便综合征(ODS)显著影响生活质量,通常与直肠膨出、直肠肛肠套叠和多西格玛相关。机器人辅助的直肠固着术后乙状结肠切除术可能是一种有效的治疗方法。本研究纳入7例确诊为ODS的女性患者(平均年龄61.14岁,BMI 27.17),既往未接受过直肠脱垂或直肠下垂治疗。采用标准化评分(Wexner, Altomare ODS),对术前、术后1、3、6个月的结果进行评估。机器人辅助的直肠肩固定术和补片放置以及随后的乙状结肠切除术分两个手术阶段进行。便秘显著改善(Wexner评分从14.1降至8.7,p
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Robot-assisted mesh rectosacropexy and sigmoid colon resection for obstructive defecation syndrome: a two-stage surgical approach.

Obstructive Defecation Syndrome (ODS) significantly affects the quality of life and is often associated with rectocele, rectoanal intussusception, and dolichosigma. Robot-assisted rectosacropexy followed by sigmoid resection may offer an effective therapeutic approach. This study included 7 female patients (mean age 61.14 years, BMI 27.17) with confirmed ODS and no prior treatment for rectal prolapse or dolichosigma. Using standardized scores (Wexner, Altomare ODS), outcomes were assessed preoperatively and at 1, 3, and 6 months postoperatively. Robot-assisted rectosacropexy with mesh placement and subsequent sigmoid resection were performed in two surgical stages. Significant improvements in constipation (Wexner score reduced from 14.1 to 8.7, p < 0.01) and ODS symptoms (Altomare ODS score from 19.1 to 5.6, p < 0.01) were noted at 6 months. Continence (Wexner Incontinence Score) improved from 13.4 to 7.1. No conversions or major complications occurred, and all patients reported satisfaction with the treatment. Robot-assisted rectosacropexy followed by sigmoid resection is a safe and effective two-step approach for ODS. Further studies are needed to explore its long-term efficacy and functional outcomes.

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来源期刊
CiteScore
4.20
自引率
8.70%
发文量
145
期刊介绍: The aim of the Journal of Robotic Surgery is to become the leading worldwide journal for publication of articles related to robotic surgery, encompassing surgical simulation and integrated imaging techniques. The journal provides a centralized, focused resource for physicians wishing to publish their experience or those wishing to avail themselves of the most up-to-date findings.The journal reports on advance in a wide range of surgical specialties including adult and pediatric urology, general surgery, cardiac surgery, gynecology, ENT, orthopedics and neurosurgery.The use of robotics in surgery is broad-based and will undoubtedly expand over the next decade as new technical innovations and techniques increase the applicability of its use. The journal intends to capture this trend as it develops.
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