全机器人全结肠切除术在高危患者中的应用及文献综述

IF 2.1 3区 医学 Q2 SURGERY
Igor Monsellato, Teresa Gatto, Maria Antonietta Alagia, Federico Sangiuolo, Marco Palucci, Celeste del Basso, Martina Girardi, Irene Gandini, Gabriela Del Angel-Millan, Marco Lodin, Fabio Giannone, Gianluca Cassese, Fabrizio Panaro
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引用次数: 0

摘要

机器人全结肠切除术是治疗复杂结肠疾病的一种有价值的方法。它在高危患者中的作用,特别是那些有显著合并症或同步恶性肿瘤的患者,仍未得到充分报道。方法对2例高危男性家族性腺瘤性息肉病(FAP)患者,1例同时性结肠癌患者,于2024年采用da Vinci Xi系统行全机器人全结肠切除术+肠腔内回肠-袋-直肠吻合术+回肠袢造口术。重点回顾了最近关于机器人结肠切除术的文献。结果患者平均年龄68岁,平均BMI为33.05 kg/m2。一名患者有肝硬化和肥胖;另一组患有严重的肥胖和精神疾病。两项手术均完成,无转阴或并发症。平均治疗时间315 min,平均住院时间11 d。结论全机器人全结肠切除术在高危患者中是可行且安全的。这些发现支持了其在微创结直肠手术中的扩展作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Fully Robotic Total Colectomy in High-Risk Patients and Review of Literature

Background

Robotic total colectomy is a valuable approach for managing complex colorectal diseases. Its role in high-risk patients, especially those with significant comorbidities or synchronous malignancy, remains underreported.

Methods

Two high-risk male patients with familial adenomatous polyposis (FAP), one with synchronous colon cancer, underwent fully robotic total colectomy with intracorporeal ileo-pouch-rectal anastomosis and loop ileostomy using the da Vinci Xi system in 2024. A focused review of the recent literature on robotic colectomy was also conducted.

Results

The mean age was 68 years, and mean BMI was 33.05 kg/m2. One patient had cirrhosis and obesity; the other had severe obesity and psychiatric comorbidity. Both procedures were completed without conversions or complications. Mean console time was 315 min, and mean hospital stay was 11 days.

Conclusions

Fully robotic total colectomy is feasible and safe in high-risk patients. These findings support its expanded role in minimally invasive colorectal surgery.

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来源期刊
CiteScore
4.50
自引率
12.00%
发文量
131
审稿时长
6-12 weeks
期刊介绍: The International Journal of Medical Robotics and Computer Assisted Surgery provides a cross-disciplinary platform for presenting the latest developments in robotics and computer assisted technologies for medical applications. The journal publishes cutting-edge papers and expert reviews, complemented by commentaries, correspondence and conference highlights that stimulate discussion and exchange of ideas. Areas of interest include robotic surgery aids and systems, operative planning tools, medical imaging and visualisation, simulation and navigation, virtual reality, intuitive command and control systems, haptics and sensor technologies. In addition to research and surgical planning studies, the journal welcomes papers detailing clinical trials and applications of computer-assisted workflows and robotic systems in neurosurgery, urology, paediatric, orthopaedic, craniofacial, cardiovascular, thoraco-abdominal, musculoskeletal and visceral surgery. Articles providing critical analysis of clinical trials, assessment of the benefits and risks of the application of these technologies, commenting on ease of use, or addressing surgical education and training issues are also encouraged. The journal aims to foster a community that encompasses medical practitioners, researchers, and engineers and computer scientists developing robotic systems and computational tools in academic and commercial environments, with the intention of promoting and developing these exciting areas of medical technology.
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