机器人辅助肝切除术中肝实质横断的新手术技术:“Trac & Pac”。

IF 2.8 3区 医学 Q2 GASTROENTEROLOGY & HEPATOLOGY
Yuta Abe, Yutaka Nakano, Yosuke Uematsu, Minoru Kitago, Yasushi Hasegawa, Shutaro Hori, Masayuki Tanaka, Taizo Hibi, Yuko Kitagawa
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引用次数: 0

摘要

背景/目的:机器人辅助肝切除术中标准化的肝实质横断方法尚未建立,各机构使用的技术各不相同。我们开发了一种新的机器人辅助肝脏切除术的横断技术,称为“Trac & Pac”,它使用马里兰双极钳,轻柔的抚摸运动和策略牵引,逐步暴露和解剖肝实质。方法:我们描述了“Trac & Pac”的技术细节,评估了其短期疗效(2022-2025),并将其与传统腹腔镜下使用空腔超声手术吸引器(CUSA)的肝切除术(2018-2022)进行了比较。结果:机器人辅助肝切除术组包括26例采用“Trac & Pac”技术进行机器人左或右肝切除术的患者,而腹腔镜肝切除术组包括34例使用CUSA进行腹腔镜左或右肝切除术的患者。结论:“Trac & Pac”是一种安全可行的机器人辅助肝实质横断技术,可为提高微创肝脏手术的精度和曝光率提供新的解决方案。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Novel Surgical Technique of Liver Parenchyma Transection During Robotic-Assisted Liver Resection: "Trac & Pac".

Background/purpose: A standardized liver parenchymal transection method in robotic-assisted liver resection has not yet been established, and the techniques used vary among institutions. We developed a novel transection technique for robotic-assisted liver resection termed "Trac & Pac," which uses maryland bipolar forceps with a gentle stroking motion and strategic traction to progressively expose and dissect the liver parenchyma.

Methods: We described the technical details of "Trac & Pac" and Evaluated its short-term outcomes (2022-2025), comparing them with those of conventional laparoscopic liver resection using the Cavitron Ultrasonic Surgical Aspirator (CUSA) (2018-2022).

Results: The robotic-assisted liver resection group included 26 patients who underwent robotic left or right hepatectomy with the "Trac & Pac" technique, whereas the laparoscopic liver resection group comprised 34 patients who underwent laparoscopic left or right hepatectomy using the CUSA. The robotic group had a longer time from pneumoperitoneum to the start of intra-abdominal manipulation than the laparoscopic group (p < 0.001). Both groups had similar parenchymal transection times, blood loss, and postoperative complications.

Conclusions: "Trac & Pac" is a safe and feasible robotic-assisted liver parenchymal transection technique that may provide a new solution for improving precision and exposure in minimally invasive liver surgery.

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来源期刊
Journal of Hepato‐Biliary‐Pancreatic Sciences
Journal of Hepato‐Biliary‐Pancreatic Sciences GASTROENTEROLOGY & HEPATOLOGY-SURGERY
自引率
10.00%
发文量
178
审稿时长
6-12 weeks
期刊介绍: The Journal of Hepato-Biliary-Pancreatic Sciences (JHBPS) is the leading peer-reviewed journal in the field of hepato-biliary-pancreatic sciences. JHBPS publishes articles dealing with clinical research as well as translational research on all aspects of this field. Coverage includes Original Article, Review Article, Images of Interest, Rapid Communication and an announcement section. Letters to the Editor and comments on the journal’s policies or content are also included. JHBPS welcomes submissions from surgeons, physicians, endoscopists, radiologists, oncologists, and pathologists.
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