Implementation of the Versius Surgical System in Complex Abdominal Wall Repair: First Reported Case of an Robotic ETEP/TAR Procedure.

IF 1.1 4区医学 Q3 SURGERY Surgical Laparoscopy, Endoscopy & Percutaneous Techniques Pub Date : 2024-06-01 DOI:10.1097/SLE.0000000000001231

Renato D Pinto, Pedro Trauczynski, Diego L Lima, Leandro T Cavazzola

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Abstract

Background: Robotic ventral hernia repair has been increasing globally, with comparable outcomes to laparoscopic repair and lower rates of conversion to open surgery. Robotic surgery is increasing in popularity, and there is a number of new robotic systems entering the marketing. We report the first case of a Roboic eTEP using the Versius robotic system in a patient with an incisional hernia.

Methods: Surgery was performed using the Versius system from CMR surgical which consists of bedside units for each instrument and a console. The patient presented with an incisional hernia measuring 9.5×5 cm in the left flank.

Results: The patient was discharged on postoperative day (POD) 2 with a drain. There was no need for opioids. The drain was removed at POD 7. The patient presented at POD 10 with erythema and cellulitis in the area that previously had tape on it, and it was resolved with a short course of oral antibiotics.

Conclusion: The eTEP technique for hernia surgery was safe and feasible using the Versius robotic system. Implementation is possible in experienced hands with minimal changes to the surgical techniques.

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在复杂腹壁修复中使用 Versius 手术系统：首例机器人ETEP/TAR手术报告

背景：机器人腹股沟疝修补术在全球范围内日益增多，其疗效与腹腔镜修补术相当，而且转为开腹手术的比例较低。机器人手术越来越受欢迎，许多新的机器人系统已进入市场。我们报告了首例使用 Versius 机器人系统对切口疝患者进行机器人 eTEP 的病例：手术使用的是 CMR surgical 公司的 Versius 系统，该系统由用于每种器械的床旁装置和控制台组成。患者左侧腹部有一个 9.5×5 厘米的切口疝：患者于术后第 2 天（POD）带引流管出院。无需使用阿片类药物。引流管于术后第 7 天拔除。患者在术后第 10 天出现红斑和蜂窝组织炎，之前贴有胶布的部位出现红斑和蜂窝组织炎，经过短期口服抗生素治疗后，红斑和蜂窝组织炎得到缓解：结论：使用 Versius 机器人系统进行疝气手术的 eTEP 技术既安全又可行。结论：使用 Versius 机器人系统进行疝气手术的 eTEP 技术既安全又可行，经验丰富的医生只需对手术技术进行最小程度的改动即可实施。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques 医学-外科

CiteScore

2.00

自引率

10.00%

发文量

103

审稿时长

3-8 weeks

期刊介绍： Surgical Laparoscopy Endoscopy & Percutaneous Techniques is a primary source for peer-reviewed, original articles on the newest techniques and applications in operative laparoscopy and endoscopy. Its Editorial Board includes many of the surgeons who pioneered the use of these revolutionary techniques. The journal provides complete, timely, accurate, practical coverage of laparoscopic and endoscopic techniques and procedures; current clinical and basic science research; preoperative and postoperative patient management; complications in laparoscopic and endoscopic surgery; and new developments in instrumentation and technology.