Robotic transanal total mesorectal excision for rectal cancer: experience with a first case.

The international journal of medical robotics + computer assisted surgery : MRCAS Pub Date : 2014-12-01 Epub Date: 2014-05-08 DOI:10.1002/rcs.1594

P M Verheijen, E C J Consten, I A M J Broeders

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引用次数: 52

Abstract

Background: A transanal approach for total mesorectal excision (TME) using a single incision port is feasible. The disadvantages are technical difficulties associated with limited manoeuvrability.

Methods: We present our first experience with robotic-assisted transanal total mesorectal excision. A 48 year-old woman with a tumour 8 cm from the anal verge was successfully operated using a transanal approach. A complete mesorectal excision was performed through a single incision port, using two robot arms.

Results: TME was performed successfully and the patient recovered quickly without any complications. The histological report showed a complete mesorectal excision with free distal and circumferential margins. A sigmoidoscopy showed an intact anastomosis and the patient was planned for reversal of her ileostomy.

Conclusions: Transanal total mesorectal excision using the robot is feasible. Robotics may help to overcome technical difficulties associated with the single incision port.

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机器人经肛门直肠癌全肠系膜切除术:第一例的经验。

背景:采用单切口口经肛门全直肠系膜切除术(TME)是可行的。缺点是技术上的困难和有限的机动性。方法:我们提出了第一个机器人辅助经肛门全肠系膜切除术的经验。一名48岁女性，肿瘤距肛门边缘8厘米，经肛门入路手术成功。使用两个机械臂，通过单切口进行完整的肠系膜切除。结果:TME手术成功，患者恢复迅速，无并发症发生。组织学报告显示完整的直肠肠系膜切除，远端和周缘自由。乙状结肠镜检查显示吻合完好，患者计划进行回肠造口术逆转。结论:机器人经肛门全肠系膜切除术是可行的。机器人技术可能有助于克服与单一切口端口相关的技术困难。

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

The international journal of medical robotics + computer assisted surgery : MRCAS

CiteScore

5.30

自引率

0.00%

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