机器人辅助血栓切除术的两年随访经验。

IF 2.3 3区医学 Q2 SURGERY International Journal of Medical Robotics and Computer Assisted Surgery Pub Date : 2023-12-22 DOI:10.1002/rcs.2611

Gong Cheng, Xiaoping Zhang

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引用次数: 0

摘要

背景：自机器人辅助下腔静脉血栓切除术（RA-IVCT）和机器人辅助根治性肾切除术（RA-RN）的有限病例系列描述以来，尚未就手术程序达成共识：方法：从数据库中检索了21例接受RA-IVCT和RA-RN手术患者的临床数据。术前准备用于评估肿瘤。记录手术过程，总结手术技巧：中位 IVC 夹闭时间为 23 分钟，2 例病理发现 IVC 壁侵犯。术后平均住院时间为 8.4 天，大多数患者在术后第四天就能完全下地活动并进食。最后一次随访（中位 24 个月）时，没有一名患者出现肝肾功能障碍：结论：RA-IVCT给外科医生带来了技术挑战。结论：RA-IVCT给外科医生带来了技术挑战，IVC控制是手术过程的重要组成部分，不同侧需要不同的技术。

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Experiences of robot assisted thrombectomy with 2-year follow-up

Background

No consensus has been reached on operative procedures since a limited case series of robot-assisted inferior vena cava thrombectomy (RA-IVCT) and robot-assisted radical nephrectomy (RA-RN) have been described.

Methods

The clinical data of 21 patients who underwent RA-IVCT and RA-RN were retrieved from the database. Preoperative preparation was used for assessment of the tumour. Surgical procedures were recorded, and operative skills were summarised.

Results

The median IVC clamping time was 23 min, and IVC wall invasion was pathologically found in 2 cases. The mean postoperative hospital stay was 8.4 days and most patients recovered to full ambulation and oral feeding on the fourth day. None of the patients had liver or kidney dysfunction at the last follow-up (median, 24 months).

Conclusion

RA-IVCT presents technical challenges to surgeons. IVC control is an important part of the surgical process and different sides require different techniques.

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来源期刊

International Journal of Medical Robotics and Computer Assisted Surgery 医学-外科

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.